Page 19 - TLAP Beyond Direct Payments

Each side is increasingly alienated from the other. So personalisation, which requires higher levels of trust, is confronted by deep cultural resistance. Despite all this there are important signs of hope (Duffy, 2017):
• Dorset has established an important model of contracting for ISFs (see box)
• Bedfordshire, Wake eld and Devon are all beginning pilots and transforming parts of
existing provision over to ISFs
• Southwark transformed a contract to ISFs demonstrating high levels of ef ciency (Ellis, Sines & Hogard, 2014)
• Research into organisations providing Individual Service Funds continues to demonstrate signi cant outcome and ef ciency improvements (Fitzpatrick, 2010; Hyde, 2012; Animate, 2014; Squire & Richmond, 2017).
• Leeds City Council is using local neighbourhood organisations to organise support and manage ISFs (Duffy & Sly, 2017).
Dorset
In England the most important development has been in Dorset where a new approach is being progressed that gives people the option to choose more personalised support (Duffy & Watson, 2017). This system involves:
• giving people and families indicative budgets at the assessment stage so that they can choose their own community support organisation.
• enabling people the chance to develop their own support plans jointly with providers and then agreeing a nal budget with their social worker
• enabling community support organisations the possibility of holding the person’s personal budget as an Individual Service Fund (ISF) and working exibly around the person’s needs and aspirations
• moving away from more traditional and rigid forms of contracting services using hours towards exible support planning that focuses on creativity and outcomes.
Beyond Direct Payments
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