Adult social care, personalisation

Work on adult social care and personalisation

London Funders' Publications

Personalisation in adult social care
(2012) A Learning from Funders session to provide an update on progress in the personalisation agenda and to explore the continuing implications for funders and for the voluntary organisations adapting to change.

The personalisation agenda
(2009) Report of a meeting on personal budgets for health and social care

Useful links

Personalisation: ACEVO guides for voluntary organisations
ACEVO’s response to the introduction of Personal Budgets in health and social care-a unique opportunity for service users to take greater control over their lives and the potential for the third sector to offer a wider choice of services.

·         An introduction to Personal Budgets

·         How to cost appropriately with Personal Budgets

·         Personalisation: Exploring the legal implications

·         Personalisation: A new approach to marketing

·         Developing a person-centred workforce

External publications

2015: Closer to critical?
The Health Foundation and Nuffield Trust (November 2015)

This is an annual statement analysing the quality of care provided in England. It draws on analysis of over 300 indicators of care quality, from waiting times to staffing levels. There are sustained improvements in the prevention of harm to children and continued improvements in the measuring and delivery of safety in hospital settings. However, there has been deteriorating access to hospital, mental health and social care services.

Anti-Social Behaviour and Mental Health
London Councils (January 2014)
London Councils conducted a survey of all heads of community safety exploring the issues and challenges around mental health and ASB, finding out what practical responses are delivering results on the ground and listening to what the professionals feel they need to improve work in this area in the future. This report presents the results of this survey and also includes examples of practice where available.

Building resilient communities
Mental Health Strategic Partnership, 2013
This report calls on every council to make mental health a priority within its public health strategy. It brings together the evidence and people’s own accounts and practical ideas to help teams design well-being and resilience services to help prevent the development of mental health problems, and to measure their impact. See also 
Briefing for public health teams

An approach to economic evaluation in social care
Social Care Institute for Excellence report 52, December 2011
What economic evaluation in social care is and why it is important for policy-making. Explains some of the features of social care that require a distinct approach to the application of economic evaluation methods, and what those methods should be.

A better life
Joseph Rowntree Foundation report on a research programme focussing on how to improve the quality of life of older people with high support needs. The report considers the needs and situations of older people with high support needs from different equality groups, and the barriers they commonly face in service provision.

Building our futures

Report on the findings of a two-year action research project funded by Trust for London and undertaken by Toosh Limited, managed by Disability Action in Islington. It looked at the human resource challenges of user-led Deaf and Disabled People's Organisations (DPOs). 

Community capital and the role of the state: an empowering approach to personalisation
Patricia Jones (October 2013)
A study by Third Sector Research Centre into ‘co-production’ looking at how a local authority was able to develop a community-run organisation to broker support for vulnerable residents, embracing a neighbourhood perspective with individual as well as collective solutions.

Co-ordinated Care for People with Complex & Chronic Conditions
Nick Goodwin, Lara Sonola, Veronika Thiel, Dennis Kodner (October 2013)
This report by the Kings Fund presents the findings from a two-year research project, which aimed to understand the key components of effective strategies employed by studying five UK-based programmes to deliver co-ordinated care for people with long-term and complex needs.

Extra Time-Growing old, staying active
The Football Foundation's evaluation of the second year of a pilot programme which aims to use the power of professional football clubs’ brands to engage people over 55 in physical activity and social inclusion projects across the country.

Financial management of personal budgets
The Audit Commission reviews approaches to transition from providing services to providing personal budgets, the choices for allocating money, and how councils can plan for the financial implications. It considers changes in social care commissioning and the governance arrangements needed for personal budgets and includes a self-assessment checklist to help councils review progress in implementing personal budgets and identify areas for improvement.

Financing adult social care
London Councils (supported by Ernst and Young), 2013
Collaborative research on the scale of the funding pressures on adult social care and the extent to which these could be mitigated through greater efficiency in the way that social care is managed, procured and delivered. 

Funding social care: what service users say
Research by the Joseph Rowntree Foundation highlights that, despite being most affected by changes to the current failing system, most service users often are not involved in discussions about how their social care is funded. The report draws on the experiences of 18 adult social care service users who were brought together in 2009 to explore proposals for funding social care in the future. 

Gangs in prison: The nature and impact of gang involvement among prisoners
Catch22 (October 2014)

This study explores how prisoners considered to be involved in gangs in the community develop associations and allegiances in a London-based prison. It examines the nature of gangs in prison, their impact on the regime and the possibilities for violence reduction and rehabilitation.

Independent ageing 2013
Jonathan Carr-West and Laurie Thraves, LGiU, 2013
This report reviews council support for self-funders based on a survey of and interviews with adult services departments and highlights the issues facing local authorities from the needs of self-funders who not only require advice and guidance but may well, over time, become dependent in part or whole on public funds. 

Legal Literacy in Adult Social Care
This provocative paper outlines some of the failings in legal literacy that are commonly found across England. Many of these problems seem to be getting worse with austerity; others reflect a long-standing failure to understand the role that law should play in the delivery of public services.

Loneliness resource pack
Tracey Robbins and Susan Allen (November 2013)
JRF and JRHT’s Neighbourhood approaches to loneliness has been a three-year action research programme exploring and identifying what makes us feel lonely where we live and work and what we can all do about it – personally and professionally.

Moving towards a more personalised NHS
London Councils (November 2014)
This briefing welcomes the emphasis on putting patients in control in the NHS Five Year Forward View. ‘Put into practice, this shift in policy has the potential to radically change the way that the NHS works and fundamentally alter the relationship between service users and health and care services.’

Older Londoners
A report from IPPR and City Bridge Trust of findings from a year-long programme of research, profiling London’s ageing population and especially making recommendations on home-based care, dementia care and social isolation.

Older people's prevention services: local authority and third sector perspectives 
NIHR School for Social Care Research (SSCR) (2013)
This research report finds that third sector organisations (TSOs) have historically played a significant role in the delivery of adult social care.  TSOs remain a popular choice with local authority commissioners as providers of preventative services. Recent research has identified positive aspects within the current arrangements but also gaps in setting and understanding outcomes, and a reliance on personal relationships within the commissioning process.

Personalisation: a rough guide
The Social Care Institute for Excellence (SCIE) guide aimed at front-line practitioners and first-line managers in statutory and independent sector social care services and makes recommendations for transforming social care through public service reform.

Personalisation case studies
London Councils has published a series of succinct and practical case studies that highlight London boroughs’ work to deliver personalised care and support for adults.

Personalisation, productivity and efficiency
A report from SCIE on the potential for personalisation, particularly self-directed support and personal budgets, to result in cost-efficiencies and improved productivity as well as improved care and support.

Plugging the gap: the social care challenge
Dr Jonathan Carr-West, RSA, 2012
How demand for council social care services will outstrip available finance by 2015. This is a series of papers on how local services, citizens, networks and community assets can be better deployed to plug the gap of a shrinking state, while addressing longer term questions on the shape of services and citizens’ roles in delivering these.

Providing an alternative pathway
National Housing Federation, 2013
How integrating housing with health and social care can save significant amounts in health and care costs and improve the lives of vulnerable and older people. The report is aimed at local health and social care commissioners and features five examples of people who have benefited from integrated housing, care and support services, based on local authorities, housing providers, GPs and acute health trusts working together.

Providing personalised support to rough sleepers
This Joseph Rowntree Foundation study reviews a pilot project offering personalised budgets to rough sleepers in the City of London. It finds that the majority of participants had moved into accommodation but long-term personalised support was needed to encourage them to remain. 

The reform of adult social care and support
Local Government Association, Association of Directors of Adult Social Services (ADASS), SOLACE, 2012
A guide (especially aimed at local authority leaders and chief executives) to recent reforms and recommendations on adult social care and the implications for councils as they face the uncertainties of how to fund care and support needs for a growing population not only of older people but those with chronic conditions such as diabetes.

Social care funding and the NHS: An impending crisis? by Richard Humphries, published by The King’s Fund
The impact of funding cuts to the NHS has been widely reported and discussed, but less attention has been given to social care and the inter-relationships of health and social care. This publication examines trends in spending on social care, tries out scenarios based on different levels of funding and ring-fencing in future, and estimates the likely funding gap and the knock-on effect on the NHS. 

Social prescribing: A new way of working or today’s hot topic?
NCVO (February 2016)

In an article, Lev Pedro, public services senior officer at NCVO, discusses the inaugural conference of the national Social Prescribing Network. He identifies one of the issues as over-bureaucratic commissioning processes, that might, for example, prevent the possibility to prescribe appropriate services or activities delivered by very small, sometimes unincorporated groups.

Spreading change: A guide to enabling the spread of person- and community-centred approaches for health and wellbeing
Nesta, July 2016
This guide outlines how behavioural science can help spread the take-up of person- and community-centred approaches to health and wellbeing.

This action-focused guide is part of the NHS England-funded Realising the Value programme, which seeks to develop person- and community-centred approaches for health and wellbeing. The programme is doing so by building the evidence base and developing tools, resources and networks to support the spread and impact of these approaches. It is aimed at people who champion these approaches in health and social care, in other statutory bodies and in community-based organisations

State of Care
Care Quality Commission, October 2016
Demands are increasing on health and social care. State of Care – CQC’s annual overview of health and social care in England – looks at the trends, highlights examples of good and outstanding care, and identifies factors that maintain high-quality care.

Most services provide people with good care, but variation exists. Some care services are closing, increasing pressure on other services including GP practices and hospitals. Strong leadership and collaboration will be important to ensure services improve and quality is maintained.

The state of the sector: key trends for voluntary sector organisations working with offenders and their families
Clinks (March 2016)
Grant funding continues to be important but organisations are also reliant on contracts. However, they are unlikely to receive full cost recovery on any contracts they deliver. Some organisations are at risk of closure and nearly half of organisations are using their reserves to support their work.

Sustainable health and social care: a briefing for commissioners and health and wellbeing boards
SCIE Report 59, 2012
Report exploring many aspects of sustainability in adult social care provision, including environmental risks, using examples and offering further references. Highly relevant in the context of social value in commissioning.

Thematic Review of the CPS Rape and Serious Sexual Offences Units
HM Crown Prosecution Service Inspectorate (February 2016)
This report found that the Crown Prosecution Service (CPS) is insufficiently resourcing its RASSO units, is not following its own victim policies in a third of cases, and that the different operating models developed for the RASSO units in each CPS Area mean there is a lack of consistency of approach to cases and limited compliance with the minimum standards.

Transforming Rehabilitation
National Audit Office (April 2016)

Reforms by the Ministry of Justice to transform the rehabilitation of offenders have successfully restructured the probation landscape within ministerial timescales and without major disruption to services, but operational problems and risks to further service transformation need to be resolved, according to the National Audit Office.

What Councils Need to Know about People with Learning Disabilities: A Local Government Knowledge Navigator
Evidence Review: Review Number One
Dr Paula Black, January 2014

Dr. Paula Black has prepared this review of evidence on learning disabilities that is relevant to local government. It is the first in the ‘Need to Know’ series, which have been commissioned by the Local Government Knowledge Navigator. In the case of the Learning Disabilities Review, Local Government Association work found that councils are reporting increased demand for support for people experiencing learning disabilities. As a result, the Review examines how the research base might help to understand the scale and nature of the need for support, and therefore inform planning that support, and inform good practice, for example, in how best to equip people to be independent and live fulfilling lives, drawing both on the UK research knowledge base and on any transferable international experience.