SlideShare a Scribd company logo
1 of 33
Whole System Change
                    the meaning of personalisation




                          Dr Simon Duffy The Centre for Welfare Reform
                          for North Lanarkshire Council 8th November 2011



Tuesday, 15 November 11
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

Tuesday, 15 November 11
Remember - personalisation

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


Tuesday, 15 November 11
“personalisation” is used
      in many different ways




Tuesday, 15 November 11
technologies rooted in values




Tuesday, 15 November 11
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
Direct
     payments...




      power, with many limitations
Tuesday, 15 November 11
Whose money?




              for services, or for people
Tuesday, 15 November 11
Individual budgets




        from push to pull economics
Tuesday, 15 November 11
Tuesday, 15 November 11
Individual budgets




             not shopping - community
Tuesday, 15 November 11
Tuesday, 15 November 11
Self-directed support




               change the whole system
Tuesday, 15 November 11
Tuesday, 15 November 11
Social justice at the root




              citizenship
Tuesday, 15 November 11
Social justice at the root




            real
            wealth
Tuesday, 15 November 11
Social justice at the root




Tuesday, 15 November 11
Case study



            Personalised
            Transition...




Tuesday, 15 November 11
Tuesday, 15 November 11
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
Tuesday, 15 November 11
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
Tuesday, 15 November 11
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
resistance to innovation




    its natural - so don’t cheat...
Tuesday, 15 November 11
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
Tuesday, 15 November 11
unlock community capacity




Tuesday, 15 November 11
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



Tuesday, 15 November 11
Tuesday, 15 November 11
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


Tuesday, 15 November 11
ending care management...




                          ...rescripting social work
Tuesday, 15 November 11
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


Tuesday, 15 November 11
Scottish
                          Campaign
                          for a Fair
                          Society



Tuesday, 15 November 11
personalisation
                          through
                          collective
                          action




Tuesday, 15 November 11
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


Tuesday, 15 November 11

More Related Content

Viewers also liked

What has Changing Lives Changed? Performance Improvement Change Programme - S...
What has Changing Lives Changed? Performance Improvement Change Programme - S...What has Changing Lives Changed? Performance Improvement Change Programme - S...
What has Changing Lives Changed? Performance Improvement Change Programme - S...Iriss
 
hsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
hsns09:The Scottish telecare development programme:the evaluation - Sophie Bealehsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
hsns09:The Scottish telecare development programme:the evaluation - Sophie BealeIriss
 
hsns09:Approaches to network collection for internet health services - Bernie...
hsns09:Approaches to network collection for internet health services - Bernie...hsns09:Approaches to network collection for internet health services - Bernie...
hsns09:Approaches to network collection for internet health services - Bernie...Iriss
 
Forgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira Ramzan
Forgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira RamzanForgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira Ramzan
Forgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira RamzanIriss
 
Forgotten Citizens:Research for the Future - Kate Skinner
Forgotten Citizens:Research for the Future - Kate SkinnerForgotten Citizens:Research for the Future - Kate Skinner
Forgotten Citizens:Research for the Future - Kate SkinnerIriss
 
Reclaiming Childhood: what this means for early years education - Helene Guld...
Reclaiming Childhood: what this means for early years education - Helene Guld...Reclaiming Childhood: what this means for early years education - Helene Guld...
Reclaiming Childhood: what this means for early years education - Helene Guld...Iriss
 
hsns09:Implications of virtual social work: learning for a change-Jackie Raff...
hsns09:Implications of virtual social work: learning for a change-Jackie Raff...hsns09:Implications of virtual social work: learning for a change-Jackie Raff...
hsns09:Implications of virtual social work: learning for a change-Jackie Raff...Iriss
 
What has Changing Lives Changed? Practice Governance Change Programme - Andre...
What has Changing Lives Changed? Practice Governance Change Programme - Andre...What has Changing Lives Changed? Practice Governance Change Programme - Andre...
What has Changing Lives Changed? Practice Governance Change Programme - Andre...Iriss
 
Getting It Right for Every Child: Promoting effective change - Bill Alexander
Getting It Right for Every Child: Promoting effective change - Bill AlexanderGetting It Right for Every Child: Promoting effective change - Bill Alexander
Getting It Right for Every Child: Promoting effective change - Bill AlexanderIriss
 
Getting It Right for Every Child: Managing the change - Jane Aldgate
Getting It Right for Every Child: Managing the change - Jane AldgateGetting It Right for Every Child: Managing the change - Jane Aldgate
Getting It Right for Every Child: Managing the change - Jane AldgateIriss
 
Fit for the Future - Netta Maciver
Fit for the Future - Netta MaciverFit for the Future - Netta Maciver
Fit for the Future - Netta MaciverIriss
 
Residential Child Care and the Family Metaphor: Relations, Relationships and ...
Residential Child Care and the Family Metaphor: Relations, Relationships and ...Residential Child Care and the Family Metaphor: Relations, Relationships and ...
Residential Child Care and the Family Metaphor: Relations, Relationships and ...Iriss
 
“When in doubt, go to the library” -Lynn Clark
“When in doubt, go to the library” -Lynn Clark“When in doubt, go to the library” -Lynn Clark
“When in doubt, go to the library” -Lynn ClarkIriss
 
hsns09:Ethical considerations around telecare-Andrew Eccles
hsns09:Ethical considerations around telecare-Andrew Eccleshsns09:Ethical considerations around telecare-Andrew Eccles
hsns09:Ethical considerations around telecare-Andrew EcclesIriss
 
Changes in Support for Children and Families in Iceland: Social capitals, cha...
Changes in Support for Children and Families in Iceland: Social capitals, cha...Changes in Support for Children and Families in Iceland: Social capitals, cha...
Changes in Support for Children and Families in Iceland: Social capitals, cha...Iriss
 
Taking a lead in promoting choice, control and valued opportunities for socia...
Taking a lead in promoting choice, control and valued opportunities for socia...Taking a lead in promoting choice, control and valued opportunities for socia...
Taking a lead in promoting choice, control and valued opportunities for socia...Iriss
 
Accentuating the Positive: Resilience and desistance approaches - Malcolm Hill
Accentuating the Positive: Resilience and desistance approaches - Malcolm HillAccentuating the Positive: Resilience and desistance approaches - Malcolm Hill
Accentuating the Positive: Resilience and desistance approaches - Malcolm HillIriss
 
Improving Child Health: Discussion of evidence on promoting protective factor...
Improving Child Health: Discussion of evidence on promoting protective factor...Improving Child Health: Discussion of evidence on promoting protective factor...
Improving Child Health: Discussion of evidence on promoting protective factor...Iriss
 
Later Life Transitions - Ken Laidlaw
Later Life Transitions - Ken LaidlawLater Life Transitions - Ken Laidlaw
Later Life Transitions - Ken LaidlawIriss
 

Viewers also liked (19)

What has Changing Lives Changed? Performance Improvement Change Programme - S...
What has Changing Lives Changed? Performance Improvement Change Programme - S...What has Changing Lives Changed? Performance Improvement Change Programme - S...
What has Changing Lives Changed? Performance Improvement Change Programme - S...
 
hsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
hsns09:The Scottish telecare development programme:the evaluation - Sophie Bealehsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
hsns09:The Scottish telecare development programme:the evaluation - Sophie Beale
 
hsns09:Approaches to network collection for internet health services - Bernie...
hsns09:Approaches to network collection for internet health services - Bernie...hsns09:Approaches to network collection for internet health services - Bernie...
hsns09:Approaches to network collection for internet health services - Bernie...
 
Forgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira Ramzan
Forgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira RamzanForgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira Ramzan
Forgotten Citizens:Today's Forgotten Citizens - Furrah Arshad,Tahira Ramzan
 
Forgotten Citizens:Research for the Future - Kate Skinner
Forgotten Citizens:Research for the Future - Kate SkinnerForgotten Citizens:Research for the Future - Kate Skinner
Forgotten Citizens:Research for the Future - Kate Skinner
 
Reclaiming Childhood: what this means for early years education - Helene Guld...
Reclaiming Childhood: what this means for early years education - Helene Guld...Reclaiming Childhood: what this means for early years education - Helene Guld...
Reclaiming Childhood: what this means for early years education - Helene Guld...
 
hsns09:Implications of virtual social work: learning for a change-Jackie Raff...
hsns09:Implications of virtual social work: learning for a change-Jackie Raff...hsns09:Implications of virtual social work: learning for a change-Jackie Raff...
hsns09:Implications of virtual social work: learning for a change-Jackie Raff...
 
What has Changing Lives Changed? Practice Governance Change Programme - Andre...
What has Changing Lives Changed? Practice Governance Change Programme - Andre...What has Changing Lives Changed? Practice Governance Change Programme - Andre...
What has Changing Lives Changed? Practice Governance Change Programme - Andre...
 
Getting It Right for Every Child: Promoting effective change - Bill Alexander
Getting It Right for Every Child: Promoting effective change - Bill AlexanderGetting It Right for Every Child: Promoting effective change - Bill Alexander
Getting It Right for Every Child: Promoting effective change - Bill Alexander
 
Getting It Right for Every Child: Managing the change - Jane Aldgate
Getting It Right for Every Child: Managing the change - Jane AldgateGetting It Right for Every Child: Managing the change - Jane Aldgate
Getting It Right for Every Child: Managing the change - Jane Aldgate
 
Fit for the Future - Netta Maciver
Fit for the Future - Netta MaciverFit for the Future - Netta Maciver
Fit for the Future - Netta Maciver
 
Residential Child Care and the Family Metaphor: Relations, Relationships and ...
Residential Child Care and the Family Metaphor: Relations, Relationships and ...Residential Child Care and the Family Metaphor: Relations, Relationships and ...
Residential Child Care and the Family Metaphor: Relations, Relationships and ...
 
“When in doubt, go to the library” -Lynn Clark
“When in doubt, go to the library” -Lynn Clark“When in doubt, go to the library” -Lynn Clark
“When in doubt, go to the library” -Lynn Clark
 
hsns09:Ethical considerations around telecare-Andrew Eccles
hsns09:Ethical considerations around telecare-Andrew Eccleshsns09:Ethical considerations around telecare-Andrew Eccles
hsns09:Ethical considerations around telecare-Andrew Eccles
 
Changes in Support for Children and Families in Iceland: Social capitals, cha...
Changes in Support for Children and Families in Iceland: Social capitals, cha...Changes in Support for Children and Families in Iceland: Social capitals, cha...
Changes in Support for Children and Families in Iceland: Social capitals, cha...
 
Taking a lead in promoting choice, control and valued opportunities for socia...
Taking a lead in promoting choice, control and valued opportunities for socia...Taking a lead in promoting choice, control and valued opportunities for socia...
Taking a lead in promoting choice, control and valued opportunities for socia...
 
Accentuating the Positive: Resilience and desistance approaches - Malcolm Hill
Accentuating the Positive: Resilience and desistance approaches - Malcolm HillAccentuating the Positive: Resilience and desistance approaches - Malcolm Hill
Accentuating the Positive: Resilience and desistance approaches - Malcolm Hill
 
Improving Child Health: Discussion of evidence on promoting protective factor...
Improving Child Health: Discussion of evidence on promoting protective factor...Improving Child Health: Discussion of evidence on promoting protective factor...
Improving Child Health: Discussion of evidence on promoting protective factor...
 
Later Life Transitions - Ken Laidlaw
Later Life Transitions - Ken LaidlawLater Life Transitions - Ken Laidlaw
Later Life Transitions - Ken Laidlaw
 

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

(174) barriers to change (may 2011)
(174) barriers to change (may 2011)(174) barriers to change (may 2011)
(174) barriers to change (may 2011)Citizen Network
 
APS1015 Class 1 - Introduction to Social Entrerpreneurship
APS1015 Class 1 - Introduction to Social EntrerpreneurshipAPS1015 Class 1 - Introduction to Social Entrerpreneurship
APS1015 Class 1 - Introduction to Social EntrerpreneurshipSocial Entrepreneurship
 
5 Things We've Learned about SDS
5 Things We've Learned about SDS 5 Things We've Learned about SDS
5 Things We've Learned about SDS Citizen Network
 
What does good support look like?
What does good support look like?What does good support look like?
What does good support look like?Citizen Network
 
Exploring Consumer Directed Care
Exploring Consumer Directed CareExploring Consumer Directed Care
Exploring Consumer Directed CareCitizen Network
 
The End of Our Illusions
The End of Our IllusionsThe End of Our Illusions
The End of Our IllusionsCitizen Network
 
Sticking to the Knitting
Sticking to the KnittingSticking to the Knitting
Sticking to the KnittingCitizen Network
 

Similar to Whole System Change, the meaning of personalisation - Simon Duffy (9)

(174) barriers to change (may 2011)
(174) barriers to change (may 2011)(174) barriers to change (may 2011)
(174) barriers to change (may 2011)
 
Whole System Change
Whole System ChangeWhole System Change
Whole System Change
 
Maintaining vision
Maintaining visionMaintaining vision
Maintaining vision
 
APS1015 Class 1 - Introduction to Social Entrerpreneurship
APS1015 Class 1 - Introduction to Social EntrerpreneurshipAPS1015 Class 1 - Introduction to Social Entrerpreneurship
APS1015 Class 1 - Introduction to Social Entrerpreneurship
 
5 Things We've Learned about SDS
5 Things We've Learned about SDS 5 Things We've Learned about SDS
5 Things We've Learned about SDS
 
What does good support look like?
What does good support look like?What does good support look like?
What does good support look like?
 
Exploring Consumer Directed Care
Exploring Consumer Directed CareExploring Consumer Directed Care
Exploring Consumer Directed Care
 
The End of Our Illusions
The End of Our IllusionsThe End of Our Illusions
The End of Our Illusions
 
Sticking to the Knitting
Sticking to the KnittingSticking to the Knitting
Sticking to the Knitting
 

More from Iriss

Support for NQSWs & cont professional development
Support for NQSWs & cont professional developmentSupport for NQSWs & cont professional development
Support for NQSWs & cont professional developmentIriss
 
Community social work: what it is and why it matters
Community social work: what it is and why it mattersCommunity social work: what it is and why it matters
Community social work: what it is and why it mattersIriss
 
naccompanied Asylum Seeking Young People: New Young Peers Scotland
naccompanied Asylum Seeking Young People: New Young Peers Scotlandnaccompanied Asylum Seeking Young People: New Young Peers Scotland
naccompanied Asylum Seeking Young People: New Young Peers ScotlandIriss
 
SIUSUACN: mend the gap slides
SIUSUACN: mend the gap slides SIUSUACN: mend the gap slides
SIUSUACN: mend the gap slides Iriss
 
Contribution and Impact Tools - Iriss
Contribution and Impact Tools - IrissContribution and Impact Tools - Iriss
Contribution and Impact Tools - IrissIriss
 
Making connections – all slides
Making connections – all slidesMaking connections – all slides
Making connections – all slidesIriss
 
Co producing cultural competency
Co producing cultural competency Co producing cultural competency
Co producing cultural competency Iriss
 
Rhiann McLean and Catherine Rose Stocks Rankin - emotional experience of wor...
Rhiann McLean and Catherine Rose Stocks Rankin  - emotional experience of wor...Rhiann McLean and Catherine Rose Stocks Rankin  - emotional experience of wor...
Rhiann McLean and Catherine Rose Stocks Rankin - emotional experience of wor...Iriss
 
Ian Cunningham and Colin Lindsay - frontline practitioner experiences
Ian Cunningham and Colin Lindsay - frontline practitioner experiencesIan Cunningham and Colin Lindsay - frontline practitioner experiences
Ian Cunningham and Colin Lindsay - frontline practitioner experiencesIriss
 
Lisa pattoni, national workforce survey
Lisa pattoni, national workforce surveyLisa pattoni, national workforce survey
Lisa pattoni, national workforce surveyIriss
 
Alan baird, chief social work adviser
Alan baird, chief social work adviserAlan baird, chief social work adviser
Alan baird, chief social work adviserIriss
 
Scoping wkshp_evidence bank_CRFR
Scoping wkshp_evidence bank_CRFRScoping wkshp_evidence bank_CRFR
Scoping wkshp_evidence bank_CRFRIriss
 
Scoping wkshp_REF_ case study
Scoping wkshp_REF_ case studyScoping wkshp_REF_ case study
Scoping wkshp_REF_ case studyIriss
 
Scoping wkshp_Quality improvement_CELCIS
Scoping wkshp_Quality improvement_CELCISScoping wkshp_Quality improvement_CELCIS
Scoping wkshp_Quality improvement_CELCISIriss
 
Scoping wkshp h2 h iriss
Scoping wkshp h2 h irissScoping wkshp h2 h iriss
Scoping wkshp h2 h irissIriss
 
Communicating research. Lessons from advertising and journalism
Communicating research. Lessons from advertising and journalism Communicating research. Lessons from advertising and journalism
Communicating research. Lessons from advertising and journalism Iriss
 
Time to do things differently event 1
Time to do things differently event 1Time to do things differently event 1
Time to do things differently event 1Iriss
 
Three lessons for clearer communication
Three lessons for clearer communicationThree lessons for clearer communication
Three lessons for clearer communicationIriss
 
Contribution Analysis: IRISS's impact
Contribution Analysis: IRISS's impactContribution Analysis: IRISS's impact
Contribution Analysis: IRISS's impactIriss
 
Integration: Making it happen
Integration: Making it happenIntegration: Making it happen
Integration: Making it happenIriss
 

More from Iriss (20)

Support for NQSWs & cont professional development
Support for NQSWs & cont professional developmentSupport for NQSWs & cont professional development
Support for NQSWs & cont professional development
 
Community social work: what it is and why it matters
Community social work: what it is and why it mattersCommunity social work: what it is and why it matters
Community social work: what it is and why it matters
 
naccompanied Asylum Seeking Young People: New Young Peers Scotland
naccompanied Asylum Seeking Young People: New Young Peers Scotlandnaccompanied Asylum Seeking Young People: New Young Peers Scotland
naccompanied Asylum Seeking Young People: New Young Peers Scotland
 
SIUSUACN: mend the gap slides
SIUSUACN: mend the gap slides SIUSUACN: mend the gap slides
SIUSUACN: mend the gap slides
 
Contribution and Impact Tools - Iriss
Contribution and Impact Tools - IrissContribution and Impact Tools - Iriss
Contribution and Impact Tools - Iriss
 
Making connections – all slides
Making connections – all slidesMaking connections – all slides
Making connections – all slides
 
Co producing cultural competency
Co producing cultural competency Co producing cultural competency
Co producing cultural competency
 
Rhiann McLean and Catherine Rose Stocks Rankin - emotional experience of wor...
Rhiann McLean and Catherine Rose Stocks Rankin  - emotional experience of wor...Rhiann McLean and Catherine Rose Stocks Rankin  - emotional experience of wor...
Rhiann McLean and Catherine Rose Stocks Rankin - emotional experience of wor...
 
Ian Cunningham and Colin Lindsay - frontline practitioner experiences
Ian Cunningham and Colin Lindsay - frontline practitioner experiencesIan Cunningham and Colin Lindsay - frontline practitioner experiences
Ian Cunningham and Colin Lindsay - frontline practitioner experiences
 
Lisa pattoni, national workforce survey
Lisa pattoni, national workforce surveyLisa pattoni, national workforce survey
Lisa pattoni, national workforce survey
 
Alan baird, chief social work adviser
Alan baird, chief social work adviserAlan baird, chief social work adviser
Alan baird, chief social work adviser
 
Scoping wkshp_evidence bank_CRFR
Scoping wkshp_evidence bank_CRFRScoping wkshp_evidence bank_CRFR
Scoping wkshp_evidence bank_CRFR
 
Scoping wkshp_REF_ case study
Scoping wkshp_REF_ case studyScoping wkshp_REF_ case study
Scoping wkshp_REF_ case study
 
Scoping wkshp_Quality improvement_CELCIS
Scoping wkshp_Quality improvement_CELCISScoping wkshp_Quality improvement_CELCIS
Scoping wkshp_Quality improvement_CELCIS
 
Scoping wkshp h2 h iriss
Scoping wkshp h2 h irissScoping wkshp h2 h iriss
Scoping wkshp h2 h iriss
 
Communicating research. Lessons from advertising and journalism
Communicating research. Lessons from advertising and journalism Communicating research. Lessons from advertising and journalism
Communicating research. Lessons from advertising and journalism
 
Time to do things differently event 1
Time to do things differently event 1Time to do things differently event 1
Time to do things differently event 1
 
Three lessons for clearer communication
Three lessons for clearer communicationThree lessons for clearer communication
Three lessons for clearer communication
 
Contribution Analysis: IRISS's impact
Contribution Analysis: IRISS's impactContribution Analysis: IRISS's impact
Contribution Analysis: IRISS's impact
 
Integration: Making it happen
Integration: Making it happenIntegration: Making it happen
Integration: Making it happen
 

Recently uploaded

introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)Mohamed Rizk Khodair
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxsumanchaulagain3
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingAnonymous
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxMAsifAhmad
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisNilofarRasheed1
 

Recently uploaded (20)

introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptx
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_Wellbeing
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid Arthritis
 

Whole System Change, the meaning of personalisation - Simon Duffy

  • 1. Whole System Change the meaning of personalisation Dr Simon Duffy The Centre for Welfare Reform for North Lanarkshire Council 8th November 2011 Tuesday, 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 business Tuesday, 15 November 11
  • 3. Remember - personalisation • was (largely) developed in Scotland • is about greater social justice • changes the whole system • requires care to implement well Tuesday, 15 November 11
  • 4. “personalisation” is used in many different ways Tuesday, 15 November 11
  • 5. technologies rooted in values Tuesday, 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 limitations Tuesday, 15 November 11
  • 8. Whose money? for services, or for people Tuesday, 15 November 11
  • 9. Individual budgets from push to pull economics Tuesday, 15 November 11
  • 11. Individual budgets not shopping - community Tuesday, 15 November 11
  • 13. Self-directed support change the whole system Tuesday, 15 November 11
  • 15. Social justice at the root citizenship Tuesday, 15 November 11
  • 16. Social justice at the root real wealth Tuesday, 15 November 11
  • 17. Social justice at the root Tuesday, 15 November 11
  • 18. Case study Personalised Transition... 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 LSC Tuesday, 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 different Tuesday, 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 easy Tuesday, 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 skills 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 enough Tuesday, 15 November 11
  • 29. ending care management... ...rescripting social work Tuesday, 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 power Tuesday, 15 November 11
  • 31. Scottish Campaign for a Fair Society Tuesday, 15 November 11
  • 32. personalisation through collective action Tuesday, 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.org Tuesday, 15 November 11