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What to do if circumstances or my situation changes?

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Once a direct payment is set up, there will be an initial review within 6 weeks to ensure your needs are met and a copy of the support plan will be provided. Within 12 months you will then have a financial audit followed by a care review, these will always take place on an annual basis.

However, if there are any changes to your situation or circumstances with regards to the services you purchase, you can request an early review to discuss all support options to ensure your needs continue to be met.

Examples of situations that may occur are as follows:

  • changes to your needs, an increase in support is required
  • ending of required services
  • loss of personal assistant
  • no longer able to access support
  • different type of support is required
  • hospital admission

Employer responsibility

As you are in receipt of a direct payment that means that you arrange and pay for required services from the direct payment budget, and that makes you the employer. There is some responsibility on you to find alternative methods of care, this ensures that the choice of which personal assistant/services/care provider to employ, remains yours.

However, the council will provide support and has a duty of care to ensure that identified needs are met. The council can support you by allocating a social care worker to either support you to find alternative care providers, or by directly purchasing care and support if required. Advice and guidance is always available, and the support plan can be discussed and amended to ensure that methods of using the direct payment budget continue to be used to manage your eligible needs.

Emergency planning

It is important in all support services to have a plan in the event of an emergency. It is especially important with direct payments to contingency plan, to ensure that you always have access to the support you require and are not left without your needs being met. During the support planning process with your social care worker, it is important to discuss and identify your Plan B, if your first chosen method of support becomes unavailable. This prevents a crisis from occurring and ensures that support remains in place and consistent.

Who can I contact for more advice?

You can contact the Adult Contact Team on 01905 768053.

The Direct Payment Support Service can help with a range of queries for example:

  • about what direct payments are
  • how funding can be spent including options such as employed PA
  • self-employed PA’s
  • microenterprises
  • the PA finder or matching service
  • domiciliary care
  • the costing of services
  • recruiting a PA
  • queries relating to employment law
  • contracts of employment
  • being a good employer
  • training
  • managed (third party) accounts
  • payroll advice
  • HMRC advice
  • insurance information (public liability and employers liability)
  • pension and autoenrollment
  • national insurance and national living wage and national minimum wage and redundancy advice and calculations

You can telephone: 01902 912896 or by email on or via the website Contact - Barrie Bookkeeping & Payroll Solutions (opens in a new window)