As part of a project looking at the implementation of personal budgets in the north-west of England, councils in the region identified three key areas for exploration and further development with regards to personal budgets. To assess practice in these areas, the project surveyed councils, social care user groups, providers and other organisations in the region. The three areas identified where: minimum process; managed personal budgets; and workforce. This paper summarises the challenges faced in these areas, highlights good practice taking place and makes recommendations for improvement for individual councils and for the region as a whole.
As part of a project looking at the implementation of personal budgets in the north-west of England, councils in the region identified three key areas for exploration and further development with regards to personal budgets. To assess practice in these areas, the project surveyed councils, social care user groups, providers and other organisations in the region. The three areas identified where: minimum process; managed personal budgets; and workforce. This paper summarises the challenges faced in these areas, highlights good practice taking place and makes recommendations for improvement for individual councils and for the region as a whole.
Subject terms:
local authorities, personal budgets, personalisation, good practice;
Journal of Adult Protection, 13(2), 2011, pp.87-88.
Publisher:
Emerald
This short briefing discusses the Social Care Institute for Excellence's (SCIE) work on improving practice in safeguarding adults. This work includes 3 films on Social Care TV, the ‘Dignity in Care’ online guide, a research briefing on self-directed support and personal budgets, and work on restraint, personalisation and risk. SCIE also works in partnership with Local Government Improvement
This short briefing discusses the Social Care Institute for Excellence's (SCIE) work on improving practice in safeguarding adults. This work includes 3 films on Social Care TV, the ‘Dignity in Care’ online guide, a research briefing on self-directed support and personal budgets, and work on restraint, personalisation and risk. SCIE also works in partnership with Local Government Improvement and Development on their safeguarding programme. Placing the person at the centre of safeguarding processes will support practitioners to move away from ‘service-led’ procedure-focused responses. Together, these resources aim to improve access to up-to-date knowledge and support the rapid pace of change in safeguarding practice.
Subject terms:
information services, personalisation, safeguarding adults, good practice;
This paper discusses the potential of personalised care and support to promote the wellbeing of people living with dementia. It explores the evolution of thinking and practice around person-centred dementia care, including its relationship with personalised care and support more generally. The intention is to link the two areas and enrich and inform future strategy and action in relation both to people living with dementia and personalised care and support more widely. It concludes considering the system challenges that need to be addressed to optimise the wellbeing of people living with dementia. It is based on desk research, interactions and conversations with people living with dementia, people 'informally' supporting people with dementia and with professionals in the field of support and care for people living with dementia. It is also based upon personal experience and reflection of striving to support someone I loved to have as good a life as possible while living with dementia. The core proposition of this paper echoes that of Tom Kitwood (1997) and others, that our personhood lies at the heart of our wellbeing, whether we are living with dementia or not. Moreover, our personhood is constructed and reaffirmed (or held) through our interactions with the world around us. This paper breaks this down into four interdependent dimensions of place and things, power and agency, people and relations, and purpose and routines.
(Edited publisher abstract)
This paper discusses the potential of personalised care and support to promote the wellbeing of people living with dementia. It explores the evolution of thinking and practice around person-centred dementia care, including its relationship with personalised care and support more generally. The intention is to link the two areas and enrich and inform future strategy and action in relation both to people living with dementia and personalised care and support more widely. It concludes considering the system challenges that need to be addressed to optimise the wellbeing of people living with dementia. It is based on desk research, interactions and conversations with people living with dementia, people 'informally' supporting people with dementia and with professionals in the field of support and care for people living with dementia. It is also based upon personal experience and reflection of striving to support someone I loved to have as good a life as possible while living with dementia. The core proposition of this paper echoes that of Tom Kitwood (1997) and others, that our personhood lies at the heart of our wellbeing, whether we are living with dementia or not. Moreover, our personhood is constructed and reaffirmed (or held) through our interactions with the world around us. This paper breaks this down into four interdependent dimensions of place and things, power and agency, people and relations, and purpose and routines.
(Edited publisher abstract)
Subject terms:
dementia, wellbeing, person-centred care, good practice, personalisation;
In the context of the Care Act 2014, this textbook on personalisation considers key policy changes since 2009 and new research into the extension and outcomes of personal budgets. Direct payments and personal budgets have developed rapidly, transforming the whole of adult social care. In future, all care will be delivered via a personal budget, with direct payments as the default rather than
(Edited publisher abstract)
In the context of the Care Act 2014, this textbook on personalisation considers key policy changes since 2009 and new research into the extension and outcomes of personal budgets. Direct payments and personal budgets have developed rapidly, transforming the whole of adult social care. In future, all care will be delivered via a personal budget, with direct payments as the default rather than the exception. As the concepts have spread from adult social care to other sectors, the changes have been controversial and difficult to implement. Front-line practitioners and people using services have struggled to make sense of these ways of working in a challenging financial and policy context. The book examines the history of the direct payments and personal budgets, the lessons learnt, the advantages of this approach and existing barriers. This textbook is aimed at students, practitioners and policy makers in social work and community care services.
(Edited publisher abstract)
Subject terms:
personalisation, direct payments, personal budgets, adult social care, good practice;
“Working for personalised care: A framework for supporting personal assistants working in adult social care” was published by the Department of Health in July 2011. This framework sets out a direction of travel to enable and support the personal assistants (Pas) workforce and their employers. The framework is intended to begin to address some of the challenges of increasing the capacity and capability of the PA workforce to deliver high quality personalised support and to offer good practice examples which illustrate how these are being tackled. This implementation plan summarises the key ambitions and actions under the following areas: better understanding of PA working; recruitment and retention; learning and development; supporting PAs and employers; and enabling risk management.
“Working for personalised care: A framework for supporting personal assistants working in adult social care” was published by the Department of Health in July 2011. This framework sets out a direction of travel to enable and support the personal assistants (Pas) workforce and their employers. The framework is intended to begin to address some of the challenges of increasing the capacity and capability of the PA workforce to deliver high quality personalised support and to offer good practice examples which illustrate how these are being tackled. This implementation plan summarises the key ambitions and actions under the following areas: better understanding of PA working; recruitment and retention; learning and development; supporting PAs and employers; and enabling risk management.
Subject terms:
personal assistants, personalisation, social care provision, adult social care, good practice;
... promote PPF among stakeholders involved in the personalisation of adult social care. Primarily aimed at local authorities, it is useful for people who have been appointed to implement PPF at the local level. The toolkit provides background on the key PPF messages. It provides guidance on how to communicate effectively with councillors, plus case studies from other teams on how they have implemented PPF.
Putting People First (PPF) is a national programme designed to improve people’s experiences of adult social care. It is a commitment to ensure anyone who needs are and support can exercise choice and control. The PPF programme is made up of four key components: universal services; preventive services; choice and control; and building social capital. This toolkit is a practical resource to help promote PPF among stakeholders involved in the personalisation of adult social care. Primarily aimed at local authorities, it is useful for people who have been appointed to implement PPF at the local level. The toolkit provides background on the key PPF messages. It provides guidance on how to communicate effectively with councillors, plus case studies from other teams on how they have implemented PPF. Sections include: key messages; communications planning; working with the media; communicating with target groups; communication case studies; and resources.
Subject terms:
personalisation, social care provision, adult social care, communication skills, good practice;
Under the Putting People First policy, councils with social services responsibilities are putting in place major changes in social care. Self-directed support will become the norm for people who have an on-going social care package. However, Putting People First makes clear that the aim is greater choice and control for everyone who needs support. The Care Quality Commission’s annual performance assessment now gives councils more scope to use local evidence of results in this way. But collecting information is not an end in itself. Councils need to develop effective ways to work together with local people and organisations to make sense of information and use it to bring about change. This paper looks at how councils can work together with citizens to develop new ways to measure success in social services at a local level. It shares the learning from several initiatives that aim to find out if people achieve outcomes that are important to them.
Under the Putting People First policy, councils with social services responsibilities are putting in place major changes in social care. Self-directed support will become the norm for people who have an on-going social care package. However, Putting People First makes clear that the aim is greater choice and control for everyone who needs support. The Care Quality Commission’s annual performance assessment now gives councils more scope to use local evidence of results in this way. But collecting information is not an end in itself. Councils need to develop effective ways to work together with local people and organisations to make sense of information and use it to bring about change. This paper looks at how councils can work together with citizens to develop new ways to measure success in social services at a local level. It shares the learning from several initiatives that aim to find out if people achieve outcomes that are important to them.
Subject terms:
performance management, personalisation, self-directed support, social services, good practice;
This paper collates learning and best practice so far with support planning and brokerage, from the Individual Budget Pilot Programme and beyond. It is part of Putting People First Personalisation Toolkit
This paper collates learning and best practice so far with support planning and brokerage, from the Individual Budget Pilot Programme and beyond. It is part of Putting People First Personalisation Toolkit
Subject terms:
personal budgets, personalisation, planning, service brokerage, good practice;
Quality in Ageing and Older Adults, 21(1), 2020, pp.3-14.
Publisher:
Emerald
The purpose of this study is to examine changes in the nature, form and range of commissioning arrangements for home care.Design/methodology/approach: Data from two discrete national surveys of English local authorities with social service responsibilities were used. In the first, undertaken in 2007, responses from 111 of the 151 local authorities (74%) were received; in the second, undertaken in 2017, responses from 109 local authorities (72%) were received. A combined data set of 79 complete cases, 52% of local authorities, was created. Percentage point differences across the two time periods were calculated and tested to identify significant changes and a systematic analysis of the free-text responses regarding intended changes to the commissioning process in each data set was undertaken.Findings: Findings identified substantial changes in some aspects of the commissioning of home care in the 2007-2017 decade. Collaboration between stakeholders had increased, particularly regarding the identification of future needs. Improved conditions of service and remuneration for home care workers were evident within the commissioning process. Standardised charges for home care (regardless of time and day) had also become more widespread. Initiatives to prompt providers to deliver more personalised care were more evident. Originality/value: This paper describes the evolution of commissioning arrangements for home care in localities in response to national policy initiatives. It provides guidance to commissioners in meeting the needs of current service users and emphasises the importance of collaboration with stakeholders, particularly providers, in securing future capacity.
(Edited publisher abstract)
The purpose of this study is to examine changes in the nature, form and range of commissioning arrangements for home care.Design/methodology/approach: Data from two discrete national surveys of English local authorities with social service responsibilities were used. In the first, undertaken in 2007, responses from 111 of the 151 local authorities (74%) were received; in the second, undertaken in 2017, responses from 109 local authorities (72%) were received. A combined data set of 79 complete cases, 52% of local authorities, was created. Percentage point differences across the two time periods were calculated and tested to identify significant changes and a systematic analysis of the free-text responses regarding intended changes to the commissioning process in each data set was undertaken.Findings: Findings identified substantial changes in some aspects of the commissioning of home care in the 2007-2017 decade. Collaboration between stakeholders had increased, particularly regarding the identification of future needs. Improved conditions of service and remuneration for home care workers were evident within the commissioning process. Standardised charges for home care (regardless of time and day) had also become more widespread. Initiatives to prompt providers to deliver more personalised care were more evident. Originality/value: This paper describes the evolution of commissioning arrangements for home care in localities in response to national policy initiatives. It provides guidance to commissioners in meeting the needs of current service users and emphasises the importance of collaboration with stakeholders, particularly providers, in securing future capacity.
(Edited publisher abstract)
Subject terms:
social care, home care, commissioning, older people, surveys, good practice, personalisation;
London School of Hygiene and Tropical Medicine, Policy Innovation and Evaluation Research Unit
Publication year:
2020
Pagination:
117
Place of publication:
London
This report presents the findings of research into the barriers to achieving more personalised care in care homes for older people and measures being taken in some care homes to improve personalisation. The report sets out a brief overview of the concept of ‘personalisation’, and its close relatives, ‘choice and control’ and ‘person-centred care’; a discussion of the development of policy and practice guidance surrounding personalisation in England; findings from a review of studies of approaches, effects and contexts of personalisation in care homes; findings from the analysis of interviews with care home managers; and the results of an analysis of examples of, and barriers to, personalisation reported in CQC inspection reports. The report also draws out implications for policy, practice and research. These include acknowledging that the provision of an attentive, individualised service requires adequate staffing, staff training and management support; government and local authorities increasing their level of awareness of the differences in care provision, which are reflective of different approaches to personalisation, within care home markets; and fostering commitment to personalised care
(Edited publisher abstract)
This report presents the findings of research into the barriers to achieving more personalised care in care homes for older people and measures being taken in some care homes to improve personalisation. The report sets out a brief overview of the concept of ‘personalisation’, and its close relatives, ‘choice and control’ and ‘person-centred care’; a discussion of the development of policy and practice guidance surrounding personalisation in England; findings from a review of studies of approaches, effects and contexts of personalisation in care homes; findings from the analysis of interviews with care home managers; and the results of an analysis of examples of, and barriers to, personalisation reported in CQC inspection reports. The report also draws out implications for policy, practice and research. These include acknowledging that the provision of an attentive, individualised service requires adequate staffing, staff training and management support; government and local authorities increasing their level of awareness of the differences in care provision, which are reflective of different approaches to personalisation, within care home markets; and fostering commitment to personalised care and quality of leadership of care home managers, and the skills and motivation of their care staff.
(Edited publisher abstract)
Subject terms:
care homes, older people, person-centred care, personalisation, good practice, choice;