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Self-directed support: A National Strategy for Scotland

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Annex 2: List of recommendations

RECOMMENDATION 1

The National Implementation Group should produce a values framework which articulates how to achieve effective co-production of both individual and collective outcomes for the policy. A communication strategy should include specific action to make information about eligibility criteria available to all.

RECOMMENDATION 2

The national implementation group should develop a communications strategy that addresses the overarching goal to increase knowledge about SDS. This should address the need for people who use services to understand their rights and responsibilities.

RECOMMENDATION 3

The national implementation group should develop a training strategy for SDS that sets some clear targets for the development and delivery of appropriate training to relevant groups. SSSC and NES and other national social care, social work and health training and qualification accreditation bodies should participate in this work to ensure self-directed support teaching is integrated into curriculum and assessment at the earliest opportunity.

RECOMMENDATION 4

In 2010 the Scottish Government in conjunction with COSLA and the National SDS Implementation Group will review the application of the national eligibility framework in order to establish the need for national eligibility thresholds for all adults with social care needs.

RECOMMENDATION 5

Beginning in 2010, the Scottish Government should work with COSLA to apply economic analysis to developing strategies for councils to lead the shift towards self-directed support. The focus should be on a shift to commissioning for individuals rather than for groups, and in investing in prevention.

RECOMMENDATION 6

The Scottish Government should encourage community planning leads to support social work and other local authority departments and agencies to work together and combine their funding to achieve better outcomes for people who have personal and social support needs. This should be reflected in Commissioning and strategic planning frameworks where the place of SDS is clearly modelled and planned for.

RECOMMENDATION 7

Community planning partners should be provided with information on the potential of local area co-ordination, with a view to considering pooled resources to support the development of this approach for all client groups.

RECOMMENDATION 8

The Scottish Government should disseminate the findings from its health-related pilot in Lothian to all NHS Boards so that this learning can be put into place across all of Scotland by 2012. In the interests of shared awareness, the findings should also be sent to local authorities and providers.

RECOMMENDATION 9

By summer 2010, the Scottish Government should begin work with national and local organisations to review their capacity to deliver support - that includes peer support - for other forms of self-directed support and independent living whilst maintaining their focus on direct payments.

RECOMMENDATION 10

Beginning in 2010, the National Implementation Group should evaluate existing models of support provision to inform a more efficient, sustainable and joined up approach, at both local and national level, suitable for all client groups.

RECOMMENDATION 11

Beginning in 2010 the SDS Implementation Group should gather and interpret information on resource allocation models and systems to see which approaches best deliver the outcomes for all groups and levels of need. The group should consider whether research and development is required to recommend a method that has both technical rigour and a personalised, transparent and outcomes focus.

RECOMMENDATION 12

Building on recommendation above, the Scottish Government, in conjunction with COSLA, should commission a Scotland-wide cost analysis of the rates offered for individual budgets and existing direct payments and the costs for provider equivalents in local authorities and the independent sector with a view to assessing how funding levels for individuals meet the outcomes.

RECOMMENDATION 13

The Scottish Government should work with COSLA and the Independent Living movement on simplifying Charging Policy to make this more compatible with the outcomes associated with self-directed support.

RECOMMENDATION 14

The Self Directed Support Implementation Group with other organisations should consider the support provision needed for PAs.

RECOMMENDATION 15

The Scottish Government should co-ordinate work that ensures a system of support is provided to individuals, suitable training for PAs and proportionate local authority monitoring to ensure that individuals are aware of their responsibilities.

RECOMMENDATION 16

The Scottish Government should work with local authorities and support services to ensure PA employers can be assisted to proactively to comply with employment law, social service workforce regulatory requirements/Codes of Practice and best practice.

RECOMMENDATION 17

In applying Scottish Government guidance on procurement, local authorities should implement the values and principles of self-directed support, and in turn promote independent living.

RECOMMENDATION 18

During 2011, local authorities should work in partnership with providers to develop provider networks in each area. These networks should look at ways of supporting citizens to individually or collectively commission services and examine the impact of self directed support within services.

RECOMMENDATION 19

The Scottish Government in conjunction with the test sites, should publish and disseminate the findings from all its local authority pilots so that this learning can be offered across Scotland by 2012.

RECOMMENDATION 20

The Scottish Government and COSLA should use the learning from the research undertaken in the test sites in both local authorities and health settings to begin to identify how best existing resources can be used to support the delivery of self directed support, and the timescales for development.

RECOMMENDATION 21

The Scottish Government and key stakeholders should work together to review and update the Community Care Outcomes Framework by summer 2011 in order to ensure that all client groups and forms of community care support are adequately represented in data collected for Local Outcome Agreements.

RECOMMENDATION 22

The Scottish Government should review current data collection on direct payments to measure the approach to self-directed support.

RECOMMENDATION 23

Scrutiny bodies should devise a method to measure the incremental progress of the policy in collaboration with individuals, carers and other interested parties.

RECOMMENDATION 24

The Scottish Government should discuss with Education leads whether and how Disabled Students Allowance and other relevant funds in Further and special, and Higher education can be included in self-directed support packages.