new approach for people who have social care support needs in Cambridgeshire
In December 2007 the Government published Putting People First - a shared
vision and commitment to the transformation of social care. The government
wants to make social care more personalised which means giving greater
choice and control to people in how their social care needs are met.
time people who use social care services and their families
will increasingly shape and commission the services they receive.’
Putting People First
is Self Directed Support?
Self Directed Support is a new way of providing social care to adults
living in Cambridgeshire who have been assessed as having social care
needs. The process involves identifying a Personal Budget, which is designed
to help people take control over their lives, manage their support (with
or without assistance) and identifies their own goals and needs and plans
the service(s) or support that best suits them. The person is at the centre
of the planning process.
are 7 steps to being in control:
1. Finding out if you are eligible - and if so - How
much money you are entitled to
2. Making your support plan - how the money will be used
to get the life you want. You can do the plan yourself or have help to
3. Getting the plan agreed - your plan will need to be
agreed through a process set up within the CPFT.
4. Organising the money - making sure the money is used
to pay for your care and support and achieves your goals.
5. Organising support - organising support in a way that
that suits you- help will be available to find and organise support if
6. Living Life - Your support plan should help you live
the life you want to lead, including participating and contributing to
your local community.
7. Seeing how it worked - you have to show that you have
used the money to meet your needs. There will be a review by your Care
Co-ordinator to make sure that you are getting the help you need, or to
see if your circumstances have changed.
it Worked for Others?
Here are some examples of how it worked for others:
Courtesy of the Care Services Improvement Partnership and the National
Institute for Mental Health in England, a two part video about how direct
payments are used can be viewed from here:
and Peterborough NHS Foundation Trust (CPFT)
Cambridgeshire and Peterborough NHS Foundation Trust is a key partner
in the future delivery of self directed support to people with mental
health needs and work has begun with the Trust to consider how this new
initiative will be linked to the Care Programme Approach, Wellness Recovery
and Action Plans and Review processes.
In some cases
service users, including those with mental health needs, will be expected
to make a contribution to the cost of providing social care support. People
who come under Section 117 of the Mental Health Act 1983 will continue
to be exempt from making a contribution to their support costs.
be various ways of holding the budget if service users do not wish to
receive their personal budget directly, or if it is felt that it would
not be in their best interests to do so.
There’s a great deal of work to do! We need to engage, inform and
prepare service users, carers, providers, the community and CPFT staff
about the transformation of social care, systems and processes and what
this means. It is hoped that we will have everything in place by January
the ideal social care is a model that has a
…. ‘single community based support
system focused on the health and well being of the local population. Binding
together local Government, primary care, community based health provision,
public health, social care and the wider issues of housing, employment,
benefits advice and education and training’
Putting People First
• Copy of the full report and approved by Cambridgeshire County
Council’s (CCC) Cabinet on 16 December 2008
• Glossary of the commonly terms used (CCC)
• Copies of FAQ’s about self directed support (CCC)
be found on Cambridgeshire County Council website
or from Cambridgeshire County Council’s Transformation Team email.
• ‘Putting People First’: a
shared vision and commitment to the transformation of adult social care.
10 December 2007. Ministerial concordat www.dh.gov.uk
• ‘State of Independence’, Peter Beresford, The Guardian,
23 May 2007
Voice and a Choice’ Self-Directed Support by people with mental
health problems. A Discussion Paper. (3mb pdf) Rita K Brewis September
• ‘No voice, no choice’ CSCI and Healthcare Commission
30th July 2007. www.healthcarecommission.org.uk
• Speech by Phil Hope MP, about 'Putting
People First: One Year On'
further information contact:
Self Direct Support Lead (Adults mental health)
Box no. CCC 1311, Castle Court, Shire Hall. Cambridge. CB3 0AP
Mobile: 07747632178 Direct dial: 01223 715952
revised 23 April 2009