Social Care - Health Committee Contents

Appendix 1: Transformation objectives and milestones

These five key priorities, and milestone dates, for adult social care transformation were agreed in September 2009 by the DH, ADASS and the LGA:

April 2010October 2010 April 2011
Effective partnerships with People using services, carers and other local citizens That a communication has been made to the public including all current people who use services and to all local stakeholders about the transformation agenda and its benefits for them.

That the move to personal budgets is well understood and that local people who use services are contributing to the development of local practice. [By December 2009]

That users and carers are involved with and regularly consulted about the councils plans for transformation of adult social care.

That local people who use services understand the changes to personal budgets and that many are contributing to the development of local practice. That every council area has at least one user-led organisation who are directly contributing to the transformation to personal budgets. [By December 2010]
Self-directed support and personal budgets That every council has introduced personal budgets, which are being used by existing or new people who use services/ carers.*[425] That all new people who use services / carers (with assessed need for ongoing support) are offered a personal budget.

That all people who use services whose care plans are subject to review are offered a personal budget.**[426]

That at least 30% of eligible people who use services/carers have a personal budget.
Prevention and cost effective services That every council has a clear strategy, jointly with health, for how it will shift some investment from reactive provision towards preventative and enabling/ rehabilitative interventions for 2010/11. Agreements should be in place with health to share the risks and benefits to the 'whole system'. That processes are in place to monitor across the whole system the impact of this shift in investment towards preventative and enabling services. This will enable efficiency gains to be captured and factored into joint investment planning, especially with health. That there is evidence that cashable savings have been released as a result of the preventative strategies and that overall social care has delivered a minimum of 3% cashable savings.

There should also be evidence that joint planning has been able to apportion costs and benefits across the 'whole system'.

Information and adviceThat every council has a strategy in place to create universal information and advice services. That the council has put in place arrangements for universal access to information and advice. That the public are informed about where they can go to get the best information and advice about their care and support needs.
Local commissioningThat councils and PCTs have commissioning strategies that address the future needs of their local population and have been subject to development with all stakeholders especially people who use services and carers; providers and third sector organisations in their areas.

These commissioning strategies take account of the priorities identified through their JSNAs.

That providers and third sector organisations are clear on how they can respond to the needs of people using personal budgets.

An increase in the range of service choice is evident.

That councils have clear plans regarding the required balance of investment to deliver the transformation agenda.

That stakeholders are clear on the impact that purchasing by individuals, both publicly (personal budgets) and privately funded, will have on the procurement of councils and PCTs in such a way that will guarantee the right kind of supply of services to meet local care and support needs.

* 425   The ADASS/LGA survey showed 8% was already the national average in March 09 (although it also suggested that the majority of authorities were below this average). It is believed that Councils should have reached a 10% minimum target by March 2010, if they are going to guarantee the 30% target for 2011; the survey itself indicated that only around 20 authorities were not expecting to have reached a 10% level by March 2010. Back

** 426   Given the expectation that people who use services receive reviews at least annually, this milestone may in itself drive an allocation of PBs in excess of the 30% target for April 2011. Back

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Prepared 12 March 2010