Jane Kellock, Head of Strategy Social Work Scotland
Ailsa McAllister, SDS Project Manager
Donna Murray, SDS Project Officer
Calum Campbell, SDS Project Officer
Calum Carlyle, SDS Project Assistant
Self-directed Support Project Team
Key issues
• Low uptake of personalised options (i.e.
options 1 & 2)
• Disproportionately in older age group, people
with mental health issues, people without
carers
• Variable implementation across local
authority areas
• Some very good practice, but not equivalent to
a sea-change (Audit Scotland, 2017)
• Data is patchy and inconsistent
• People who use services should provide the
evidence of success
How to get from here to there?
the Change Map
1. People have choice and control over
their social care and support
2. People are empowered to make
informed decisions about their social
care and support
3. Workers in all aspects of the delivery
of social care and support exercise
the appropriate skills, knowledge and
confidence
4. Senior decision makers and systems
create the conditions to enable
choice and control
Scottish Government, 2019
The Development of the Self
Directed Support Framework
• Consistency & SDS Steering Group
• HSCP/Local Authority Reference Groups
• Work Streams
• Surveys
• Wide engagement with stakeholders
• Evidence based research from a wide variety of sources
All of these engagements have led to the development of the SDS
assumptions and the draft SDS standards, which were presented to the
COSLA Health & Social Care Board on 16th October 2020.
Links with Health and Social Care Standards and the
Children’s Charter.
And the relationship with this project and the
Independent Review of Adult Social Care and the
Promise.
What will it take? - standards
1. Access to independent support and advocacy
2. Early help and support
3. Strengths-based approach
4. Focus on personal outcomes
5. Accountability
6. Risk enablement
7. Flexible and outcome-based commissioning
8. Worker autonomy
9. Transparency
10.Early planning for young people becoming adults
11.Consistency of care
What will it take? - assumptions
1. Assessment and the identification of resources is all part of the same
process. We start by having a ‘good conversation’.
2. Community supports offer early help and support to people.
3. All social care processes are designed to meet the values and
principles of Self-directed Support.
Active Implementation for SDS – Consultation base
around the focus shifting:
From: “What can we do with what we have?”
To: “What will it take to do what needs to be
done?”
- Herbert Foege, the epidemiologist credited for the strategy to
eradicate smallpox
© 2019 Melissa Van Dyke, Karen Blase, and Dean L. Fixsen (info@activeimplementation.org)
COSLA agreed to the consultation at their H&SC Board
(including an input from their C+F Board). (16th October)
1. Consultation for LAs to comment on the practicality of further
implementation taking the assumptions into account, running from
9nd November – 8th January
2. Rolling Call for Comment targeted at capturing good ideas for
taking forward the standards. Will be hosted on the SWS website
16th November – 8th January
3. Continued work with 11 LAs developing the detail behind the
standards.
4. Final Framework to be taken to COSLA for approval early 2020.
What next?
• Scotland is changing the way it delivers social care
• Self directed support should be the way that all social care is
delivered going forward.
• Self-directed Support is effective when implemented as
intended.
• A focus on improvement.
• Support for our framework approach, which consists of:
• SDS Standards
• Core assumptions
• Key elements for implementation
• A repository of key tools and resources

More Related Content

PPTX
Self-Directed Support project update
PPTX
PDF
Age well innovation-hubs
PDF
Aom aug2017
PPT
Tertius iungens cag october_2015
PDF
Common Ground - Jeremy Nicholls
PPTX
eXtension New Operating Model August 2016
PPT
RIF: Catherine Howe - complex problems need complex solutions
Self-Directed Support project update
Age well innovation-hubs
Aom aug2017
Tertius iungens cag october_2015
Common Ground - Jeremy Nicholls
eXtension New Operating Model August 2016
RIF: Catherine Howe - complex problems need complex solutions

What's hot (20)

PPTX
Introduction to public dialogue
PDF
Aom aug2017 regional_innovation_shared
PPTX
Use - Measuring Impact to Improve Performance
PPTX
Common Ground - Anne Kazimirski.pdf
PPT
Sprint policy - DCLG
PDF
Cema presentation
PDF
Place-Based Decision Making Grounded in Community Processes and Data Visualiz...
PPTX
Patients as agents of change: bridging the gap between "them" and "us"
PPT
Technology for Independence - Using Technology to Assist With Care of the Aged
PPTX
Jane South: Social Action and Community Assets: exploring measurement
PPT
PPT
PPTX
Designing more effective participatory decision-making processes
PPTX
Involved project preliminary findings - what makes stakeholder participation ...
PPT
Health problems as wicked problems
PPTX
Changes in society, opinion, politics & values - impact on technology advance...
PDF
Stakeholder engagement for infrastructure projects webinar, 27 March 2020
PPTX
PPTX
Хіль Хінсберг. Системне впровадження практики залучення та публічних консульт...
PPT
Neil Squire Society for CUPE: Overview and Financial Services Study
Introduction to public dialogue
Aom aug2017 regional_innovation_shared
Use - Measuring Impact to Improve Performance
Common Ground - Anne Kazimirski.pdf
Sprint policy - DCLG
Cema presentation
Place-Based Decision Making Grounded in Community Processes and Data Visualiz...
Patients as agents of change: bridging the gap between "them" and "us"
Technology for Independence - Using Technology to Assist With Care of the Aged
Jane South: Social Action and Community Assets: exploring measurement
Designing more effective participatory decision-making processes
Involved project preliminary findings - what makes stakeholder participation ...
Health problems as wicked problems
Changes in society, opinion, politics & values - impact on technology advance...
Stakeholder engagement for infrastructure projects webinar, 27 March 2020
Хіль Хінсберг. Системне впровадження практики залучення та публічних консульт...
Neil Squire Society for CUPE: Overview and Financial Services Study
Ad

Similar to Self-Directed Support project update (20)

PDF
If Self-Directed Support is so good, why is it so hard
PPT
Self Directed Support for children and families (WS41)
PPT
SDS in mental health: Finding things you can change
PPT
European Self-Directed Support Network
PDF
How individual service funds are changing commissioning (a family perspective)
PPT
Self-Directed Support in Scotland for people with mental health problems, 1 A...
PDF
The Development of Self-Directed Support in Finland
PPTX
NACDD: Year One Highlights for AIDD Supporting Families Project
PPT
Key Findings & Lessons from Evaluation studies of SDS Test Sites in Scotland ...
PPT
SDS local authority test sites in Scotland (WS64)
PPT
Self-directed Support, the Scottish Government perspective - Craig Flunkert
PDF
Self-Directed Support and Social Justice
PDF
Active support-maturity-model
PDF
Global Progress on Self-Directed Support
ODP
Person centred induction to sure care dorset cis std 7 v2
DOCX
Self directed support and mh - ot b and nd-ti project flier final
PDF
Piloting for Self-Directed Support
PPTX
Individual support power point 2020
PDF
Delivering on promises: NDIS and people with intellectual disabilities Bigby ...
PDF
Everyone can be In Control
If Self-Directed Support is so good, why is it so hard
Self Directed Support for children and families (WS41)
SDS in mental health: Finding things you can change
European Self-Directed Support Network
How individual service funds are changing commissioning (a family perspective)
Self-Directed Support in Scotland for people with mental health problems, 1 A...
The Development of Self-Directed Support in Finland
NACDD: Year One Highlights for AIDD Supporting Families Project
Key Findings & Lessons from Evaluation studies of SDS Test Sites in Scotland ...
SDS local authority test sites in Scotland (WS64)
Self-directed Support, the Scottish Government perspective - Craig Flunkert
Self-Directed Support and Social Justice
Active support-maturity-model
Global Progress on Self-Directed Support
Person centred induction to sure care dorset cis std 7 v2
Self directed support and mh - ot b and nd-ti project flier final
Piloting for Self-Directed Support
Individual support power point 2020
Delivering on promises: NDIS and people with intellectual disabilities Bigby ...
Everyone can be In Control
Ad

Recently uploaded (20)

PPTX
Parliamentary procedure in meeting that can be use
PPTX
BHARATIYA NAGARIKA SURAKSHA SAHMITA^J2023 (1).pptx
PDF
Building Bridges (of Hope) over Our Troubled Waters_PART 1
PDF
AAAAAAAAAAAAAAAAAaaaaaaaAAAAAAAt - ĐV.pdf
PPTX
Robotics_Presentation.pptxdhdrhdrrhdrhdrhdrrh
PPTX
DFARS Part 252 - Clauses - Defense Regulations
PPTX
3.-Canvassing-Procedures49for election.pptx
PPT
The Central Civil Services (Leave Travel Concession) Rules, 1988, govern the ...
PPT
The Central Civil Services (Leave Travel Concession) Rules, 1988, govern the ...
PPTX
Part I CSO Conference and AVP Overview.pptx
PDF
Item # 10 -- Set Proposed 2025 Tax Rate
PDF
CXPA Finland Webinar - Modern Components of Service Quality - Alec Dalton - ...
PPTX
Neurons.pptx and the family in London are you chatgpt
PPTX
DFARS Part 253 - Forms - Defense Contracting Regulations
PDF
Abhay Bhutada Foundation’s ESG Compliant Initiatives
PPTX
Chapter 1: Philippines constitution laws
PDF
The GDP double bind- Anders Wijkman Honorary President Club of Rome
PPTX
SUKANYA SAMRIDDHI YOJANA RESEARCH REPORT AIMS OBJECTIVES ITS PROVISION AND IM...
PDF
Introducrion of creative nonfiction lesson 1
PDF
Concept_Note_-_GoAP_Primary_Sector_-_The_Great_Rural_Reset_-_Updated_18_June_...
Parliamentary procedure in meeting that can be use
BHARATIYA NAGARIKA SURAKSHA SAHMITA^J2023 (1).pptx
Building Bridges (of Hope) over Our Troubled Waters_PART 1
AAAAAAAAAAAAAAAAAaaaaaaaAAAAAAAt - ĐV.pdf
Robotics_Presentation.pptxdhdrhdrrhdrhdrhdrrh
DFARS Part 252 - Clauses - Defense Regulations
3.-Canvassing-Procedures49for election.pptx
The Central Civil Services (Leave Travel Concession) Rules, 1988, govern the ...
The Central Civil Services (Leave Travel Concession) Rules, 1988, govern the ...
Part I CSO Conference and AVP Overview.pptx
Item # 10 -- Set Proposed 2025 Tax Rate
CXPA Finland Webinar - Modern Components of Service Quality - Alec Dalton - ...
Neurons.pptx and the family in London are you chatgpt
DFARS Part 253 - Forms - Defense Contracting Regulations
Abhay Bhutada Foundation’s ESG Compliant Initiatives
Chapter 1: Philippines constitution laws
The GDP double bind- Anders Wijkman Honorary President Club of Rome
SUKANYA SAMRIDDHI YOJANA RESEARCH REPORT AIMS OBJECTIVES ITS PROVISION AND IM...
Introducrion of creative nonfiction lesson 1
Concept_Note_-_GoAP_Primary_Sector_-_The_Great_Rural_Reset_-_Updated_18_June_...

Self-Directed Support project update

  • 1. Jane Kellock, Head of Strategy Social Work Scotland Ailsa McAllister, SDS Project Manager Donna Murray, SDS Project Officer Calum Campbell, SDS Project Officer Calum Carlyle, SDS Project Assistant Self-directed Support Project Team
  • 2. Key issues • Low uptake of personalised options (i.e. options 1 & 2) • Disproportionately in older age group, people with mental health issues, people without carers • Variable implementation across local authority areas • Some very good practice, but not equivalent to a sea-change (Audit Scotland, 2017) • Data is patchy and inconsistent • People who use services should provide the evidence of success
  • 3. How to get from here to there? the Change Map 1. People have choice and control over their social care and support 2. People are empowered to make informed decisions about their social care and support 3. Workers in all aspects of the delivery of social care and support exercise the appropriate skills, knowledge and confidence 4. Senior decision makers and systems create the conditions to enable choice and control Scottish Government, 2019
  • 4. The Development of the Self Directed Support Framework • Consistency & SDS Steering Group • HSCP/Local Authority Reference Groups • Work Streams • Surveys • Wide engagement with stakeholders • Evidence based research from a wide variety of sources All of these engagements have led to the development of the SDS assumptions and the draft SDS standards, which were presented to the COSLA Health & Social Care Board on 16th October 2020.
  • 5. Links with Health and Social Care Standards and the Children’s Charter. And the relationship with this project and the Independent Review of Adult Social Care and the Promise.
  • 6. What will it take? - standards 1. Access to independent support and advocacy 2. Early help and support 3. Strengths-based approach 4. Focus on personal outcomes 5. Accountability 6. Risk enablement 7. Flexible and outcome-based commissioning 8. Worker autonomy 9. Transparency 10.Early planning for young people becoming adults 11.Consistency of care
  • 7. What will it take? - assumptions 1. Assessment and the identification of resources is all part of the same process. We start by having a ‘good conversation’. 2. Community supports offer early help and support to people. 3. All social care processes are designed to meet the values and principles of Self-directed Support.
  • 8. Active Implementation for SDS – Consultation base around the focus shifting: From: “What can we do with what we have?” To: “What will it take to do what needs to be done?” - Herbert Foege, the epidemiologist credited for the strategy to eradicate smallpox © 2019 Melissa Van Dyke, Karen Blase, and Dean L. Fixsen (info@activeimplementation.org)
  • 9. COSLA agreed to the consultation at their H&SC Board (including an input from their C+F Board). (16th October) 1. Consultation for LAs to comment on the practicality of further implementation taking the assumptions into account, running from 9nd November – 8th January 2. Rolling Call for Comment targeted at capturing good ideas for taking forward the standards. Will be hosted on the SWS website 16th November – 8th January 3. Continued work with 11 LAs developing the detail behind the standards. 4. Final Framework to be taken to COSLA for approval early 2020.
  • 10. What next? • Scotland is changing the way it delivers social care • Self directed support should be the way that all social care is delivered going forward. • Self-directed Support is effective when implemented as intended. • A focus on improvement. • Support for our framework approach, which consists of: • SDS Standards • Core assumptions • Key elements for implementation • A repository of key tools and resources

Editor's Notes

  • #2: Just to introduce myself, I am the project Manager of the SDS Project Team we are a team of 5. Not forgetting the teams overall guide and mentor Jane Kellock from SWS, keeping us right from the Social Work dimension of this project. We are sponsored by Scottish Government and hosted by Social Work Scotland which seems to be a good fit, given the values and principles that underpin of Self directed support Act are just simply good traditional social work relational practice. Lots of workers stated when the SDS legislation went live in 2014 that this was a welcome return to this way of working with people.
  • #3: So implementing SDS has been and still is very much a journey, focusing not just on delivering person-centred supports but should be person-led where the person chooses to do so. This journey around delivering personalisation within social care context was recognised to be a long and complex one. One which required significant transformational change. This was acknowledged in the 1o year national strategy 2010 to 2020. However, Where are we do date.. ? It is widely acknowledged that SDS has not been implemented as intended by policy and/or legislation. This has been demonstrated by research, feedback from people, and from the Strategic Inspections carried out in relation to SDS in 6 councils. So therefore, we now have a plethora of relevant research, evaluation, audit and inspection knowledge available. Social Work Scotland is using all of this to inform its work and this project going forward. We also know from the hot off the press research carried out by the Alliance and SDSS Scotland the biggest piece of soncultaiton undertaken to date aroung SDS with supported people has revealed what is and is not working for people ot less that they are not habving their human rights met and only ¾ of people getting access to their chosen SDS option. 
  • #4: Scottish Government produced a Change Map based on the views of supported people, national partner organisations, and local SDS leads. The Change Map outlines what is considered to be critical key elements for the further implementation of SDS.
  • #5: Team have been in post since November 2020, funded through to March 2021. Starting to have conversations with Scottish Government regarding work beyond this point however nothing concrete at this time. So what have we done? Taking on-board evidence from CI Inspections around SDS, The intentions laid out in the Change Map We have engaged with national stakeholders, people and LAs We initially set up a Steering Group. This steering group is chaired by Johanna McDonald CO Argyle and Bute We also have set up work streams to take forward the project brief of developing a National Framework for SDS. Two work streams one focusing on reducing the inconsistencies around both assessment and the other resource release with the intention of both work streams improving worker autonomy We also undertook questionnaires on an ongoing basis with all stakeholders developing the standards. Although the main focus was on assessment, resource release and worker autonomy we took a whole systems approach to developing this framework. We quickly acknowledged that these elements were just the spokes and wheels of the bike but not the whole functioning bike. This process has led to the work streams developing a set of SDS standards for LAs These standards are one part of a wider framework framework Sitting behind the standards will be Action Statements. These action statements will be built around what we know is ‘good SDS’ is through captured effective evidence based practice and some of them will need to be developed with national experts, people and LAs. We are also looking to develop action statements that demonstrate poor SDS. A central repository will also provide helpful tools and resources to help LAs achieve the standards. Now we know that there are many tools and resources but uptake has been low. Either because their not widely known about or they are difficult to find.
  • #6: The standards are written specifically for LAs not people. We felt that the standards for people are covered by the Health and Social Care standards and also the Childrens’ charter where these standards already focus adult and childrens’ rights and what people should expect from services.
  • #7: Here there are 11 standards that have been developed all focused around these areas of relevance. However, these standards are not saying anything that is not already outlined in the legislation and also the National Practitioner Guidance so why standards. We as team are learning they way in which SDS has been the issue. Simply rolling out legislation and guidance and expecting LAs to roll it out has proven to be a challenge. Some areas have managed very well achieving significant transformational change to achieve SDS and others have simply viewed SDS as an add on to their traditional systems where they have found this to be very challenging and financially unsustainable. The team are being trained in Active Implementation Science would say that just simply rolling out guidance training on its own is not effective. A whole systems approach and properly resourced local implementation teams are what is required to help make this a reality.
  • #10: We took a proposal to COSLA to undertake further consultation on the standards and this was passed on the 16th October a their H&SC board (with input from the C+F board) Looking to begin the consultation on the standards 9th of November We are asking LAS how easy of difficult it will be to implement the standards. What will it take in terms of workforce, resources, national support?? We feel that this would be central evidence that we can feed into the Independent Review of Adult Social Care, given that it has been muted already that SDS should be the way all social care is delivered across Scotland. So we are just looking for one response from each LA and not individuals responses. 9th November start. We are also looking for individuals if they have good constructive ideas for taking SDS forward to feel into the call for comment. This will be a week after the LA consultation. Going live on th SWS Website 16th November. Both will close on the 8th January. We will be looking to report our final analysis and Framework to COSLA early February. Setting up 9 works streams to develop the standards with an open invitation to LA professionals to join in the process including SDS Lead Officers, Commissioners, Finance Professionals, Social Workers. Setting up work streams to develop the details behind the standards. Exploring what do LAs need to do to achieve the standards. We are also looking to develop a portal to being into one place all of the tools and resources that are already out there to support the further implementation of SDS.
  • #11: So what next indeed..? Social Care is likely to change What that looks like needs to have SDS at its core The framework will hopefully be helpful to LAs providing them with inspiration and helpful resources to further implement SDS. Today we as a team are looking for support from you as COs in taking this forward. Look out for the consultation landing in your inbox next week and support the completion of this consultation from your LA. We hope to have all 32 LAs contributing to the consultation. Thank you for listening and happy to take any questions.