Self-directed support strategy 2010-2020: implementation plan 2019-2021
Actions required to drive forward the changes necessary to fully implement self-directed support.
The change map
The change map at the heart of this implementation plan was initially developed through co-production and research with people from local authorities, health and social care partnerships (HSCP), providers, carer organisations, national bodies and disabled people's organisations.
Two workshops were held, one with participants in a strategic role and one aimed at those in operational roles (including disabled people's organisations). The workshop discussions considered the existing evidence and data collection and then identified a series of key changes that were required for the effective delivery of self-directed support.
This initial version was then further refined through engagement with over 350 people (including local authority - HSCP staff) October - December 2018 to create the version used here.
The purpose of a change map is to provide a simple description of complex changes that need to happen, in this case the steps required at local level to make self-directed support the mainstream approach to social care support in Scotland.
It includes all stages of a person's social care journey, including first contact; assessment; and advice, assistance and guidance where someone is not found to be eligible for formal support at this time. An easy-read version covering the outcomes relating to People and Workforce is available at https://www2.gov.scot/Topics/Health/Support-Social-Care/Support/Adult-Social-Care.
At the roadshow events in 2018, there was substantial debate over whether the People column should go first on the diagram (as it was in the initial version under discussion) to reflect that people are at the heart of this policy and their own social care, or whether that implied that the onus was on them to change, rather than systems and professionals. We have moved People to the third column in order to reflect that the changes people should expect will not occur without substantial system and culture change.
The change map is already informing national work on understanding and improving social care support in Scotland. It provides a foundation for measuring how well self-directed support has been embedded in Scotland. A web version will enable a simple, visual way of organising access to all the many good practice tools and resources developed to date.
Each of the actions agreed with national partners as part of this plan specifically supports one or more of the changes that need to happen at local level.
At a local level, the map is a tool to review progress, shape the next stage of implementation of self-directed support in an area, or influence planning at a strategic level. It has already been found useful in stimulating discussion across a range of partners, particularly where opportunities to work together have been infrequent.
The four sections of this plan follow the structure of the change map:
Involvement
(a process outcome applicable to all others)
The views and experiences of people, workers and social care support providers must inform and underpin these changes
Workforce
Workers enable and empower people to make informed decisions about their social care support
Workers in all aspects of the delivery of social care support exercise the appropriate values, skills, knowledge and confidence
Leaders and systems
Senior decision makers and systems create the culture and conditions for people to have choice and control over their social care support
People
People have choice and control over their social care support
People's social care support outcomes are met
| Leaders and systems |
Workforce |
People |
|||
|---|---|---|---|---|---|
| . | Senior decision makers & systems create the culture & conditions for choice and control over social care support |
. | Workers enable & empower people to make informed decisions about their social care support |
. | People have choice & control over their social care support |
| .. | Statutory authorities undertake effective strategic planning for improvement |
.. | Workers across all aspects of social care support exercise the appropriate values, skills knowledge and confidence |
.. | People are fully involved in decisions about their support |
| ... | Communities & supported people shape the planning, commissioning & monitoring of support, & are enabled to create & sustain the full range of community resources |
... | Workers receive clear & consistent information, training & capacity building in supporting and delivering self-directed approaches |
... | People have access to good quality information, advice & practical assistance in understanding creative support options & how they might work |
| .... | Decision making structures enable a creative, flexible & timely approach to the delivery of support |
.... | Workers engage in good conversations which respect what matters to people & the outcomes they value |
.... | People have access to good quality advocacy, if they feel it is required |
| ..... |
Procurement & commissioning processes promote a diverse range of flexible, personalised & creative support |
..... | Workers take a strengths-based approach to supporting people |
..... | People know the budget & resources available to them & can direct them creatively & flexibly |
| ...... |
All contractual & monitoring arrangements between local authorities, providers & supported people are flexible, proportionate & outcome-based |
...... | Frontline workers are encouraged and enabled to exercise professional autonomy |
...... | People understand how & why decisions about budgets & support are made |
| ....... | The relationship between public, independent & third sector health & social care organisations is trusting & collaborative |
||||
The views & experiences of people, workers & providers must inform & underpin these changes
People includes supported people, unpaid carers and families
Workers includes all professionals whose work impacts on social care: planning, provision, administration, advice, accountability
Dots allow for easy referencing
Contact
Email: catriona.kennedy@gov.scot
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