introduction Flashcards
Personalisation in context: 1940s
Abolition of the Poor Law – social work is now able to support those in need without the stigma of the Poor Law and workhouses.
Personalisation in context: 1986
Eligibility criteria for benefits are tightened. The Conservative government aims to eliminate perceived ‘dependency culture’ and move to an individualistic, consumer-based approach to social care.
Personalisation in context: 2001-2009
The New Labour government proceeds with guidance and legislation to promote independent living for disabled people, and to give greater choice and control over care and support. It explores the possibility of individual budgets. In 2003, in Control offers a new model of social care provision, initially for people with learning disabilities, based on self-directed support and personal budgets.
Statutory service
a service provided by local authority as laid down by legislation/law.
Aspiration
a strong desire to achieve something
Proactive
when a person creates or controls a situation by causing something to happen rather than responding to it after it has happened.
Personal budget
the amount of money an individual is awarded by the local authority to spend on the help they need to achieve what is important to them.
Support plan
the document where day-to-day requirements and preferences for care and support are detailed to enable an individual to live with dignity and respect in the community. It may be known by other names e.g. care plan, or an individual plan.
Social care outcomes
the results of receiving social care that is desired by the individual, e.g. living independently, finding employment.
Means-tested payments
payments based on an individual’s financial circumstances to determine whether an individual is eligible or has the right to claim assistance.
Local authority
the governing body of a county or district officially responsible for all public services and facilities in that area.
Authorised or nominated person
someone who acts on behalf of an individual to allocate their direct payment, with local authority agreement.
Eligible
fit the criteria for, be suitable for or be entitled to something
Mental capacity
being able to make a reasoned decision by understanding information, remembering it for long enough to make a decision and communicating this to others.
Autonomy
self-rule, independence or freedom to do as an individual wishes.
Preventative measures
using methods to stop or prevent something, e.g. providing a jar-opening device for an individual to allow them to open jars safely and prevent injury.
Home adaptations
changes to the home to make it safer for the individual to live independently, e.g. a stair-lift to enable an individual to go upstairs in their home, making it accessible
Needs assessment
the overall process for identifying and recording the health and social care risks and needs of an individual and evaluating their impact on daily living and quality of life so that appropriate action can be planned.
Universal services
services that are available to everyone, such as transport and housing
Service led
a service-led provision is where an individual has to fit into existing traditional services such as day centres.
Centre for Independent Living
centres that promote the principles of independent living and provide services for individuals who use direct payments.
Self-esteem
the value an individual gives themselves.
Degenerative condition
medical problems that worsen over time.
Monitor
the sector regulator for health services in England. Monitor’s job is to make the health sector work better for patients
Clinical Commissioning Groups (CCGs)
most of the NHS commissioning budget is now managed by 209 CCGs. These are groups of general practices that come together in each area to commission the best services for their patients and population
Healthwatch England
the national consumer champion in health and care, with statutory powers to ensure the voice of the consumer is heard by those who commission, deliver and regulate health and care services
Care Quality Commission (CQC)
an independent regulator of health and social care in England. They monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety.
Segregated
to be set apart from others.
Screening
process of identifying healthy people who may be at risk of disease; for example, the breast screening programme.
Independence
Good support should value and respect people’s sense of independence. This can mean different things to different people but getting out and about and being able to do the sorts of things that others take for granted is a common theme
Wellbeing
The Care Act says that councils should be responsible for people’s wellbeing rather than just their care and support needs. This means that councils must think differently about what people need to stay safe and live well and should work with people to understand what this means to them.
Citizenship
The duty on councils to promote wellbeing includes ensuring people have opportunities to use their skills and talents to contribute to their community, rather than just simply receive services. Being able to contribute can have a significant impact on an individual’s self-esteem and sense of their own value. Councils and providers can help people explore their skills and talents and how to harness them as part of a person-centred planning process.
Community capacity
Living in strong and supportive communities make it possible for people to live well and can reduce the need for funded care. Communities mean different things to different people depending on their passions and interests. So in addition to local communities supporting people to connect with others who share their interest, they are an important part of supporting someone well. (Video - WW2 re-enactment story)
Coordinated Care
Health and social care services should have a joined-up and streamlined approach to supporting people through the processes needed for them to access and manage the care and support. Making things simple and proportionate to what people need out of the system can make a big difference.
Choice and control
People have a right to choose how to arrange the support they need. Making choices about who supports you, when and where you get support, and what kind of things you get support with can make a huge difference to people’s sense of dignity and their quality of life. The amount of choice and control people exercise may vary depending on their circumstances, but making efforts to ensure people always have opportunities to exercise choice and control should be at the heart of how services work with people.
Tailored support
Everyone who needs support should have the opportunity to make a person-centred plan to help them decide what kind of support they need, and how that can best be organised to help them lead the life they wish. There are many free-to-access person-centred planning tools that can help this process and councils and providers should help ensure their staff and the people they support are familiar with them and can use them confidently.
Co-production
The Care Act says that councils must work together with people and families to develop good care and support services which can help people live fulfilling lives. On a one-to-one basis this means putting people and families at the centre of designing the right support for themselves. More broadly, it means councils should find ways of bringing people and families together with providers and commissioners to design what good services should look like in their local area.
