Professional Documents
Culture Documents
March 2010
Budgets by Card: How prepaid can
transform the delivery of Individual
Budgets
Increasing numbers of Local Authorities are Whilst careful monitoring of care services
using prepaid cards in response to the spend through reconciliation is essential in
practical and bureaucratic challenges ensuring the integrity of an Individual Budgets
presented by Individual Budgets. Opportuni- programme, paper-based reconciliation has
ties for significant efficiency savings through proven both unwieldy and costly. Typically this
reduced administration processes, improved involves collecting receipts from service users,
care monitoring and protected delegation of processing them manually and matching them
care commissioning to service users are some with corresponding bank statements. Recon-
of the key benefits being realised through ciliation may in some cases involve having to
effective prepaid implementation. contact the customer to query specific
transactions, sending an employee to further
The Challenges of assess a customer‟s needs or attempting to
retrieve money from a service user‟s allocated
Individual Budgets funds if an individual‟s purchasing behaviour
warrants such action.
Since the introduction of the Community Care
Act 1996, personalisation has become the Other problems have also arisen:
cornerstone of social care reform, with all
three main political parties advocating the A light-touch approach to monitoring
delegation of care commissioning to the Individual Budgets, whilst lessening the
customer to some degree. In this context, the administrative burden, may not provide the
Putting People First directive commits all requisite scrutiny, assurance or support to
councils in England to increasing customer the customer that are essential to ensuring
choice and driving improvements in care the care aspect of Individual Budgets.
outcomes by offering Individual Budgets Furthermore, intermittent monitoring of
before April 2010, with a delivery target of customer activity may fail to identify
30% of all those eligible for social care spending patterns that could indicate a
supported through Individual Budgets by April rapid decline in a service user‟s condition.
20111. Individual Budgets are also being
piloted by NHS trusts. Finance staff have no means of calculating
payments based upon the amount
remaining in an account, resulting in
“Delivering and monitoring unnecessary overpayments when a
payments has frequently customer has used only a fraction of a
previously disbursed amount.
proven to be problematic
Recovering funds, often due to a cessation
and inefficient.” in the requirement for care, has proven
extremely difficult, especially in the event
A significant challenge to the delivery of where a customer has passed away.
Individual Budgets has been the need to
establish the infrastructure and staffing
Poor money management by clients, who
required to support the initiative. This extends
may lead chaotic lives and have poor credit
beyond social workers, care practitioners and
histories, can lead to funds disbursed for
clinicians through to finance officers, admini-
care commissioning being redirected for
stration staff and ICT personnel. For these
other purchases unrelated to their care
clerical personnel in particular, the administra-
needs.
tive burden involved in assessing, delivering
1
Putting People First: A shared vision and commitment to the
transformation of Adult Social Care, December 2007
4 The card can be cancelled at any time, and Improved Customer Choice
any funds remaining on the card will be
returned to the organisation without a More than one prepaid card can be used to
potentially lengthy recouping process. draw monies from a single allocation of funds;
it is therefore possible to issue cards to the
The following graph illustrates projected client‟s carers, thereby allowing their carers to
annual Adult Social Care administration cost transact on their behalf. Service users can
savings across ten Local Authorities, with the commission their own care and pay for it
average anticipated saving at 36%. These online, over the phone or at the point of sale,
figures stem from business cases completed as well as being able to withdraw funds at an
by Ticon which analyse the likely savings that ATM if authorised by the issuing Authority.
each council would achieve by switching Choice, and the ability to self-direct support
service users from bank accounts to prepaid are the two key facets of Individual Budgets;
cards. Projected savings depend heavily on prepaid cards place the selection of care in the
existing processes and is the reason why hands of the service user and enable choice in
there are large discrepancies seen between a practical way.
some councils.
“No monetary value is
60% stored on the card itself, so
loss or theft of the card does
40% not result in loss of funds.”
Enabling Customer Empowerment
20%
A recent report by HM Treasury cites evidence
that those without access to a bank account
0%
are likely to be on a low income, the unem-
ployed or long-term inactive, the elderly, lone
A B C D E F G H I J
Percentage Saving (%)
parents and council and housing association
Average % Saving tenants; this amounts up to 1.75 million UK
adults without a transactional bank account2.
2
Source: HM Treasury, Financial Inclusion Taskforce Annual
Report, October 2009
8
Are you prepared for prepaid?
Fully understanding your answers to the following key questions is fundamental for implementing
and managing a successful prepaid card scheme:
How will payment instructions and programme details be sent to the bank?
How will the integrity of your cardholder list be maintained?
What steps are necessary to ensure PCI and DSS compliance?
For answers to any of these questions or others, please give us a call: 020 7836 1999