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Whole System Change, the meaning of personalisation  - Simon Duffy
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Whole System Change, the meaning of personalisation - Simon Duffy

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Dr Simon Duffy speaks on the topic of personalisation at North Lanarkshire Council's event Self Directed Support: The Bigger Picture on 8th November 2011.

Dr Simon Duffy speaks on the topic of personalisation at North Lanarkshire Council's event Self Directed Support: The Bigger Picture on 8th November 2011.

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Whole System Change, the meaning of personalisation - Simon Duffy Presentation Transcript

  • 1. Whole System Change the meaning of personalisation Dr Simon Duffy The Centre for Welfare Reform for North Lanarkshire Council 8th November 2011Tuesday, 15 November 11
  • 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 businessTuesday, 15 November 11
  • 3. Remember - personalisation • was (largely) developed in Scotland • is about greater social justice • changes the whole system • requires care to implement wellTuesday, 15 November 11
  • 4. “personalisation” is used in many different waysTuesday, 15 November 11
  • 5. technologies rooted in valuesTuesday, 15 November 11
  • 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...Tuesday, 15 November 11
  • 7. Direct payments... power, with many limitationsTuesday, 15 November 11
  • 8. Whose money? for services, or for peopleTuesday, 15 November 11
  • 9. Individual budgets from push to pull economicsTuesday, 15 November 11
  • 10. Tuesday, 15 November 11
  • 11. Individual budgets not shopping - communityTuesday, 15 November 11
  • 12. Tuesday, 15 November 11
  • 13. Self-directed support change the whole systemTuesday, 15 November 11
  • 14. Tuesday, 15 November 11
  • 15. Social justice at the root citizenshipTuesday, 15 November 11
  • 16. Social justice at the root real wealthTuesday, 15 November 11
  • 17. Social justice at the rootTuesday, 15 November 11
  • 18. Case study Personalised Transition...Tuesday, 15 November 11
  • 19. Tuesday, 15 November 11
  • 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 LSCTuesday, 15 November 11
  • 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 differentTuesday, 15 November 11
  • 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!Tuesday, 15 November 11
  • 23. resistance to innovation its natural - so don’t cheat...Tuesday, 15 November 11
  • 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 easyTuesday, 15 November 11
  • 25. unlock community capacityTuesday, 15 November 11
  • 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 skillsTuesday, 15 November 11
  • 27. Tuesday, 15 November 11
  • 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 enoughTuesday, 15 November 11
  • 29. ending care management... ...rescripting social workTuesday, 15 November 11
  • 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 powerTuesday, 15 November 11
  • 31. Scottish Campaign for a Fair SocietyTuesday, 15 November 11
  • 32. personalisation through collective actionTuesday, 15 November 11
  • 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.orgTuesday, 15 November 11