6.5 Working together and self-directed support
Self-directed support is one means of enabling the personalisation of care and support in Scotland. Under the Social Care (Self-directed Support) (Scotland) Act 2013 , this can be achieved in different ways, including by the allocation of ‘an individual budget ’ following an assessment for support. The budget can be accessed as ‘a direct payment ’, which can be used by the person to pay for their own choice of services.
Working together begins to look rather different when the citizen is at the centre of service provision, enabling…
... an alternative model of integration to the traditional approaches that have centred on inter-agency and inter-professional coordination. Whereas the latter consist of a range of attempts (often unsuccessful) to persuade or cajole various agencies and groups to pool resources and expertise, personal budgets propose a new driver for integration – the individual service user, with support where necessary. Our research suggests that the implementation of this model will not be easy, but the prize is enormous.
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The Social Care (Self-directed Support) (Scotland) Act has as its focus social care, rather than health, education or other services. But the values of personalisation are of course also evident in other services:
- Although health boards in Scotland do not have a duty to offer self-directed support, there is a growing interest in the role of the health service in self-directed support. This is likely to intensify with increasing integration of health and social care services. NHS Lothian and NHS Fife are test sites for the introduction of self-directed support to adults. You can watch a video about an evaluation of the impact of introducing individual budgets in health services here:
- Learners with a particular interest in personalisation and education can also find out more about the impact of a personalised approach in the classroom here: http://www.educationscotland.gov.uk/ video/ c/ video_tcm4563994.asp