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Developing a common resource allocation system in Scotland. Gordon Dunbar Personalisation and Outcomes Programme Manager, City of Edinburgh JIT, Learning and Action Group Member. Background. Different practices across Local Authorities RAS Equivalency model - PowerPoint PPT Presentation
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Developing a common resource allocation system in Scotland
Gordon DunbarPersonalisation and Outcomes Programme Manager, City of EdinburghJIT, Learning and Action Group Member
Background
Different practices across Local Authorities– RAS– Equivalency model
Aspiration to develop a fair and transparent tool Explore the possibility of developing a tool that would
have more wide spread usage across Scotland That supported an outcomes approach
Background – Initial Interest
City of Edinburgh Glasgow City Council Perth and Kinross In-Control Scotland Falkirk Council
Initial Meeting
Increasing concern about the usage of resource allocation systems
A common approach within Scotland An growing interest to explore a new way
forward – possibly linked to IoRN National Dissatisfaction with mutant
developement
Simon Duffy - Simplifying the Resource Allocation System
Long - there are now models with 40 page Complex - some models involve getting multiple
perspectives on one question Ambiguous - some models ask lots of questions, but
no clear budget Restrictive - often models slip back into prescribing
how someone should be supported
Developing Interest
City of Edinburgh Glasgow City Council NHS Lothian (Self Directed Support Pilot) In-Control Scotland Orkney Council Dumfries and Galloway Perth and Kinross Highland Council Fife Council East Renfrew Council Angus Council Falkirk Council Joint Improvement Team, Scottish Government
The Way forward
It has been suggested that in Scotland we should consider whether an improved system might be possible if the IoRN were to be used in some way as part of the process.
Key Elements
Supports Outcomes Focused Assessment Sits within a dynamic assessment framework Supports decisions to be made in a more co-
productive way at the earliest opportunity Supports fair and transparent allocation of
resources The budget is sufficient to meet the
outcomes/needs of the person
Three key elements
RAS IoRN Talking Points
Work to identify areas of commonality and deficits Potential to develop a dynamic assessment
framework that supports outcomes and allocation that included a resource allocation tool
IoRN - Options
Use the traditional IoRN Developing a tool using the methodology
employed within the IoRN to allocate people into groups – distilled large quality of information down to a
relatively small amount of significant factors – Place into grouping
Low
Medium
HighLow
High
High
Low
Medium
Low
High
Lower
Higher
A
B
Indicator of Relative Need Algorithm
D
C
E
G
H
ADL
Mental well-being
Bowel management
IoRN Group
Medium
Personal care
Mental well-being
I
F
H
I
A B C DE F GH I£200 £400 £800£600 £1200£1000 £1400
Relationship between IoRN group and average weekly cost of services (at 2002 prices)