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Charity and company limited by guarantee, established in 1984 Work with people with learning disabilities, mental health problems, physical disability, autism, Asperger's syndrome, homeless Turnover 40 million Employs 1600 staff (approx.) Support 1000 people Operate in Wakefield, Mansfield, Oldham, Stockport, Congleton, Nottinghamshire, Bedfordshire, Milton Keynes, Buckinghamshire, Bracknell, Hampshire, Portsmouth, 9 London boroughs
Southwark 2010-15
Choice Support were pushing at an open door when they suggested an Individual Service Fund approach for transforming their services in SouthwarkChris Dorey, Commissioning Manager, Southwark Council 152 people supported 66 registered care, 32 supported living, 54 outreach support Block contract - 6.5 million 83 people
Savings
FINANCIAL YEAR 2010-11 2011-12 2012-13 2012-14 2014-15 PER ANNUM 324,250 310,750 260,314 250,041 649,718 CUMULATIVE 324,250 635,000 895,314 1,145,355 1,795,073
The key savings agreed included reducing: the direct cost of hourly support rate local and central overheads to 15% of ISFs provision of support based on person centred plans (PCPs).
deregistering existing homes reducing the cost of each support hour i.e. changes in existing staff terms & conditions and management restructure reducing direct support hours, including waking nights and increased use of Assistive Technology (AT) reducing overheads and closure of the local office
Evaluation of Change from Waking Nights to Sleep in Night Support, Social & Health Evaluation Unit Bucks New University (2012)
Outcome 1:
Outcome 2: Outcome 3:
Cost reduction
Safety maintained Quality enhanced
2010-11
2010-12
159,717
224,789
2012-13
127,604
256,902
Three issues were identified as involving potential risks The first was people having seizures and whether they would be detected and managed without regular observation. The second was urinary incontinence and whether people would experience undetected discomfort. The third was nocturnal activity and whether people might harm themselves or others. The research concluded that the change was well managed, risks were well assessed and that safety was maintained after the removal of waking night staff
Utility bills are cheaper because lights and electrical appliances are not working at night. Cost in regards to each persons ISF (individual service fund) is less for the individual. People are more settled generally with a better sleep pattern. There arent so many handovers which distracts staff members and is invasive. There is more consistency of support due to new shift patterns
Everyone goes to sleep at the same time. Staff have become more trusting of peoples abilities. People have more privacy and autonomy There is no longer confusion around day or night. There is an end and a beginning to the day in regards to staffing so now people dont seek to engage at night and sleep better therefore they are more productive and calm during the day. A number of people have just developed the skills and confidence to go and do what they want to without support
Money
Comprehensive Spending Review 2011-2014:
since
Year