Fair access to care services (FACS): prioritising eligibility for care and support

Support planning - Personalisation and personal budgets: implications for practice

Putting People First sets out a vision where all people in receipt of social care support and their carers should be in control of their own lives, using personal budgets to direct the funding available to them to meet their needs in the way that suits them best.

(‘Personalisation and support planning’, DH, 2010, para 119)

Mrs Christodoulou’s story – making choices with a personal budget

Mrs Christodoulou, aged 46, lives alone. Her son lives some distance away, but contacts her daily and visits fortnightly. A wheelchair user because of her disability, she uses her managed personal budget for personal care three times a week. Care workers become concerned when Mrs Christodoulou refuses to let them in twice in one week. Discussion with her son and her care manager results in Mrs Christodoulou identifying the outcomes she wants to achieve and her support plan is changed to use one of her personal care visits with a carer escorting her to her church social club.

The section of the 2010 DH Guidance on ‘Personalisation and support planning’ identifies the vision for social care support to promote control and choice for people, and lists what should be included in a care and support plan. This can be used for reference when working with people and recording the agreed care plan. To ensure effective and holistic support planning, staff need to:

The Care Bill provides detailed accounts of the preparation and content of a care and support plan, or support plan in the case of a carer, and of a personal budget. The Bill will require the local authority to take all reasonable steps to reach agreement with the adult or carer for whom the plan is being prepared about how the authority should meet the needs in question.

The Bill also sets out a new framework for the funding of long-term care, building on the recommendations of the Dilnot Commission. [12] There will be new arrangements for calculating the contribution expected from individuals receiving care and support, and from carers when they are themselves provided with support services. A new scheme will enable deferral of payment of the assessed contribution to the costs of care for the lifetime of the individual. Local authorities will be required to maintain up-to-date care accounts, recording the accrued costs of the individual’s care, in order to determine when those costs reach the lifetime cap above which no further charge is applied. The Bill makes a clear distinction between costs of care, and day-to-day living costs, which remain the responsibility of the individual.


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  • Fair access to care services (FACS): prioritising eligibility for care and support