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DHSSPS
Four Health & Social Services Boards
Belfast Health & Social Care Trust Southern Health & Social Care Trust Western Health & Social Care Trust South Eastern Health & Social Care Trust Northern Health & Social Care Trust
Centre for Independent Living - Belfast DHSSPS Four Health & - - PowerPoint PPT Presentation
Centre for Independent Living - Belfast DHSSPS Four Health & - - PowerPoint PPT Presentation
Centre for Independent Living - Belfast DHSSPS Four Health & Social Services Boards Belfast Health & Southern Health Western Health Social Care Trust & Social Care & Social Care Trust Trust South Eastern Northern Health
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What are Direct Payments?
Cash payments instead of Trust services Arrange your own support
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“Direct Payments are means to an
- end. That end is Independent
Living” (Hasler, Campbell & Zarb 1999)
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Independent Living
‘the ability to be in control of and make decisions about one’s own life, rather than doing things alone or without help’ (Oliver, 1993)
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History of Direct Payments
Berkeley, California 1972 Hampshire 1982 Growth of CIL Movement Campaign for widespread ‘direct payments’ Direct Payments Legislation 1996
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Direct Payments
Non-institutional Support rather than care Quality of life Empowerment Value for money
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Direct Payments Legislation
Personal Social Services (Direct Payments) (NI) Order 1996 (April 1997) Carers & Direct Payments Act (Northern Ireland) 2002 (March 2003) (April 2004)
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Carers & Direct Payments Act (Northern Ireland) 2002
- ver 16 year olds
assessed as needing personal social services ‘willing and able’ to manage Direct Payments alone or with support not subject to certain mental health or criminal justice legislation
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Carers & Direct Payments Act (Northern Ireland) 2002
disabled people
- lder people who get services from the Trust
disabled parents parents of disabled children carers for services to meet their own needs
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Direct Payments can be used for
Any personal social service (except for permanent residential care)
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Direct Payments Process
Assessment of need Consider option of Direct Payments Sign Agreement Open Bank Account Training & Support Recruit Staff Back-up Arrangements Record keeping/Monitoring/Review
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How Direct Payments are used
Employing own staff Contracting with an agency Self-employed? Mix of Direct Payments and Trust Services
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Carers & Direct Payments Act (Northern Ireland) 2002
Duty on Trusts to make a Direct Payment where requested and conditions met.
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Benefits of Direct Payments
Choice, control and flexibility Dignity, self-esteem, confidence Family, friends, relationships Work, study, community
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Responsibilities
Finding staff Being a good employer Looking after the money Legal responsibilities Back-up arrangements
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CIL – BELFAST
is run by and for disabled people and provides the following services: Information Advice Training Advocacy Peer Support Payroll Service
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DP in Northern Ireland
877 users (DHSSPS Sept ’07) Direct Payments as a primary choice Lack of resources Risk assessments Vetting and regulation Government policy -Individual budgets
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