The FoI information continues to come in and I’ve had the first response with an agreed Joint Funding Tool.
They use the ‘Devon Tool’ which is a spreadsheet and averages percentages based upon CHC Domain Levels.
And, whilst having a joint tool with the ICB will save a LOT of time / expense the problem with the ‘Devon Tool’ is that it doesn’t take take the time / tasks into account when working out a percentage.
Say a person has 12hrs 2:1 in order to manage their high behavioural needs due to a high cognitive impairment with high communication needs but has no other needs the Devon Tool says 55% for health.
And putting aside this ought to be suggesting a Primary Health Need …
If the person has low skin needs it drops to 45% health – i.e 2.5 hrs for skin management.
Add is some medication prompts and it falls to 30% so it’s assuming more than 3.5 hrs for prompting someone to take their medication.
Essentially a Low in Medication (all LA) is not equivalent to a high in Behaviour (all ICB) but the Devon Tool thinks they are.
This is why I argued that my previously employer ought not to use the Devon Tool since it has an inherent ICB bias.
It also has an age bias since younger person will get a far higher health split than a person with identical cognitive / behavioural and communication needs (plus some age related mobility / skin).
If you’re using the Devon Tool – give it a go !
Basically it’s not consistent for all groups of service users and it’s not a fair reflection of someone’s actual needs and that’s what led me to design and build JFunder since fairness and equality are fundamental pats of being a Social Worker.
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