Introduction of personalisation in care

Outcome 1
1. There are many things that are included within an individual’s personal care. To start off with a social worker or care manager will work with the individual together to create a care and support plan. This plan details the individuals care and support needs, and will be used to work out the value of their “personal budget”. Their support plan should consider: what you want to achieve by managing your own support

your hopes for the future, such as whether you’d like to study or take on more hobbies outside the home what’s important to you, including your interests, lifestyle, personal tastes and the people in your life what limitations you currently have and how you want to change

2. Personal care provides numerous positive aspect to the health and well-being for the service user. The standard personal care provides information on: healthy lifestyle support: to help improve diet and exercise regimes; information: advice about an individual’s condition and its treatment; sills training: to boost confidence and learn coping skills; tools and equipment: to make life easier at home;

Support networks: to help find people to share experiences with.

Personalisation can promote dignity among groups of service users, such as older people. The use of direct payments or an individual budget will allow them to access social networks and promote independence in a setting that is normal and enjoyable to them, as well as allowing them to employ carers they feel comfortable with and who can meet their needs and lifestyle choices.

3. There are several rights and choices the individual has when it comes to personalised care. All of this comes from legislation, human rights, and equality rights. This legislation gives the individual the right to make their own choices i.e. . social activities,

intellectual activities,
Spiritual personal care,
speciality activities,
creative activities,
Physical activities.
Personalisation starts with the person and their individual circumstances rather than the service. This means that the choices offered must not be limited to what the service decides to provide.

4. The main legislation to help promote personalization in care is: The Equality and Human Rights Commission. The Commission is the independent advocate for equality and human rights in Britain, set up by an Act of Parliament and launched in October 2007. This is when the Government published Putting People First: a shared vision and commitment to the transformation of adult social care.

Outcome 2

1. The national systems that are designed to support personalisation;

• Putting people first
• The White paper
• the individual Budget

2. Describe the impact that personalisation has on the process of commissioning social care There is a vast impact that personalisation has on the process of commissioning in social care. Commissioning of service care helps promote availability of a range of high-quality services from which service users can choose. Clinical Commissioning Groups (CCGs) are replacing Primary Care Trusts in deciding what services should be provided, and therefore what services they wish to ‘buy’ from us on behalf of the population. The UK government’s 2012 draft Care and Support Bill proposed placing a duty on councils to ensure service users can access a diverse market of providers.

3. The service user is able to choose which provider will be used for appropriate services to be put in place. A care coordinator or social worker will help to co-produce a care plan, outlining which services will be provided and by whom. Regular reviews of personal budgets are undertaken to ensure the level of services provided are appropriate to the needs of the individual.

Outcome 3
1. Within the UK department of health there is an organisation called “the foundation for person centred planning”. It represents a set of values, skills and tools used in Person Centred Planning and in the personalisation of services used by people who need supports provided by social or health care. The organisation called Person-centred planning started in the 2001. The person-centred planning approach has similar aims and elements to personalisation, with a focus on supporting individuals to live as independently as possible, to have choice and control over the services they use and to access both wider public and community services, employment and education. Rather than fitting the person to services, services should fit the person.

2. The traditional service-led approach has often meant that people have not been able to choose for themselves what kind of support the individual needs. Now things have changed to a more personalised approach in care aiming on their self-directed support and personal budgets which helps them to identify their own needs and make choices about how and when they are supported to live their lives.

3. These are examples of how personalisation may affect the way an individual is support from day to day: Developing the right leadership and management, supportive learning environments and organisational systems to enable staff to work in emotionally intelligent, creative, person-centred ways Making sure that all service users have access to universal community services and resources. Support to people’s individual needs whatever the care and support setting. Ensuring that people have access to information, advice, including support and mentoring, to make informed decisions about their care and support, or personal budget management e.g. PALS, Equal Lives.

Outcome 4
1. There are several elements that are needed from those who provide support and brokering services in order implement personalisation. Them of which are: Skills
Attitudes
Approaches

Holistic approach: having a full understanding of the approaches to recovery and wellbeing, including the use of complimentary therapies, recovery-based activities and learning and strengthening of life skills.

Community bonds: going to see the individual with their friends and family within their community and having a reflection of their hopes and fears for their own future. Finding the positives: focusing on people’s abilities rather than seeing them as problems and should have the right skills to do this. Respect: for personal choice, flexibility, ownership and creativity

2. There are a few potential barriers when it comes to personalisation in care. One of the problems with personalised care is that it can take a while to be implemented (i.e. direct payments/personal budgets). Personal budgets can take many months to be approved. In some cases, the needs of the service user has changed so significantly (whist waiting for their plan to be implemented) that a care plan has to be produced again from scratch. Service users could also become confused about their personal budgets and could then cause anxiety for them, particularly when the budget had already led to significant gains in health and wellbeing. Getting approval for care/support plans by a PCT panel could be protracted, ranging from a few weeks to eight months and there is no guarantee of continued support beyond that initial period. The capacity of some service users could be limited and therefore are unable to identify their needs. This can be the case in dementia, acute and critical patients and in other situations where a service user’s capacity impairs their ability to make decisions for themselves.

3. There are many ways to overcome the barriers to personalisation in day work. One of which is good communication between staff and service users, which will help improve production of a personal budget, all parties involved in the care and support of the service user (care coordinator, support worker, independent adviser/advocate and carers/family members) needs to be kept up to date. This also helps to ensure that co-production of the care plan is implemented. Providing better education for care workers to provide more advanced services and meaningful Better education as regards the kind of services available, along with meaningful reviews that reflect the choices of an individual.

4. There are various types of support that individuals or their families may need in order to maximise the benefits of a personalised service. Financial management of the personal budget via holding of funds by a 3rd party e.g. Equal Lives and improved access to organisations that can assist with making choices regarding their care. Structuring care in a way that focuses development of the individuals that feature in the life of the service user e.g. family unit or social/community grouping. Furthermore using this element in their care will have a positive impact on the service users their involving people who are involved directly in their lives e.g. family as opposed to individual respite, shared social and educational activities that help the group to bond and learn together and, perhaps, therapy aimed at the unit as a whole to foster a deeper understanding of the illness of the individual.

References:

http://www.communitycare.co.uk/articles/25/07/2012/109083/personalisation.htm http://www.nsft.nhs.uk
http://www.scie.org.uk
http://www.thinklocalactpersonal.org.uk/_library/Resources/Personalisation/EastMidlands/Workstreams/PCP/Personalisation_through_Person_Centred_Planning.pdf http://www.lincs.cswebsites.org/Libraries/Local/825/Docs/Planning/PCP/pcpimpactresearch%5B1%5D.pdf