Helping Adults

Topics: Social work, International Federation of Social Workers, Health care Pages: 8 (2950 words) Published: March 11, 2013
Social Care Policies and Legislations are the governing force that underpins the perplexed structure and delivery of Adult Social Care. With reference to the case study ‘Anne’, this assignment will aim to demonstrate a critically analytical understanding of such foundations. Accompanied with, an analytical exploration of the Personalisation agenda and its application within the case study. Furthermore, effective multi-agency working is said to be at the forefront of ‘Personalisation’, promoting an individual’s welfare and protecting them from abuse and neglect. Within this assignment an analytical focus will be given to the effectiveness of these multi-agency processes and question their dexterity for ‘Anne’ whilst giving consideration to a fictional dilemma that would require a practical application of the law. For many years’ disability campaigners have been called for the transformation of adult social care, demanding a personalised approach that incorporates more choice upon who, where and how an individual’s needs are met (Clements and Read, 2008:11). In 2006, the government published the ‘Our Health, Our Care, Our Say’ (2006) white paper acknowledging such visions that would later inspire the development of the, ‘Common Assessment Framework’, ‘Personal Budgets’ and ‘Direct Payments’, forming the central ingredients of ‘Personalisation’ (DH, 2008). A definition of ‘Personalisation’ is described to be a new way of thinking that refers to any individuals who requires funded or independently-purchased support to have maximum choice and control over the shape and delivery of their care (DH, 2006). Post assessment, individuals are provided with an ‘Indicative budget’ which is used as a base to inform a person-centred plan, matching provisions to desired outcomes (Mithran, 2013). Once authorised by local authorities, individuals are then allocated with a final ‘personal budget’ (Carr, 2010:8). Within the ‘Putting People First 2007’ guidance, this process is referred to as ‘Self-Directed Support’, proving a framework for the delivery of ‘Personal Budgets’ (ADASS, 2009b). Personal Budgets are available within three forms, either within the form of a ‘Direct Payment’, by way of an account managed by the local authority or through a mixture of both (SCIE, 2010). A ‘Direct Payment’ is described as a means-tested payment paid directly to the client enabling them to purchase their own support, in replace of service provision (Mithran, 2013). Within practice, however, critics have claimed many authorities are carrying out a separate calculation processes to identify final ‘personal budgets’, resulting in a difference, for some clients, of up to £100. Leading many clients to reconsider their plan or having to contribute largely to its implementation (Mithran, 2013). This has lead many critics to demand more transparently and affordable services, research suggests, however, that current services provision is ill-equipped to operate within such a manner (Duffy, 2012). In light of this, the government has allocated 520 million pounds to local councils to initiate the reshaping and restructuring of adult social care services (DH, 2008) This reformation, referred to as the ‘Personalisation Agenda’ was also detailed within the 2007 ‘Putting People First’ statutory guidance offering a ‘toolkit’ to support local authorities in the implementation of this agenda (HM, 2007). Unfortunately, this did little to end the criticisms, as a lack of legal clarity left the interpretation of its delivery down to the local authorities, arguably, lending weight to the ‘postcode-lottery debate (Vasey, 2000:7). ‘Personalisation’ for Anne, nonetheless, translates into a ‘self-chosen lifestyle’ receiving support to ‘get up’ and ‘go to bed’ at a time of her choosing. Initially, as previously discussed, current funded provision was inflexible and restricted by its services-demand’s resulting in Anne’s becoming restricted and dependable upon services. For...
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