Slides from talk to Scottish event, hosted by North Lanarkshire Council, on the whole system impact of personalisation and self-directed support.

1. Whole System Change
the meaning of personalisation
Dr Simon Duffy ￭ The Centre for Welfare Reform ￭
for North Lanarkshire Council ￭ 8th November 2011

2. The Centre for Welfare Reform
• voluntary fellowship of over 60
innovators
• belief in human equality, and the value
of diversity
• welfare state is good, it’s just designed
wrong
• independent of political parties,
government and big business

3. Remember - personalisation
• was (largely) developed in Scotland
• is about greater social justice
• changes the whole system
• requires care to implement well

4. “personalisation” is used
in many different ways

5. technologies rooted in values

6. 4 key developments
• Direct payments - Hampshire
• Individual budgets - Glasgow
• Self-directed support - North Lanarkshire
• Resource allocation systems - Wigan
• of course, many more innovations...
• and its an international movement...

7. Direct
payments...
power, with many limitations

8. Whose money?
for services, or for people

9. Individual budgets
from push to pull economics

11. Individual budgets
not shopping - community

13. Self-directed support
change the whole system

15. Social justice at the root
citizenship

16. Social justice at the root
real
wealth

17. Social justice at the root

18. Case study
Personalised
Transition...

20. Jonathan’s story
For the 3 years before 150 days in hospital -
responding to problems with breathing.
In the 3 years after leaving hospital he has spent
only 2 nights in hospital - for elective dental
treatments.
Personalised learning - on the job - 2 City & Guilds
Qualifications.
Saving NHS, LA & Education
•Over £100,000 in hospital stays
•Over £300,000 in residential care costs
•Over £100,000 of funding contributed by the LSC

21. Implementation hazards
1.targets, instead of clear entitlements
2.complexity, instead of simple systems
3.new professionals, instead of community
4.undermining, not respecting professionals
learn from England and do different

22. 1. focus on entitlements
• revisit ‘health and social care’
• remove charging - ‘disability super tax’
• create more flexibility
• clarify and strengthen entitlements
early targets drive down quality - areas
will do it if its legal and it works!

23. resistance to innovation
its natural - so don’t cheat...

24. 2. focus on simple systems
• NOT systems added on top of old
• NOT new more paperwork
• NOT more complex planning
• NOT monitoring the wrong things
normalise - make stuff easy

25. unlock community capacity

26. 3. focus on community
1.share information
2.enable peer support
3.work with community organisations
4.use service providers as allies
5.respect professional skills

28. 4. focus on the front-line
• empowerment is compatible with good
practice
• front-line professionals can own and
develop these ideas
• leaders need to remove burdens
• remember words are not enough

29. ending care management...
...rescripting social work

30. Remember - personalisation
• is not foreign - you made it
• is based on your values
• is fundamental to a better system
• works - so make use of its power

31. Scottish
Campaign
for a Fair
Society

32. personalisation
through
collective
action

33. For more information go to
www.centreforwelfarereform.org
These slides are © Simon Duffy 2011 ￭ Publisher is The
Centre for Welfare Reform ￭ Slides can be distributed subject
to conditions set out at www.centreforwelfarereform.org ￭