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Independent research and cost analysis of the use of Just Checking and the Just Right approach to identify appropriate levels of care for adults with learning disabilities

Just Checking and the Just Right approach provide information that can be used to design more appropriate packages of care for adults with learning disabilities or to confirm that packages of care are appropriate.

The Just Checking/Just Right approach is viable, acceptable and useful to service providers and commissioners of care for adults with learning disabilities.

The research identified that changes could be made to care packages in all nine local authorities taking part in the research.

KPMG undertook an independent financial analysis of the research results, to identify the costs associated with over or under-provision of care and the impact that the Just Checking/Just Right approach could have.

KPMG’s financial analysis found that, where potential changes in care packages could be identified and where financial information could be supplied by care providers, the over-provision of care exceeded the under-provision of care. When extrapolated to a 12 month period there was a potential over-provision of care (potential savings) of £1.577 million and an under-provision of care of £692,000.

The KPMG analysis found that, even taking into account the need to remedy the under-provision, Just Checking would pay for itself within 9 weeks.

Providers reported a range of outcomes from being involved in the Just Right project including improved outcomes for service users, improved person-centred support and achievement of goals, greater independence and autonomy for service users, having objective data on which to base decisions, identifying previously unknown issues, ability to reconfigure the support to a more appropriate level, reassurance that current and new support packages are effective, changes in culture, policies and practice and building good relationships between commissioners and providers.

Successful implementation is dependent on how well stakeholders receive the approach. A holistic Just Right approach is needed to enable Just Checking to be used to best effect. A narrative around person-centred planning, identifying over-care, improving quality of life and increasing independence and autonomy, is needed to drive change.