An Audit Scotland report out today says health and social care boards have a lot of work to do to ensure that the 208,000 adults and 17,000 children needing social care services get more choice and control. Currently an estimated 53,000 are choosing an Self Directed Support option. Article 19 of the UN Convention on the Rights of Disabled People states that individuals should have the choice about where they live and the care or assistance that they need to make this possible.
Since 2014, councils have had a legal responsibility to offer SDS to people receiving care at home. This involves choosing one of four options: a direct payment to manage their own support, choosing their own support but getting the council to manage and pay for it, choosing to continue with council services, or a mixture of the previous three options.
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