Unpaid carers you meet through your health and social care role may share their current situation, identifying a potential lack of support.
You may be involved in multi-disciplinary meetings where local authority representatives speak about Self-Directed Support, and you’re wondering what it’s all about.
Here, you will find information on Self-Directed Support (SDS), which is a potential means of support for unpaid carers and the person they care for to receive a budget to purchase social care services.
Eligible need
The Carers (Scotland) Act 2016 gives unpaid carers the right to access support in their own right if they have eligible needs. There may also be support available for the person receiving care.
The adult carer support plan or young carer statement is often the first step in helping identify the possibility of support via SDS. It is used to decide whether a carer meets the local eligibility criteria. If they meet the criteria threshold, the local authority has a duty to meet their needs. Although the process may vary across regions, local authorities carry out adult carer support plans, young carers statements, and SDS assessments.
Social care support
The level of need of the person receiving care and the unpaid carer will influence the best-suited support types. The more complex or demanding the situation, the more available support can potentially be accessed. This might result in the need for social care support. Some social care support is provided by local authorities’ free personal care services, but for those not eligible for this service or who need support other than personal care, Self-Directed Support might be an option.
What is Self-Directed Support (SDS)?
Self-Directed Support is where the person receiving care and/or their unpaid carer has choice and control over how social care support is provided and who provides it.
The process begins with an assessment by the local authority, in which the person receiving care and their unpaid carer should be involved in the conversation as much as possible.
Depending on the assessment's outcome, a budget may be provided to help pay for social care support. The person receiving care of the unpaid carer can then chose how they’d like to receive their budget and services using the following options:
OPTION ONE - the person receiving care or their carer receives a direct payment to make arrangements privately through a care provider or by employing a ‘Personal Assistant’
OPTION TWO - the care provider holds the budget and the person receiving care or their carer directs how it is used
OPTION THREE - the local authority commissions or provides the care directly
OPTION FOUR - a mix of the above
The person receiving care and/or their unpaid carer can choose what type of social care support would work best for them. This could include activities such as someone to help accompany them to a football match, out for a meal, cinema outing, tea dance, attending college or university, purchasing a membership, i.e. bowling club or gym membership and purchasing equipment, i.e. a tablet device. The purchases must meet the outcomes stated in the assessment.
Support for the person receiving care and their unpaid carer going through the SDS process can be given by the local authority, brokerage services such as Glasgow Centre for Inclusive Living’s Take Control service and Third Sector organisations like Self Directed Support Scotland. This can include support in recruiting and managing personal assistants, finding a care agency, and managing the budget.
What does this mean for you in your health or social care role?
Understanding there are potential routes to receiving social care support for unpaid carers and the person they care for
Feeling more confident contributing to conversations related to solutions of social care support
Knowing where you can signpost unpaid carers to find out more information
Knowing where you can find information to increase your knowledge further
Scottish Government guidance - https://www.gov.scot/publications/statutory-guidance-accompany-social-care-self-directed-support-scotland-act-2013-2/
Care Inspectorate Hub – https://hub.careinspectorate.com/resources/self-directed-support-library/
Social Work Scotland SDS Practitioner Toolkit - https://hub.careinspectorate.com/media/5658/sds-practitioner-toolkit-accessible.pdf
Care Information Scotland - https://www.careinfoscotland.scot/topics/how-to-get-social-care-support/self-directed-support/
Self-Directed Support Scotland - https://www.sdsscotland.org.uk/