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Service brokerage: Learning disability services

Service Brokerage

“Explore the role of models of commissioning such as service brokerage and direct payments in the provision of services for people with a learning difficulty/disability”

This essay will discuss how service brokerage helps in the provision of services for people with a learning disability, by starting with commissioning in relation to services. Followed by an explain on how personalisation is about giving people the power and responsibility to choose what services they want and control over how they are delivered. Subsequently describing service brokerage and how it would help people with learning disabilities.

The term “Commissioning” is described as a process of assessing how a persons need is to be met, through priorities and choices, and allocation of resources. Once this stage has been achieved decisions are made on how services will be delivered, planned and developed by monitoring and evaluating the delivery and effectiveness of services. All the stages in the commissioning process are interlinked and dependent on each other to ensure the best outcome for people.

In recent years, the Government has publicised a number of initiatives that would change the way that services for learning disabled people are planned, commissioned and provided, to ensure that learning disabled people have greater choice and control over their lives through personalisation.

Personalisation is a moderately new term and has generated different thoughts on what it will mean and how it will work in practice. The idea of personalisation has become central to the Government’s policy on social care reform in helping people to become empowered by shaping their own lives and the services they receive (Cabinet Office, 2007, Building on Progress: Public Services).The Government White Paper ‘Our health, our care, our say’ (2006) gives details of the Governments vision to create real changes, by allowing people more choice and greater access to both health and social care services. This transformation of social care and the personalisation agenda is reinforced in the Government’s strategy ‘Putting People First’ (Department of Health White Paper, 2007).

Personalisation reinforces the idea the individual knows best what they need and how those needs can be best met. This allows people to be responsible for themselves and can make their own decisions about what they require, but that they should also have information and support to enable them to do so. In this way services should respond to the individual instead of the person having to fit with the service. Brokerage is a way in which people with learning disabilities can be helped to navigate the social care system. Support planning and brokerage is likely to be of benefit to anyone who receives social care funding, those people who privately pay for their own care, people who are looking for unpaid informal support as well as people who use other sources of funding to assist with leading their lives the way they want to

‘Brokers provide information, advice and technical assistance to develop, cost, negotiate, implement and mediate PLANS as required by individuals.’

Salisbury B. and Webb P. (2003)

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