Our Self Directed Support Survey

Our Self Directed Support Survey

Self Directed Support
in December we said in 11 councils people were getting less Direct Payments  after the Act came in than they had before.  New figures including the take up of other options were published in July 2016 and show that both Falkirk and Inverclyde actually did better than that getting more people into SDS packages than the previous year.   But the 8 of others were still doing worse than the year before SDS was introduced. Glasgow has been undergoing its Personalisation process since 2009 and says that over 1700 people are now getting Option 2.  We think this shows a problem with just using numbers to explore SDS.   Glasgow worked out the cost of service for these people, then transferred that money to their existing social care provider in their name…
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A warning for Scotland on Health and Social Care Integration

A warning for Scotland on Health and Social Care Integration

Self Directed Support
Health And Social Care Integration is struggling in England. Increasing financial constraints on councils and NHS bodies are making it harder to achieve integrated health and social care, government-funded research has warned. The study also found that engaging frontline staff in initiatives to integrate care was proving challenging in a climate where they were “firefighting” to keep existing services running. Health and social care were beset by an “integration paradox” in which the financial environment made it ever more important to integrate care but, at the same time, made it more difficult to make progress in doing so. The findings came from an early evaluation of the integrated care and support pioneers programme, a Department of Health initiative set up in late 2013 to test new ways of integrating care…
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Has Self Directed Support Stalled?

Has Self Directed Support Stalled?

Self Directed Support
In January 2015, we published a short report called “The Start” looking at the first 6 months of Self Directed Support and what was being planned.  It found a hesitant approach that showed that there had been few real developments in SDS.   We  said that when the social care statistics were published in late 2015, we would have a better national picture of how SDS was developing. There was a total of 6,000  people on Direct Payments in 2013-14 before the introduction of SDS .     In 2014-15 this would need to rise to 6,600 just to keep up the momentum of development. The figures have now been published.   And the number of people with Direct Payments has risen but ONLY to 6,450.   This is the…
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MOST COUNCILS REJECT RAS AND GO FOR EQUIVALENCE IN SDS

MOST COUNCILS REJECT RAS AND GO FOR EQUIVALENCE IN SDS

Self Directed Support
New research by the Learning Disability Alliance Scotland has found that most councils in Scotland are now rejecting the pseudo scientific idea that complex social care needs can be translated into a single number (like the discredited IQ Score) and bringing back the judgement of professional social workers into working out social care needs. 18  out of 32 councils are now running  an Equivalence model in their area.  Only 12 councils are running the points based RAS in their areas and 1 of these only does it for people with learning disabilities.  2 councils have yet to decide what to do. “Equivalence” is a  system that relies on the judgement of a professional social worker to establish the level of a budget.  They decide what support they would normally provide…
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Paying for the National Minimum Wage

Paying for the National Minimum Wage

Self Directed Support
The essence of Self Directed Support is meant to be having the freedom to spend an Individual Budget on the support and services that can truly meet your need.  In the early days, videos were produced of people spending their money on holidays abroad or on personal development courses or opportunities.  The argument was if you gave people the freedom to make their own choice, they would be better choices and in many cases would be cheaper.  For example, instead of paying a support worker to take you to a football game as well as buying a tickt, a friend, family member or volunteer could be induced to do this for just the price of the ticket Over the last few years as SDS has been introduced in Scotland, that…
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Cordia to close

Cordia to close

Self Directed Support
In a surprise announcement Glasgow City Council is to close Cordia, the Arms-Length External Organisation (ALEO) which until now has been the preferred provider of social care in the city. Cordia employees will transfer  to the Council, bringing its social care function back in-house. As part of the new approach, the Council will overhaul the way that it purchases community-based care services from other providers, including the third sector, in line with their Transformation Strategy, a far reaching reform programme that aims to modernise working practices and deliver required savings of £133m over the next two years.  See this article for more details Proposals include testing a new purchasing model, which will see a move away from purchasing care services by the hour.  It is unclear at this stage what the…
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