In a few years, 2011, the Personalisation Budget will be the main funding of support for people with Learning Difficulties. What does this mean? It means that every person that requires support will be given total control, via Brokers, to pay for their own support. Brilliant! Or is it?
Currently, in the UK, most people receive their support via contracts held by support providers. The money goes to the lowest bidder in a tender war between competing providers and the person gets very little say in who supports them. This will change come 2011 when the person will do the hiring and firing. Sounds good. Total control. But how much is really going to change? It is unlikely that any person that requires 24 hour support will receive enough money to pay for it alone and will still be forced into group living. This is especially likely as there are plans for the amount of money being handed out to be cut by 10-20% from what people receive under the current contract system, essentially meaning no real change and less money. Pretty much this will not work for everyone. It will work best for people that only require a few hours a week.
As in everything, you get what you pay for and in some cases, where 24hr support is required, people are going to be short changed. It is not going to be the revolution that people are hoping for within the learning disabilty community.
By being able to choose their own support this brings up two scenarios. People will be able to choose between using an established provider, such has Mencap or Dimensions, or friends/family/advert in the post office window. The second option is actually quite frightening as the person hired will not be required to have a CRB check (Criminal Records Bureau). This could leave the person being supported at risk of abuse.
Hiring a family member could also be hazardous to the persons development as it is unlikely that a family member would be able to be objective and therefore risk averse. The problem here being that we all need to take risks in order to grow as people and experience/learn new things.
Don’t get me wrong I am all in favour of personalisation, providing it is done correctly and a lot of that depends on money. There should be no cut in budgets, all people that are being hired should be, as they are now, subject to CRB checks, family members should be discouraged from taking on the role of support worker and the budgets should be enough for the, currently laughable, REACH standards to be met. The REACH standards are a set of goals that basically say that a person should be able to live where they want, with who they want and be supported by who they want.
The big problem I can see now is that we risk a return to the big institutions and nobody wants that. Of course this will only happen if Personalisation comes crashing down and the biggest possible cause of this will be money.