South East Personalisation IT Workshop
11th June 2010
Working in partnership with Improvement and Efficiency South East
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Agenda
• Setting the scene
• Project approach
• Case study and demonstration
• Project benefits
• Future development
• Open standards
• Summary
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Setting the scene
• Specific challenges of an aging population
– Provide tools to help the transition of older people to personal budgets
• Brokerage/Advocacy/Advice, Information & Guidance Pilots
– Provide support planning process for the third party broker organisations
• CAF demonstrator site
– Define information flow and standards for support planning
• Shared assessment questionnaire implementation
– Provide a “golden thread” from assessed need to outcomes and actions within the support plan
• Market shaping
– Engaging providers to transition to personalised services
A new kind of IT solution and approach was required to help deliver the vision
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Project approach
• Understanding context
• What problems are we trying to solve?
• Scope and objectives
• Requirements workshops
• Prioritising requirements
• Project governance
• Project planning
Phase 1Development
Jan July DecFeb Sept
Phase 2 Roll out to brokers
Start UpPhase 3
Roll out toindividuals
Support planning tools to manage the “golden thread”
Community site to provide information, advice and guidance
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Project approach
• Co-production with users, social workers and voluntary sector
• Challenge the business process
• Whiteboard mock ups
• Bringing the solution to life
Phase 1Development
Jan July DecFeb Sept
Start UpPhase 3
Roll out toindividuals
Incremental development
Define & prioritise requirements
Review and refine delivered functionality
2-3 week development
cycles
Phase 2 Roll out to brokers
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Project approach
Phase 2
• Roll out to a care managers and brokers
• Engage brokers
• Improve right first time support plan approvals
• Develop community owned social capital
• Test the safeguarding and quality assurance protocols
Phase 1Development
Jan July DecFeb Sept
Phase 2 Roll out to
brokersStart Up
Phase 3 Roll out toindividuals
Phase 3
• Extend roll out to individuals
• Develop model for self-direction and support
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Case Study: Mr Smith
• Assessed and is eligible for a personal budget
– Indicative allocation agreed and assessment outcomes defined
• Has agreed that Advocacy Trust will assist with his support plan
• Mr Smith’s son visits at the weekend and can research services
• As a new client, Mr Smith will be:
– Helped by family in researching services/providers to meet his outcomes
– Allocated a broker worker by Advocacy Trust
– Assisted in putting together a valid support plan by Advocacy Trust
– Reviewed once his plan has been approved and is active
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Case Study: Research
• Community web site:
Research Allocate Broker Planning Review
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Case Study: Allocate a broker
• New Client Allocate Broker Accept Client Allocate Worker
Research Allocate Broker Planning Review
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Case Study: Allocate a broker
• New Client Allocate Broker Accept Client Allocate Worker
Research Allocate Broker Planning Review
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Case Study: Allocate a broker
• New Client Allocate Broker Accept Client Allocate Worker
Research Allocate Broker Planning Review
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Case Study: Allocate a broker
• New Client Allocate Broker Accept Client Allocate Worker
Research Allocate Broker Planning Review
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Case Study: Allocate a broker
• New Client Allocate Broker Accept Client Allocate Worker
Research Allocate Broker Planning Review
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Case Study: Planning
• Broker worker meets with Mr Smith and they prepare his plan:
– Define Mr Smith’s circle of support
– Personalise Mr Smith’s assessment outcomes
– Define how Mr Smith will achieve his desired outcomes
– Record the initial review of Mr Smith’s progress
• Demo
Research Allocate Broker Planning Review
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Case Study: Planning
• Validate the plan
– Personal outcomes exist for assessment outcomes
– Actions exist for personal outcomes
– An initial review has been recorded
Research Allocate Broker Planning Review
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Case Study: Planning
• Activating a plan
– Panel review
• Make a decision
– Plan rejection
• Re-planning
– Plan approval
• Inform brokerage
– Plan Activation
• Client contribution
Research Allocate Broker Planning Review
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Case Study: Reviewing progress
• Once the plan is active, regular review of the client’s progress:
Research Allocate Broker Planning Review
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Benefits – project approach
Made us think about the process
in detail
Interesting and exciting to see the product develop
based upon our input
Identified gaps in the SDS process
Had the opportunity to really shape the product from the
start
Can tweak and change along the way so it really did fit the requirements
Engaged lots of different people throughout the
project
Brought to life the process – could see it in the application
Helped identify and resolve a number of
issues not necessarily related to the solution
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Benefits – the solution
Provides a standard approach for
support planning for everyone
Brokers and care managers all have the same view of
the individual
Ensures that plans are validated – there are outcomes and actions for every assessed need
Allows more support plans to be agreed first time – all the
information is there
Allows collaborative support planning e.g.
children contributing to parents support plan
Engages the community allowing
people to share ideas and help each other
Makes the process more efficient by
removing the paper and email trail
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Future development
• PayPal budget management and payment
– Integrated payments within the support plan
– Market shaping information for the local authority
– Safeguarding and audit by exception
• Creating requests for services from support plans
– Providers subscribe to requests based upon category
– Collaborative purchasing
• Online self-assessment
– Assessed need and outcomes feed directly into support plan
– Intelligent triaging based upon assessment
• Ownership models
– Content management and moderation by user led organisation
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POSITIVE standards
• POSITIVE (Personalisation Open Standards Initiative)– Not for profit forum to promote inter-operability to support personalisation
across health and social care IT systems
– Working with DoH Strategic Improving Information Programme (SIIP)
• The objectives of POSITIVE are:– Develop and agree open interface protocols
– Develop and agree specific standards for key message types:• Assessments, Support plans, RAS etc
• Open standards are essential– Only way to put the individual in control
– Delivers significant cost savings
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Summary
• October 2010 – PPF milestones– All new service users and reviews are offered a personal budget
– Arrangements are in place for universal access to information and advice
– Providers and third sector organisations are clear on how they can respond to the needs of people using personal budgets. An increase in the range of service choice is evident
• We have a solution and expertise that can help you achieve these milestones and deliver efficiencies
– Implementation of the community site and support planning solution
– Business process change and implementation
– Project and programme management
• Contact Us– [email protected] Plan My Care:
– [email protected] 020 7692 7328