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Small Supports

We believe that there is a need to encourage and grow community based, high quality, person centered and value for money small providers to add to the choices available. 

Small Supports

Our Small Supports work is trying to think with and about people with learning disabilities and/or autism who have ‘hefty reputations’ - to borrow a phrase to describe people who are burdened by the reputations they have been given because of behaviors, reactions, support requirements and large funding packages.

Transforming Care, like the Winterbourne View Programme before it, set out to try and change the services that are available. In our view this hasn’t worked. Market development activity has focused on the large existing providers who, while they offer great support to some people, don’t meet everyone’s requirements. We rather like the analogy of looking at a local high street and thinking that choice is being developed by adding in yet another supermarket when people are asking for small shops, a market, etc.

In some areas we have seen the growth of very person centered individual supports (or micro providers). This is very welcome but some people and their families are saying that these don’t provide enough structure and security. Commissioners have told us of their experiences of having limited choices, recomissioning services that they believe will lead to readmission and of hospital admissions and delays to discharge that would not have been necessary if quality community provision had been available.

Small support organisations have a number of things in common including: planning and delivering in a truly person centered way; person led staff recruitment and training; structuring and using funding around the person; a separation of housing and support; strong partnerships between the individual and family, commissioners and provider and; staying small.

Our Small Supports activity:

  • Works with people, families, strategists and commissioners to develop understanding and plan action;
  • Shares detailed experiences and information about developing small support organisations;
  • Identifies and challenges blockages in commissioning processes;
  • Helps to seed and grow small support organisations;
  • Evaluates outcomes including outcomes for people and the delivery of value for money.

Small Supports is a partnership between NDTi, Beyond Limits, C Change and Positive Supports for You.

We are committed to sharing our learning. Some of this learning is available now, some will emerge as we evaluate the impact on peoples lives, the way services work and on commissioning. 

For more information about this work please contact bill.love@ndti.org.uk or  jill.corbyn@ndti.org.uk

 

Current Small Supports Programmes:

In Partnership with the Local Government Association (LGA) and NHSE we are working with eight local areas to challenge, inform and assist their Transforming Care activity.

In the programme we will:

  • Work alongside people with lived experience, families, commissioners and leaders to understand and plan for small supports;
  • Develop local commissioning knowledge and processes;
  • Share stories from and understanding of developing small support organisations;
  • Explore the impact of and lessons from current services;
  • Identify and seek answers to national barriers to delivering better supports:
  • Evaluate and share learning

In partnership with Birmingham and Solihul CCG we are working to develop small support organisations to increase the choices available to adults and young people who are currently part of the Transforming Care programme or who are at risk of being placed in secure settings.

In the programme we will:

  • Work alongside people with lived experience, families, commissioners and leaders to understand and plan for small supports;
  • Develop local commissioning knowledge and processes;
  • Share stories from and understanding of developing small support organisations;
  • Identify and support people to establish new small support organisations;
  • Inform and engage with existing provider organisations;
  • Develop responsive commissioning and focused health teams;
  • Evaluate and share learning.

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