Scottish Government Report:’Are they involving us? Integration Authorities engagement with stakeholders’, where are we now?
In September 2017 The Health and Sport Committee at the Scottish Government undertook a short inquiry to assess the extent to which stakeholders (including the public, the service users, the third sector and the independent sector) are being involved effectively in the work of Integration Authorities and Integrated Joint Boards.
The Public Bodies (Joint Working) Act 2014 (the Act) sets out the legislative framework for integrating health and social care. This Act sought to achieve this vision by placing a duty on integration authorities to ensure stakeholders were fully engaged in the preparation, publication and review of strategic commissioning plans.
Supporting guidance highlighted how the aim was to ensure a wide and diverse engagement which results in a strategic commissioning plan that is not simply controlled by a small number of people on the Strategic Planning Group but rather the population that will be affected by its findings.
Findings from this report include:
- A lack of public awareness about the establishment of Integration Authorities
- Little awareness of the engagement carried out by Integration Authorities
- A tendency for Integration Authorities to engage with organisations already known to health boards and local authorities
- Engagement being seen as ‘tokenistic’ which was not delivering the co-production that was required
- A lack of transparency about how Integration Authorities operate
- A lack of responsiveness from Integration Authorities to requests for information
- A lack of support for individuals and third sector organisations to be involved in Integration Joint Boards
- Difficulties for service users to act as representatives
- A lack of consistency across different Integrated Joint Boards
You can see a copy of the Report here.
More recently, SCVO, CCPS and the Alliance have written a paper for the Ministerial Strategic Group for Health and Community Care on Third and Independent Sector engagement with Integration. The paper suggests that although there is some good practice, there is much more to be done to realise the intention within the Christie Commission that public sector reform should be built around people and communities. They make 11 recommendations, including recognising that more needs to be done to achieve the policy ambitions in relation to engagement of the third and independent sectors with integration, and the creation of a routine method of engagement between the third and independent sectors and Strategic Planning Groups. You can read the full paper here: https://www.alliance-scotland.org.uk/blog/news/new-report-third-independent-sector-engagement-health-social-care/
Members’ Event-Review of Social Work Scotland’s Report:’Best Practice and Local Authority Progress in Self-Directed Support’
Social Work Scotland were asked to work with Local Authorites to find examples of best practice in SDS. Whilst they are aware of some of the issues in terms of the implementation of the SDS Act and in the use of the approach within social work, they were asked to find examples of where and how SDS is working well.
Local Authorities were invited to take part and 15 out of the 32 Local Authorities made someone available for the research. These 15 areas were:
- City of Edinburgh
- Dumfries and Galloway
- East Ayrshire
- East Dunbartonshire
- East Lothian
- East Renfrewshire
- Perth and Kinross
- South Ayrshire
- Scottish Borders
- South Lanarkshire
Social Work Scotland would like SDSS Members to have the opportunity to Review the Report before publication and have a series of questions for members to consider. Full consideration will be given to any comments made about their findings and the way they have presented them and they will look to incorporate suggestions where possible.
If you would like to influence Social Work’s Scotland’s Report, especially if your Local Authority has been involved in this – this is your opportunity!
If you would like to be involved in the Review of the Report, you can do this in 2 ways:
- Send comments directly to ourselves and we can pass these on to Social Work Scotland
- Come to our Review Meeting in Glasgow to share your thoughts and ideas directly with Social Work Scotland
The Review Meeting will be held on:
- Tuesday 29th May 2018
- Venue: Glasgow Centre for Inclusive Living (GCIL),
- Time: 11am – 1pm
- Lunch will be provided – let us know any dietary requirements
- Travel and support expenses can be covered
See a copy of the current draft Report here
See a list of the questions that Social Work Scotland would like to ask here
Please send your views or book your place by contacting Mark: email@example.com
Scottish Living Wage Increases today – what does it mean for PA Employers?
The Scottish Living Wage has Increased:
In May 2017, the Living Wage went up to £8.45 per hour. Today the Living Wage is: £8.75
Why has the Living Wage increased?
A new Living Wage is announced each year and the Living Wage rates are independently calculated and based on the real cost of living. The Scottish Government made a commitment to increase the minimum hourly earnings of Social Care staff in Scotland to enable people to be paid the Living Wage for each hour that they work. This commitment was reflected in the financial settlement that the Scottish Government agreed with Local Authorities for 2018 – 2019, which includes provision for the increase in the Scottish Living Wage.
Who does the Living Wage apply to?
The Scottish Government has clearly stated that they see the Living Wage as applying to all ‘Adult Social Care Workers’, that are providing direct care and support to adults in care homes, care at home services and housing support. In addition, the funding to Local Authorities was awarded on the basis that it was to go to Providers of Care and Support services and Direct Payment recipients who complied with Scottish Living Wage rates. This means that PA Employers should also be covered by the increase in the Living Wage.
If I am a PA Employer, do I have to pay my PA the Living Wage?
The Scottish Government and Local Government have jointly committed to enabling the Living Wage to be paid to all adult social care workers in Scotland, including Personal Assistants. The financial settlement has provided the funds to enable this to happen. Therefore, there is now the opportunity for PA Employers to receive an increase in their SDS budget, to enable them to pay the Living Wage. However, there is no legal requirement for a PA Employer to pay the Living Wage – but it may make it harder to recruit Personal Assistants in the future if they are not being paid at least the Living Wage.
Will I receive an increase in my SDS budget from today?
Before there are any changes to people’s SDS budgets to reflect the increase in Living Wage, each Health and Social Care Partnership across Scotland will have to decide how it is implementing the increase to the Living Wage. In practice, this means that each Integrated Joint Board (IJB) will be looking at this question now – so this may not have been agreed yet.
What can I do to find out about how the Living Wage is being implemented in my area?
There are 3 things you could do:
- If you receive less that the Living Wage currently to pay for your support, you could speak to your Social Worker to ask how the Living Wage will be being increased in your SDS budget
- Speak to the SDS Lead in your area to ask how the Living Wage is being implemented locally
- Contact the Integration Joint Board in your area to find out how they are implementing the Living Wage in your area
What about Sleepovers?
The Scottish Government made a commitment to support the payment of sleepovers at the Living Wage rate. However, whilst this is an aim, it is not required in law. The case law that was created last year means that anyone providing sleeping night support should be paid at a rate that is equal to the National Minimum Wage (NMW). However, different Local Authorities are developing their own policies regarding the payment levels for sleepovers, which may include a commitment to the Living Wage for sleepovers. You will therefore need to check what the policy for sleepovers is in your area.
What are different Local Authorities doing?
Each Local Authority is developing their own policy regarding the implementation of the Living Wage for Care Workers and Personal Assistants. Therefore, it is important to know what is happening in your area. To give you some examples of the differences, we have copies of Reports that are being considered by 2 different Integrated Joint Boards. These are:
Dumfries and Galloway: Scottish Living Wage Implications for Delegated Social Work Budgets 2018/19
Backdating of SDS Budgets:
As it may take time to agree a local policy, there is a possibility that any increase in a person’s budget to enable them as an employer to pay the Living Wage, may come later than 1st May. Therefore, it may be possible to ask for the extra payment to be backdated, to at least 1st May. However, some Local Authorities may be looking at backdated payments to an earlier date (eg Glasgow are considering backdating to 9th April 2018).
We would be very keen to hear about what is happening in your Local Authority area, so please feel free to post comments to this blog and let us know what is happening locally here.
Healthcare Improvement Scotland are holding awareness raising sessions on the new Health Social Care Standards in Glasgow.
The sessions will be held on Monday 14th of May 2018 at Healthcare Improvement Scotland’s office – with 12.30 as the last time available. The session will last 1.5 hours.
Scotland’s new Health and Social Care Standards were published by the Scottish Government in June 2017. The new standards set out what care should look and feel like for people every time they use health and social care services; they aim to establish people’s care experiences, rather than compliance with technical inputs, as the key measure of quality. The standards are not tied to any particular care setting, and will help to support partnership working and improvement in services across health and social care. They complement the body of existing and emerging guidance on clinical interventions and specific services with a focus on what really matters – the experience of people who uses services, and ensuring that the quality of that experience is as the standards describe.
The session aims to:
- Ensure people who use services know to expect a high quality of care and a positive experience
- Ensure people working in health and social care know what the standards are and how to work in a way that supports them
- Ensure service providers practice in a way that promotes a positive experience of care and support
- Answer any questions you may have of what the standards mean to you and your work
To apply for a place at the roadshow, go to the Eventbrite page here.
New CCPS Briefing: Local Area Example of the Tensions between Procurement & Self-directed Support (SDS)
This Providers and Personalisation (P&P) briefing sets out a local area example of the tensions that can exist between procurement and competitive tendering, and Self-directed Support (SDS) and enabling choice for individuals about the provision of their care and support. The briefing concludes with lessons that have been learned and some considerations for Local Authorities when working across procurement and SDS.
This is a really useful summary which outlines the responsibilities and requirements that Local Authorities have when considering competitive tendering. This might be useful to share with
These lessons include:
1) Commissioning and Procurement: Begin by considering whether a procurement exercise is necessary.
2) Ensure Involvement of Supported People: Start with the full involvement of supported people.
3) Consider how to involve and consult with service users and families about any commissioning plans, competitive tenders and decision to change their provider.
4) Consider their duties as a public body under the Equality Act about the rights of disabled people and other protected groups to be consulted in an accessible format when making any changes to service provision.
5) Involve other stakeholders and providers.
6) Self-directed Support: Consider how to ensure supported people have choice about who provides their support, when and how their support is provided and who their preferred support providers is. Ensure that individuals receiving care and support are offered SDS and the 4 Options.
7) Ensure that individuals have the right under Option 2 to choose to stay with their existing provider even if they are not on the council’s framework.
If you would like copies of this briefing, you can get this here at the CCPS website: CCPS Procurement and SDS
lndividual Service Funds: a guide to making Self Directed Support work for everyone
An Individual Service Fund (ISF) is one way of managing an individual budget available under Option 2 of the Self-Directed Support Act.
In Control Scotland has produced a new guide to making Individual Service Funds work for people. They outline the core components of an ISF, details what needs to be in place for an ISF to work for all the partners involved. They also provide a framework by which to measure whether an ISF arrangement is creative and flexible enough to assist a person to achieve their outcomes for a good life and not just a service.
For example, they have identified four distinct parts of an Individual Service Fund which should help clarify what makes them important:
To qualify as an ISF there needs to be:
1. An upfront individual budget allocation
2. A flexible support arrangement designed around the person
3. A budget that is used to focus on a good life not just a service
4. Maximum control for the person over decision making
The publication was launched on 21st March 2018 and you can get copies of this and other presentations below.
Get a copy of the Guide here on In Control’s website: http://in-controlscotland.org/individual-service-funds-isfs-guide/
Get a copy of Sam Smith’s presentation here: http://in-controlscotland.org/wp-content/uploads/2018/04/Making-SDS-Work-for-Everyone-Presentation.pdf
Get a copy of Sam Smith’s 4 components of an Individual Service Fund here: http://in-controlscotland.org/wp-content/uploads/2018/04/Launch_Making-SDS-work-for-everyone-video_final.pdf
For a copy of the presentations given at the launch event from In Control Scotland, the Scottish Government, CCPS and Audit Scotland, go here: http://in-controlscotland.org/wp-content/uploads/2018/04/Launch_Making-SDS-work-for-everyone-video_final.pdf
SDS, Mental Health & Risk Enablement
Wednesday 9th May 2018: 10.30am – 1.30pm
Mercure City Hotel, 201 Ingram Street, Glasgow, G1 1DQ
Last few places available!
The Social Care (Self-directed Support) (Scotland) Act enables individuals who are receiving social care to have greater choice and control over their support. For people with mental health needs, SDS offers opportunities for support to become more flexible, personalised and outcomes focused. For social work practitioners and support providers, working in a risk enabling way helps to ensure that people with mental health needs have greater control over their support and their lives.
This event will give the opportunity for participants to hear about best practice in risk enablement and to consider how to balance risk, adult support and protection and choice for individuals. There will also be an opportunity to hear the views of people with mental health needs and support provider Penumbra about how SDS can be more empowering and lead to better outcomes for individuals.
Outcomes for the Event
This event will provide opportunities for participants to gain:
• Increased knowledge of SDS and how to promote choice and control for supported people with mental health needs
• Increased understanding of risk enablement and SDS and how it works in practice
• Increased awareness of how to support people with mental health needs to achieve their outcomes
Book now for this event here on Eventbrite
Please note, registration, tea and coffee will be available from 9.45am and the event will start at 10.30am followed by a networking lunch from 1.30pm.
If you would like to discuss anything further about the event, please contact:
Catherine Garrod (Programme Officer)
Tel: (0131) 475 2676
SDS and Commissioning, Providers and Personalisation, CCPS
Last week SDSS Manager Jess Wade was featured in TFN, find out more:
SDSS Manager, Jess Wade, was featured in TFN last week discussing the future of SDS, and what needs to be done to achieve successful SDS implementation.
In this article Jess highlights the importance of real partnership working, in order to learn from best practice. Our event on the 14th of March aims to do just this by showcasing and promoting good practice from a wide range of user led organisations. Read the most up to date programme details here.
There are a limited number of spaces still available for the event, book now to avoid disappointment! Find our booking page here.
We are still accepting enquires from organisations interested in our marketplace, please contact Anna now at firstname.lastname@example.org.
Free spaces are available to SDS Scotland members, by selecting the relevant ticket type. There are a number of free spaces available by application or through supporting organisations, email@example.com.
SDS National Voice 2018- tickets available now!
SDS National Voice is an event that will promote, celebrate and discuss good SDS practice all over Scotland. We designed this event around what you would like to hear about, and who you would like to hear from. Get your tickets now!
SDS National Voice 2018 is an event you cannot miss on Wednesday 14th of March, held at The Edinburgh International Conference Centre (EICC). You can book your space here.
We designed this event around you, key topics this event will cover are:
- Option 2- Making it work.
- Research on the value of Independent Information and Support – How to promote this further.
- Real Partnership Working- How to win friends and influence Local Authorities.
- Pooling Budgets – Options and success stories.
- Navigating Health and Social Care – Understanding the new structures and where you can be involved to shape this locally.
- When Things Go Wrong – how to get the best resolution for all parties.
In attendance will be a number of organisations at the centre of SDS development including: Inspiring Scotland, Scottish Government, Local Authorities,and SDS Scotland Membership organisations. A full programme of the day will be published in due course.
This event is fully accessible, there will be a number of Personal Assistants available at the venue, as well as BSL interpreters.
Free spaces and discounted rates are available to SDS Scotland members, by selecting the relevant ticket type. There are also a limited number of free spaces available by application or through supporting organisations, please contact: firstname.lastname@example.org
Find out more and book your space here!
SDS National Voice: Programme announcements!
It has been a busy week for SDSS, we have been working on updating our programme for the #SDSnationalvoice We have lot of exciting content confirmed and even more will be announced next week!
- Jess Wade, Manager, Self Directed Support Scotland.
- Karen Geekie, Scottish Government SDS Policy Team.
- Professor Kirsten Rummery,Stirling University– The costs and benefits of ‘good’ self-directed support.
- Lucy Robertson, Managing Director,Craigforth– Review of Independent information and Support Services.
- Scottish Union of Supported Employment (SUSE)
- Disabled Persons Housing Service Fife.
- In Control Scotland.
- Iriss, Partnerships & CO.
- Community Brokerage Network.
- Inspiring Scotland.
There are a limited number of spaces still available for the event, find our booking page here.
We are accepting enquires from organisations who are interested in contributing or participating in our marketplace, please contact email@example.com