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Managing your support with Direct Payments (Factsheet 003)

Direct Payments are a more flexible way of delivering social care services to those who are eligible for Social Services support.

Some people with an illness or disability, including older frail people, need support to help them live independently. Living independently is about having choice and control over your life and being able to do what matters to you.

If you have had an assessment that shows you are eligible for social care services, you may prefer to organise your services yourself using money that the Council gives you, rather than have the Council do this for you. This is called a 'Direct Payment'. The Social Worker or Care Manager who carries out your assessment (or review) must offer you the option of a Direct Payment.

What are Direct Payments?

Direct Payments are a different, more flexible, way of delivering social care services to those who are eligible for Social Services support. 

The key principle is that day-to-day control of the money and provision of your support is given to you, the service user so that you have more choice and independence. As you know your own needs best, you can decide how to spend the money you receive to arrange for support that best suits your lifestyle.

With a Direct Payment:

     You choose who provides your support, and

     You control when you receive your support

Social Services provide a payment directly to you so that you can arrange and purchase your own support. In some cases the payment can be made to someone else to manage on your behalf.  

You might use the money to:

  • employ someone directly to help with your support (a Personal Assistant)
  • buy care from a private registered care agency
  • make your own arrangements instead of using Social Services day care or respite care.

See Examples of Direct Payments in Use for some ideas.

Whatever arrangements you make, you must ensure that any outcomes identified in your Support Plan (see below) are met.

Direct Payments are just one option for care and support; if you prefer to receive services in the traditional way, you can. Some people even choose a mix of Direct Payments and services or choose to use their Direct Payment to purchase care and support from the local authority. .

Who can have a Direct Payment?

Direct Payments can be offered to almost everyone who is eligible to receive social care services. In a very few cases, Court Orders relating to drug/alcohol dependency may mean that a Direct Payment is not possible.

Usually you can have a Direct Payment from the age of 16. There is no upper age limit. A parent carer can receive a Direct Payment to provide support for a child under 18.

How do I get a Direct Payment?

In order for you to get a Direct Payment, you first need an assessment of your care or support needs by Social Services.  

If you are eligible to receive services and choose to have a Direct Payment, your Social Worker or Care Manager will discuss with you what personal outcomes you would like to achieve and agree how much money you would get as a Direct Payment.  You can then work out a plan of how your care or support needs can be met.   This is called a Support Plan.  It is for you to decide what should be in your support plan, but if you wish you can have help from your Social Worker or Care Manager, from the Independent Living Team (see page 3) or from family and friends.  So long as the identified objectives are met, you can be as creative as you wish in putting together the support arrangements. 

Social Services will then pay money into a separate bank account which you will need to set up. You then use this to pay for your support arrangements.

If you have already had an assessment, and are already receiving services, you can switch to Direct Payments instead. Talk to your Social Worker or Care Manager.

If you have been told you are not eligible to receive a service, we will not be able to give you a Direct Payment. 

What is involved in managing my Direct Payment?

With the choice and flexibility offered by Direct Payments there are also responsibilities. You are in charge of administering the money and keeping records to show it has been spent in the right way. However, you can have help with doing this from a friend or relative.

If you choose to employ someone as a Personal Assistant, you have all the usual responsibilities of an employer. However help is available with this (see below).

What are the options for someone who cannot manage a Direct Payment themselves?

Some people who are eligible to have a Direct Payment would not be able to manage the financial and contractual arrangements themselves. Some reasons for this may be:

  • They do not have the mental capacity to do so (perhaps because of a learning disability or dementia)
  • They need additional support with the paperwork
  • They are not able to open a bank account
  • They are very ill

There are options available to enable such people to use a Direct Payment and remain in control of the support they receive. These are:

Indirect Payments

This is a Direct Payment paid into the bank account of a relative or friend of the person using the payment.  However the person for whom the payment is made must be the legal employer of any Personal Assistant. The person who receives the payment must administer the account in the best interests of the person who receives support, in the same way that a regular Direct Payment user would have to do and can use all the support services available to people receiving a regular Direct Payment.

Direct Payment to a Suitable Person

This works like an Indirect Payment but is used when the person for whom the payment is made lacks capacity (as defined by the Mental Capacity Act 2005).  In most cases the Suitable Person will be a family member or close friend already involved in the care of the service user.  The Suitable Person will be the legal employer of any Personal Assistant.

Managed Accounts

Compass Independent LivingOpens new window can provide a Managed Account on behalf of the person using the Direct Payment.  This means that they hold the payment on that person's behalf, pay all necessary agreed outgoings and provide regular statements. 

While anyone can start off by using a Managed Account, the Council's Independent Living Team will provide help, support and encouragement for those who would like to be able to manage their Direct Payment themselves in time.   However those who cannot manage without support will be able to continue with a Managed Account.

Independent Living Trust Funds

These funds can be set up on behalf of someone who does not have mental capacity. The Direct Payment is made to a group of people (at least three) acting on behalf of the person using the Direct Payment. These trustees would have the same responsibilities for administering and accounting for the payment that a regular Direct Payment user would have.

If you are considering any of these options, the Independent Living Team can give you more information and can discuss with you and your family exactly what is involved. 

What support is available to me?

Swansea Social Services has its own Independent Living Team who provide a range of support to people who use Direct Payments. All their services relating to Direct Payments are free.

Specially trained staff are available to give you all the information, advice and support you will need.  Their service includes:

  • developing and reviewing your Support Plan with you
  • practical help with recruiting and employing staff
  • a brokerage service to help you get the most appropriate service from a support agency  
  • health and safety advice

To contact the team

Tel: 01792 636445

Email: independentliving@swansea.gov.uk

The Council has also arranged for support with financial issues such as paying wages, and sorting out tax and National Insurance to be provided free for Direct Payment users.  The service is provided by Compass Independent LivingOpens new window.

Tel: 0330 3330089 or 01823 282823 

Email: payroll@compassdisability.org.uk

Address: Units 11-12, Belvedere Trading Estate, Taunton TA1 1BH

Will I have to pay anything?

You may be asked to pay part of the cost towards your care. This depends on the type of care or service you are assessed as needing, and may also depend on how much income and savings you have. You may need to have a financial assessment.

If you have to pay something, this amount will be the same whether the services are arranged for you by Social Services or whether you choose Direct Payments.  The usual maximum you could be asked to pay for non-residential care is £70 per week.  

How do I get an assessment from Social Services

If you already receive support from Social Services, speak to your social worker or care manager.

If you do not currently receive a service from Social Services, and you wish to ask about an assessment, please contact the relevant team from the list below.

Older people or people with a physical disability:

Intake Team for Health and Social Care
Tel: 01792 636519
SMS: 07796 275412
Email: Intake@swansea.gov.uk

People who have mental health problems:

West Swansea
Tel: 01792 517800

Central Swanseal
Tel: 01792 517853

North Swansea
Tel: 01792 545780

Adults who have a learning disability:

Community Support Team
Tel: 01792 614100
Email: community.support.team@swansea.gov.uk

Children with a disability

Children's Central Advice, Referral and Assessment Team
This team deals with initial referrals for disabled children and will pass appropriate referrals to the Child Disability Team.

Tel: 01792 635700
Email: access.information@swansea.gov.uk

What if my needs change?

If your needs change, you may be able to change your Direct Payment. If you find that Direct Payments turn out not to be right for you after all, you can switch to having services provided by Social Services.

Other useful information

Social Services' website has a wide range of social care information - not just about Social Services, but a wide range of other ideas of how you and those you care for can get the support you need.

There is also a section with more information about Direct Payments.

Apart from Social Services, there are voluntary groups that may be able to provide support for your particular needs. Take a look at Swansea's on-line Healthy City DirectoryOpens new window or at Info EngineOpens new window.

Alternatively, please contact Swansea Council for Voluntary Service (SCVS)Opens new window which is the umbrella organisation for voluntary activity throughout the City and County of Swansea.

SCVS Voluntary Action Centre
7 Walter Road
Swansea SA1 5NF

Tel 01792 544000

Swansea Social Services and personal information

When you are in touch with Social Services, we will keep information about you in written records and computer files. We will keep this information confidential, except where we need to share it with people providing you with care, or to protect you or other people.

You have a right to ask to see records we keep about you.

We can give you more information about how we handle personal information

Comments and complaints

We welcome any comments about our services - good or bad. We are interested to hear how we could do things better, and we like to know when we are doing well.

If you are unhappy with the services you receive, we encourage you to make a complaint. Full details are given in the Making a Comment, Complaint or Compliment about Swansea Social Services (Factsheet 16) . For more advice or information about making a complaint, you can contact our Complaints Officers on 01792 637345

Factsheet 003 v.13 May 2017

 

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