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This presentation has been produced to support discussion creating collaborative citizen directed approaches to developing social care as part of the Swansea Adult Services Transformation process.
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Linking the ‘I’ and the ‘We’
A discussion about the links between Assessment and Care Management and Locality Processes.
April 2010 Version 1.1
Adult Social Services Transformation Process
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
The Personal Support cycle helps to give the individual choice and control over how they lives their life.
Around this is a Community Support cycle which exists to help the individual to collaborate with others around them to build mutually
supportive community.T
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
Step 1 Introductions
The individual is introduced to the department, or their local Wellbeing Network.
They find about the process for them and what is happening with others around them.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
Step 2 Finding out about personDiscussion takes place between the Care Manager and the person and their supporters. Information about the individual’s needs are gathered this informs the support planning process.They are also asked about the contribution they wish to make to their community, this is passed onto the local Wellbeing Network., which invites them to get involved.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
Step 3 Fair allocation of resources
The assessment information gives information to support the construction of an indicative budget.
This can be communicated to the individual and managed through the FACS process.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
Step 4 Cooperatively exploring how need can be metThe care manager helps the individual to anonymously ‘publish’ a view of how they wish to live their life. Provider and community organisations can view these ‘lives’ and suggest support options that they could offer to help these to happen together with estimated costs for the elements of service. The individual and can say which of the service elements they are interested in and invites more detailed discussion. The Care Manager also helps the person to consider the directory of community groups and citizen networks developing from the Wellbeing Network.The person and the care manager use the indicative to decide what is reasonable to spend.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
Step 5 The Care Manager explores issues of safety with the person and their supporters.The Care Manager agrees the package as the local authority retains the duty of care.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support CycleStep 6On the basis of the dialogue that has taken place in step 4 and 5. The packages are commissioned and introductions are made to networks and community groups. Services can be commissioned between groups of citizens where they have similar needs and a desire to work together.Individual outcomes are recorded by commissioning on a locality and agency basis to support effective outcome monitoring.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support CycleStep 7The individual gets on with their lives with their new supports, activities, and relationships.They are encouraged to feedback their experiences and views to care managers, community groups, and provider agencies. These people collate and pass on their views and feedback to commissioners.Individuals can use multi-media social networking tools to express themselves and collaborate with professionals and other citizens.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support CycleStep 8A periodic review takes place to consider the outcomes that the package has achieved for the individual, the persons reconsiders their needs and preferences and the cycle begins again.
At a locality level a range of performance information is considered such as:•Citizen approval and engagement•The development of community assets and the engagement of partners.•Overall resource spend•Individual outcomes for citizens in the locality.•Environmental and sustainability measures.
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
6. Agreeing commissioned services
and establishing natural support arrangements.
7. Sharing feedback about activities with
providers the network and care managers
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Advocacy
Housing
Mentoring
Education
Financial
Social Care
‘We’ The Community
Support Cycle
2. Thinking about what matters to me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social services
5. Managing any risks
1. Finding out about
opportunities.
‘I’Personal
Support Cycle
2. Finding out how I can get involved.
4. Exchanging ideas & proposals for
support providers and community
groups
8. Alliance performance
indicators and provider outcome
monitoring
1 Find out about what others need
and can offer.
Information
Health
Emotional Support
Education2. Thinking about what matters to
me
4. Planning support for all my
needs
6. Putting the plan into action
7. Seeing how it goes
8. Has the support plan made a
positive difference to my life
3. What can be funded by social
services
5. Managing any risks
1. Finding out about
opportunities.
3. What can be funded by social
services
Information about the contribution I can make
Information about what I need
