The Value for Money and Policy Review of Disability Services (VFM Review) which I published in 2012 envisaged that migration to the person centred model would be by means of demonstration projects, developed as proof of concept, and run in parallel with current services, following which their suitability for wider application would be evaluated.
The Health Service Executive (HSE) and disability agencies are already working on demonstration projects, at locations throughout the country, including the West, aimed at giving service users greater choice and control. A significant number of the projects underway show how aspects of the new policy will work in practice. These projects initiated by a range of service providers with the support of the HSE, Genio and the National Federation of Voluntary Bodies involve many different aspects of a more person-centred way of delivering day and residential services. The projects will be analysed in 2014 to determine their wider applicability, clarify the issues which must be resolved before the projects can be scaled up, and identify the best way forward.
Just over 100 of these demonstration projects have been grant-aided by a non-profit organisation, the Genio Trust, with funding provided by the HSE, during the period 2010 – 2013 and they will provide a substantial contribution towards the transition to the new model of person-centred supports.
The grants have been targeted in the following areas:
- Projects to move/keep people out of institutional care by supporting them to live as independently as possible in the community, resulting in institutional closure;
- Active integration of people with disabilities into mainstream work, third level education and leisure activities;
- Measures to strengthen and build networks of support comprising family, friends and neighbours offering alternative respite;
- Empowerment of people with disabilities to take control of their own lives and strengthening of strategic advocacy particularly on the part of people with disabilities.
In addition to the projects which the HSE are funding through Genio, the National Federation of Voluntary Bodies who are based in Oranmore, Co. Galway are working with service providers in the West and in other regions of the country, through the Next Steps and Immersion initiatives, to support demonstration projects and shared learning in respect of the person centred supports model.