Signpost – a model of self‐directed support and a framework for brokerage
| DOI | https://doi.org/10.1108/20428301211205900 |
| Pages | 48-55 |
| Date | 24 February 2012 |
| Published date | 24 February 2012 |
| Author | Jacky Hammond |
| Subject Matter | Health & social care |
Signpost – a model of self-directed support
and a framework for brokerage
Jacky Hammond
Abstract
Purpose – This paper aims to provide a review of the Signposts programme which facilitates individuals
in developing self-directed support, and seeks to share learning from development of this programme
across the mental health sector.
Design/methodology/approach – Information for the review has been collected through anecdotal
reports from individuals in receipt of Signpost services – this has included individuals who have used
mental health services, their carers and professionals. The paper frames its work within the national
context of government policy and research.
Findings – The complexities of self assessment and self navigation within existing mental health
systems are difficult for many individuals to overcome. Based on principles of control and choice, the
Signpost system allows individuals to take control of their lives and purchase the care and support they
need. It has been important to develop a bespoke quality framework to enable protection of the public
purse as well as the individual; Signpost UK has achieved this with its Quality Brokerage Framework.
Originality/value – This paper describes a highly innovative framework delivery of mental health
self-directed support within the personalisation agenda. Through partnership working, the framework
not only provides a bespoke provision for mental health clients, but also an adaptable programme
across all client groups which enhances principles of choice and control.
Keywords Self-directed support, Personalisation, Mental health services, Budgets, Direct payments,
Peer support, Brokerage
Paper type Case study
Signpost is a not-for-profit joint venture between Mental Health Matters and mcch which
currently operates across Kent and Medway. It provides people with mental health needs
with up to date and relevant information, planning tools and the support that they need to
take control of their mental health and achieve improved mental wellbeing.
One of Signpost’s key roles is to procure, quality assure and support independent social
care support brokers, to assist those who are eligible for a personal budget and choose to
use this service. This includes peer brokers – individuals who have disclosed their own
experience of mental health needs.
Set firmly within the context of personalisation and self-determination, Signpost is a model of
self-directed support underpinned by principles of choice and control. It supports
individuals to understand what services are available out there to meet their (eligible) social
care needs, decide which resources are best for them and to buy them. Individuals are
supported by appropriately trained and quality assured, brokers. Signpost’s person-centred
approach helps people take control and navigate their way towards a better mental health.
Based on the strengths model[1], it enables individuals to work through the various stages of
their mental health experience and find a clear and appropriate pathway to personal
recovery.
The Signpost model was developed with funding from the Department of Health and support
from the National Mental Health Development Unit, alongside investment from three
PAGE 48
j
MENTAL HEALTHAND SOCIAL INCLUSION
j
VOL. 16 NO. 1 2012, pp. 48-55, QEmerald Group Publishing Limited, ISSN 2042-8308 DOI 10.1108/20428301211205900
Jacky Hammond is
Director of Operations for
Mental Health at MCCH
and Signpost UK,
Maidstone, UK.
Produced with support from the
Signpost Team and Volunteers:
Annie Whelan, Kerry Turner,
Katie Bell, Venetia Gibbs and
Alex Williams.
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