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Personalisation & Social Work                        Dr Simon Duffy                        Talk for University of Huddersf...
9.20 What is ‘Personalisation’    10.30 Opportunities & Concerns - tables    11.00 Break    11.15 Debate    12.00 Social W...
Dr Simon Duffy             •          Invented Individual Budgets and Self-Directed                        Support        ...
The Centre for Welfare Reform              •         Research & development network              •         Independent - n...
The welfare state is goodMonday, 23 January 12         5
The welfare state is good                        it’s just designed wrongMonday, 23 January 12                            ...
The welfare state is good                        it’s just designed wrongMonday, 23 January 12                            ...
4 Thoughts       • Personalisation is not defined by government       • Personalisation is about social justice       • Go...
What is the    meaning of    personalisation?Monday, 23 January 12   7
Monday, 23 January 12   8
Photos from “Christmas in                          Purgatory”Monday, 23 January 12                         9
Institutions don’t  just come with  walls...  They start in the  mind...  And can be hidden  in systems of  power, educati...
Great language...                        ‘inclusion’                        ‘normalisation’                        ‘indivi...
44 women with complex needsMonday, 23 January 12                                 12
Of 44 women working with WomenCentre:  Managing a serious health condition                         64%  Finding a safer pl...
Monday, 23 January 12   14
Monday, 23 January 12   15
Monday, 23 January 12   16
Monday, 23 January 12   17
Service label     N Urgent problem N            Real need        N Victim of domestic                        55 Debt      ...
is there a different way?Monday, 23 January 12                         19
is there a different way?Monday, 23 January 12                         19
in practice, this meansMonday, 23 January 12                    20
personalisation in practice   • Smith family story   • Reforming care management   • Self-directed support   • Personalise...
Monday, 23 January 12   22
individual (or personal) budgetsMonday, 23 January 12                                 23
7 steps of self-directed supportMonday, 23 January 12                                  24
Monday, 23 January 12   25
Monday, 23 January 12   26
Monday, 23 January 12   27
Personalised Support                         flexible & creative                               supportMonday, 23 January 1...
Monday, 23 January 12   29
Monday, 23 January 12   30
Monday, 23 January 12   31
Personalised                          Transition                          control: health,                        educatio...
Monday, 23 January 12   33
Jonathan’s health needs are complex.In the 3 years before      leaving school Jonathan spent 150 days in hospital - respon...
A couple of weeks ago in Sheffield, I met a wonderful woman         called Katrina. Shes got three disabled sons. e oldest ...
WomenCentre                        a creative and positive                              communityMonday, 23 January 12    ...
Monday, 23 January 12   37
Monday, 23 January 12   38
What are the opportunities?      •      What benefits are in personalisation?      •      What threats are in personalisat...
time for debateMonday, 23 January 12                     40
good ideas don’t just happenMonday, 23 January 12                     41
Monday, 23 January 12   42
Monday, 23 January 12   43
social	  work	  is	  the	  art	  of	  helping	                people	  be	  active	  citizensMonday, 23 January 12        ...
social	  work	  is	  the	  art	  of	  helping	                people	  be	  active	  citizens            in	  practice	  c...
Monday, 23 January 12   44
1. being in control   2. with direction   3. enough money   4. your own home   5. enough help, and   6. being active in co...
Monday, 23 January 12   45
but	  citizenship	  isn’t	  easyMonday, 23 January 12                                         45
Monday, 23 January 12   46
poverty	  attacks	  citizenshipMonday, 23 January 12                                       46
Monday, 23 January 12   47
and	  poverty	  comes	  in	  many	  formsMonday, 23 January 12                                 47
and	  poverty	  comes	  in	  many	  forms   • loss of hope   • no power or control   • disadvantage   • exclusion & prejud...
Monday, 23 January 12   48
 so	  social	  workers                                challenge povertyMonday, 23 January 12                              ...
Monday, 23 January 12   48
Monday, 23 January 12   49
and	  social	  workers	  do	  this	  byMonday, 23 January 12                                          49
and	  social	  workers	  do	  this	  by   ★ inspiring - hope and recoveryMonday, 23 January 12                            ...
and	  social	  workers	  do	  this	  by   ★ inspiring - hope and recovery   ★ empowering - individuals & familiesMonday, 2...
and	  social	  workers	  do	  this	  by   ★ inspiring - hope and recovery   ★ empowering - individuals & families   ★ stre...
and	  social	  workers	  do	  this	  by   ★ inspiring - hope and recovery   ★ empowering - individuals & families   ★ stre...
and	  social	  workers	  do	  this	  by   ★ inspiring - hope and recovery   ★ empowering - individuals & families   ★ stre...
but	  social	  workers	                       cannot	  do	  this                      on	  their	  ownMonday, 23 January 1...
these	  are	  not	  things	           you	  can	  do	  for	  peopleMonday, 23 January 12                         51
these	  are	  things	  you	       have	  to	  do	  with	  peopleMonday, 23 January 12                     52
it	  is	  people	  themselves	         who	  make	  a	  change      building	  on	  their	  ownMonday, 23 January 12      ...
Monday, 23 January 12   54
Monday, 23 January 12   54
Monday, 23 January 12   55
resilience = hopeful human spiritMonday, 23 January 12                 55
resilience = hopeful human spirit  control = money and the power to use itMonday, 23 January 12                       55
resilience = hopeful human spirit  control = money and the power to use it  strengths = gifts, skills & knowledgeMonday, 2...
resilience = hopeful human spirit  control = money and the power to use it  strengths = gifts, skills & knowledge  communi...
resilience = hopeful human spirit  control = money and the power to use it  strengths = gifts, skills & knowledge  communi...
Monday, 23 January 12   56
Monday, 23 January 12   56
Monday, 23 January 12   57
Monday, 23 January 12   57
Monday, 23 January 12   58
personalisation	  =	  social	  work             so	  what’s	  the	  big	  problem?Monday, 23 January 12                   ...
the	  big	  problem	         for	  social	  workers	  is...Monday, 23 January 12                      59
the	  old        system	                          gets	  in	  the	  wayMonday, 23 January 12                              60
the	  old	  care	  management	  systemMonday, 23 January 12                               61
the	  old	  care	  management	  system           makes	  it	  hard	  to	  do	  social	  workMonday, 23 January 12         ...
it’s	  really	  hard	  toMonday, 23 January 12                                  62
it’s	  really	  hard	  to • empower people - without entitlementsMonday, 23 January 12                                  62
it’s	  really	  hard	  to • empower people - without entitlements • strengthen capacity - focusing only on needsMonday, 23...
it’s	  really	  hard	  to • empower people - without entitlements • strengthen capacity - focusing only on needs • connect...
it’s	  really	  hard	  to • empower people - without entitlements • strengthen capacity - focusing only on needs • connect...
replace	  care	  managementMonday, 23 January 12                                   63
replace	  care	  management                        with	  self-­‐directed	  supportMonday, 23 January 12                  ...
this	  means	  social	  workers	  canMonday, 23 January 12                                      64
this	  means	  social	  workers	  can 1. empower people - tell people their budgetMonday, 23 January 12                   ...
this	  means	  social	  workers	  can 1. empower people - tell people their budget 2. strengthen capacity - focus on perso...
this	  means	  social	  workers	  can 1. empower people - tell people their budget 2. strengthen capacity - focus on perso...
this	  means	  social	  workers	  can 1. empower people - tell people their budget 2. strengthen capacity - focus on perso...
systems	  sit	  on	  systems	  -­‐	  like	  sedimentary	  rockMonday, 23 January 12                                       ...
Personalisation                                      Care Management                         Protection/Safeguarding Respo...
We’re	  all	  still	     working   in	  the	     old system	  Monday, 23 January 12          66
we’ve	  changed	  wordsMonday, 23 January 12           67
added	  new	  complexitiesMonday, 23 January 12                   68
But	  the     system is still the sameMonday, 23 January 12           69
social	  workers             sometimes	  even	  feel	                 personalisation	                 has	  made	  things...
we	  must	  simplifyMonday, 23 January 12                            71
and	                                 redesign	                          the	  whole	  systemMonday, 23 January 12         ...
we	  need	  a	  New	  Script	                 for	  social	  workMonday, 23 January 12                           73
the New Script looks like this...Monday, 23 January 12                74
the New Script looks like this...Monday, 23 January 12                74
Assess	  people’s	                          ELIGIBILITY	  for:Monday, 23 January 12                            75
Assess	  people’s	                          ELIGIBILITY	  for:                        • guidanceMonday, 23 January 12     ...
Assess	  people’s	                          ELIGIBILITY	  for:                        • guidance                        • ...
Assess	  people’s	                          ELIGIBILITY	  for:                        • guidance                        • ...
Assess	                          CAPACITY	  &	                          clarify	  where	  the	                          le...
Assess	                          CAPACITY	  &	                          clarify	  where	  the	                          le...
Assess	                          CAPACITY	  &	                          clarify	  where	  the	                          le...
Assess	                          CAPACITY	  &	                          clarify	  where	  the	                          le...
Don’t	  plan	  for	                          people	  -­‐	  instead	                          ENABLE	  other	             ...
Don’t	  plan	  for	                                  people	  -­‐	  instead	                                  ENABLE	  oth...
Monday, 23 January 12   78
is is Community BrokerageMonday, 23 January 12                            78
ORMonday, 23 January 12        79
Plan	  with	  people	                          DIRECTLY	                          yourself,	                          espe...
Plan	  with	  people	                                           DIRECTLY	                                           yourse...
Plan	  with	  people	                                          DIRECTLY	                                          yourself...
Plan	  with	  people	                                          DIRECTLY	                                          yourself...
AGREE	  plans	  as	                          soon	  as	  possible	                          if	  they	  are:Monday, 23 Jan...
AGREE	  plans	  as	                          soon	  as	  possible	                          if	  they	  are:              ...
AGREE	  plans	  as	                          soon	  as	  possible	                          if	  they	  are:              ...
AGREE	  plans	  as	                          soon	  as	  possible	                          if	  they	  are:              ...
AGREE	  plans	  as	                                     soon	  as	  possible	                                     if	  the...
If	  people	  need	                          help	  to	  set	                          things	  up	  then	                ...
It	  is	  the	  REVIEW	                          that	  is	  central	  to	                          really	  learning	    ...
This	  is	  a	  New	  Script	  for	  Social	  WorkMonday, 23 January 12                                   84
What	  the	  New	  Script	  means	  isMonday, 23 January 12                            85
What	  the	  New	  Script	  means	  is   ★ things speed upMonday, 23 January 12                            85
What	  the	  New	  Script	  means	  is   ★ things speed up   ★ bureaucracy goes downMonday, 23 January 12                 ...
What	  the	  New	  Script	  means	  is   ★ things speed up   ★ bureaucracy goes down   ★ social workers use their best ski...
What	  the	  New	  Script	  means	  is   ★ things speed up   ★ bureaucracy goes down   ★ social workers use their best ski...
What	  the	  New	  Script	  means	  is   ★ things speed up   ★ bureaucracy goes down   ★ social workers use their best ski...
lives	  are	  transformedMonday, 23 January 12                   86
e New Script  helps us to...Monday, 23 January 12   87
1. empower people -  e New Script            people and families in  helps us to...           control of their own livesM...
1. empower people -  e New Script            people and families in  helps us to...           control of their own lives ...
1. empower people -  e New Script            people and families in  helps us to...           control of their own lives ...
1. empower people -  e New Script            people and families in  helps us to...           control of their own lives ...
Share    Expenditure   Cost PP   Hours PP 1. First point of contact - initial sign- posting                               ...
Monday, 23 January 12   89
Monday, 23 January 12   90
N = 801                                  17%                                                   23%                        ...
N = 774                                  16%                                                    9%                        ...
Monday, 23 January 12   93
Personalisation	  should	  be	  efficient      but	  it	  can	  easily	  be	  made	  wastefulMonday, 23 January 12          ...
Number of care managers (WTE)                   111.55   Cost of care management                      £4,373,477.75   Numb...
how	  do	  you	  make	  a	    ‘good	  idea’	  really	  usefulMonday, 23 January 12                   96
Know how to take things. Never against the grain, though they’re handed to you that way. There are two sides to everything...
Monday, 23 January 12   98
What are the opportunities      • safeguarding children and adults from abuse?      • empowering disabled people?      • h...
www.campaignforafairsociety.orgMonday, 23 January 12                                     100
© Simon Duffy 2011. Rights Reserved. Full copyright details at www.centreforwelfarereform.orgMonday, 23 January 12        ...
9.20 What is ‘Personalisation’    10.30 Opportunities & Concerns - tables    11.00 Break    11.15 Debate    12.00 Social W...
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Personalisation & Social Work

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Slides for day long conversation with social workers at Huddersfield University on personalisation and its impact on the social work role.

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Transcript of "Personalisation & Social Work"

  1. 1. Personalisation & Social Work Dr Simon Duffy Talk for University of Huddersfield, 2011Monday, 23 January 12 1
  2. 2. 9.20 What is ‘Personalisation’ 10.30 Opportunities & Concerns - tables 11.00 Break 11.15 Debate 12.00 Social Work Rescript Agenda 12.45 Lunch 2.15 Applications - tables 3.00 Feedback 3.30 Break 4.00 Polling Questions 4.30 Final Questions 5.15 FinishMonday, 23 January 12 2
  3. 3. Dr Simon Duffy • Invented Individual Budgets and Self-Directed Support • Founded Inclusion Glasgow, In Control, Shop4Support and many other charities and social enterprises • Honorary Senior Research Fellow at University of Birmingham’s Health Service Management Centre • Director of The Centre for Welfare Reform • Policy advisor to The Campaign for a Fair Society • Based in SheffieldMonday, 23 January 12 3
  4. 4. The Centre for Welfare Reform • Research & development network • Independent - no government or private backing • Founded upon belief in human equality and diversity • A community of 60 voluntary Fellows... • ...people who created person centred planning, individual budgets, self-directed support, support planning etc... • 200+ publications at www.centreforwelfarereform.orgMonday, 23 January 12 4
  5. 5. The welfare state is goodMonday, 23 January 12 5
  6. 6. The welfare state is good it’s just designed wrongMonday, 23 January 12 5
  7. 7. The welfare state is good it’s just designed wrongMonday, 23 January 12 5
  8. 8. 4 Thoughts • Personalisation is not defined by government • Personalisation is about social justice • Good ideas don’t just happen • The challenge is to make it work for youMonday, 23 January 12 6
  9. 9. What is the meaning of personalisation?Monday, 23 January 12 7
  10. 10. Monday, 23 January 12 8
  11. 11. Photos from “Christmas in Purgatory”Monday, 23 January 12 9
  12. 12. Institutions don’t just come with walls... They start in the mind... And can be hidden in systems of power, education, funding and cultureMonday, 23 January 12 10
  13. 13. Great language... ‘inclusion’ ‘normalisation’ ‘individualised’ ‘community’ ‘empowerment’ ...shame about realityMonday, 23 January 12 11
  14. 14. 44 women with complex needsMonday, 23 January 12 12
  15. 15. Of 44 women working with WomenCentre: Managing a serious health condition 64% Finding a safer place to live 27% Living with childhood abuse 51% Didn’t nish their education 76% Recent experience of domestic violence 85% Fractured family (for those with young families) 66% Children have experienced abuse (for those with children) 55% Living with a severe level of mental illness 55% Living with some mental illness 91% History of drug or alcohol misuse 52% Victim of crime 41% Perpetrator of crimes 39% Worried by debt or lack of money 65%Monday, 23 January 12 13
  16. 16. Monday, 23 January 12 14
  17. 17. Monday, 23 January 12 15
  18. 18. Monday, 23 January 12 16
  19. 19. Monday, 23 January 12 17
  20. 20. Service label N Urgent problem N Real need N Victim of domestic 55 Debt 50 Better self-esteem 64 violence To overcome past Mentally Ill 39 Housing 48 54 trauma To manage Criminal 35 Benefits 46 51 current trauma To stop being Poor Mother 33 Health 37 50 bullied Misuses Alcohol 24 Rent 32 Guidance 50 Criminal Justice Uses Drugs 22 24 Relationship skills 45 Advocate Violent 19 Dentistry 8 Mothering skills 26 Chronic Health 16 Others 3 Others 1 ConditionMonday, 23 January 12 18
  21. 21. is there a different way?Monday, 23 January 12 19
  22. 22. is there a different way?Monday, 23 January 12 19
  23. 23. in practice, this meansMonday, 23 January 12 20
  24. 24. personalisation in practice • Smith family story • Reforming care management • Self-directed support • Personalised support • Personalised transition • WomenCentre • And many more innovations...Monday, 23 January 12 21
  25. 25. Monday, 23 January 12 22
  26. 26. individual (or personal) budgetsMonday, 23 January 12 23
  27. 27. 7 steps of self-directed supportMonday, 23 January 12 24
  28. 28. Monday, 23 January 12 25
  29. 29. Monday, 23 January 12 26
  30. 30. Monday, 23 January 12 27
  31. 31. Personalised Support flexible & creative supportMonday, 23 January 12 28
  32. 32. Monday, 23 January 12 29
  33. 33. Monday, 23 January 12 30
  34. 34. Monday, 23 January 12 31
  35. 35. Personalised Transition control: health, education & supportMonday, 23 January 12 32
  36. 36. Monday, 23 January 12 33
  37. 37. Jonathan’s health needs are complex.In the 3 years before leaving school Jonathan spent 150 days in hospital - responding to problems with breathing. In the 3 years since leaving hospital he has spent only 2 nights in hospital - for elective dental treatments. Jonathan’s family have overseen the development of a personalised package of support for Jonathan with flexibility, employment and learning - but not learning in college - but learning on the job. Over the last 3 years, Jonathan has acquired two City & Guilds Qualifications and is now learning new independent living skills. Over the last 3 years, the individual budget system has enabled Jonathan and his family to make significant efficiencies in the costs of his care and support and save the NHS: •Over £100,000 in hospital stays •Over £300,000 in residential care costs •Over £100,000 of funding contributed by the LSCMonday, 23 January 12 34
  38. 38. A couple of weeks ago in Sheffield, I met a wonderful woman called Katrina. Shes got three disabled sons. e oldest is Jonathan, a charming, warm hearted young man of 19. He cant walk or talk clearly, or feed himself alone. Hes had a breathing tube in his neck since he was a toddler. Under a scheme the new Liberal Democrat council in Sheffield is extending, Jonathans just got his own individual budget and care plan. Now hes doing work with a local charity, attending a music group, has his own personal assistant - a child whose potential seemed so limited. Finally as a young man, engaged in life in a way he and his mother never thought possible. Katrina told me with the biggest smile Ive ever seen, she said: Weve gone from having nothing to having everything. I wish every childs needs would be taken this seriously. (Nick Clegg, 17 September 2008).Monday, 23 January 12 35
  39. 39. WomenCentre a creative and positive communityMonday, 23 January 12 36
  40. 40. Monday, 23 January 12 37
  41. 41. Monday, 23 January 12 38
  42. 42. What are the opportunities? • What benefits are in personalisation? • What threats are in personalisation?Monday, 23 January 12 39
  43. 43. time for debateMonday, 23 January 12 40
  44. 44. good ideas don’t just happenMonday, 23 January 12 41
  45. 45. Monday, 23 January 12 42
  46. 46. Monday, 23 January 12 43
  47. 47. social  work  is  the  art  of  helping   people  be  active  citizensMonday, 23 January 12 43
  48. 48. social  work  is  the  art  of  helping   people  be  active  citizens in  practice  citizenship  means...Monday, 23 January 12 43
  49. 49. Monday, 23 January 12 44
  50. 50. 1. being in control 2. with direction 3. enough money 4. your own home 5. enough help, and 6. being active in communityMonday, 23 January 12 44
  51. 51. Monday, 23 January 12 45
  52. 52. but  citizenship  isn’t  easyMonday, 23 January 12 45
  53. 53. Monday, 23 January 12 46
  54. 54. poverty  attacks  citizenshipMonday, 23 January 12 46
  55. 55. Monday, 23 January 12 47
  56. 56. and  poverty  comes  in  many  formsMonday, 23 January 12 47
  57. 57. and  poverty  comes  in  many  forms • loss of hope • no power or control • disadvantage • exclusion & prejudice • isolation & abuseMonday, 23 January 12 47
  58. 58. Monday, 23 January 12 48
  59. 59.  so  social  workers challenge povertyMonday, 23 January 12 48
  60. 60. Monday, 23 January 12 48
  61. 61. Monday, 23 January 12 49
  62. 62. and  social  workers  do  this  byMonday, 23 January 12 49
  63. 63. and  social  workers  do  this  by ★ inspiring - hope and recoveryMonday, 23 January 12 49
  64. 64. and  social  workers  do  this  by ★ inspiring - hope and recovery ★ empowering - individuals & familiesMonday, 23 January 12 49
  65. 65. and  social  workers  do  this  by ★ inspiring - hope and recovery ★ empowering - individuals & families ★ strengthening - personal developmentMonday, 23 January 12 49
  66. 66. and  social  workers  do  this  by ★ inspiring - hope and recovery ★ empowering - individuals & families ★ strengthening - personal development ★ connecting - to communityMonday, 23 January 12 49
  67. 67. and  social  workers  do  this  by ★ inspiring - hope and recovery ★ empowering - individuals & families ★ strengthening - personal development ★ connecting - to community ★ building - safer networksMonday, 23 January 12 49
  68. 68. but  social  workers   cannot  do  this on  their  ownMonday, 23 January 12 50
  69. 69. these  are  not  things   you  can  do  for  peopleMonday, 23 January 12 51
  70. 70. these  are  things  you   have  to  do  with  peopleMonday, 23 January 12 52
  71. 71. it  is  people  themselves   who  make  a  change building  on  their  ownMonday, 23 January 12 53
  72. 72. Monday, 23 January 12 54
  73. 73. Monday, 23 January 12 54
  74. 74. Monday, 23 January 12 55
  75. 75. resilience = hopeful human spiritMonday, 23 January 12 55
  76. 76. resilience = hopeful human spirit control = money and the power to use itMonday, 23 January 12 55
  77. 77. resilience = hopeful human spirit control = money and the power to use it strengths = gifts, skills & knowledgeMonday, 23 January 12 55
  78. 78. resilience = hopeful human spirit control = money and the power to use it strengths = gifts, skills & knowledge community = opportunities to join inMonday, 23 January 12 55
  79. 79. resilience = hopeful human spirit control = money and the power to use it strengths = gifts, skills & knowledge community = opportunities to join in relationships = safe and loving networksMonday, 23 January 12 55
  80. 80. Monday, 23 January 12 56
  81. 81. Monday, 23 January 12 56
  82. 82. Monday, 23 January 12 57
  83. 83. Monday, 23 January 12 57
  84. 84. Monday, 23 January 12 58
  85. 85. personalisation  =  social  work so  what’s  the  big  problem?Monday, 23 January 12 58
  86. 86. the  big  problem   for  social  workers  is...Monday, 23 January 12 59
  87. 87. the  old system   gets  in  the  wayMonday, 23 January 12 60
  88. 88. the  old  care  management  systemMonday, 23 January 12 61
  89. 89. the  old  care  management  system makes  it  hard  to  do  social  workMonday, 23 January 12 61
  90. 90. it’s  really  hard  toMonday, 23 January 12 62
  91. 91. it’s  really  hard  to • empower people - without entitlementsMonday, 23 January 12 62
  92. 92. it’s  really  hard  to • empower people - without entitlements • strengthen capacity - focusing only on needsMonday, 23 January 12 62
  93. 93. it’s  really  hard  to • empower people - without entitlements • strengthen capacity - focusing only on needs • connect to community - inside segregated servicesMonday, 23 January 12 62
  94. 94. it’s  really  hard  to • empower people - without entitlements • strengthen capacity - focusing only on needs • connect to community - inside segregated services • build safe networks - without family, friends and loveMonday, 23 January 12 62
  95. 95. replace  care  managementMonday, 23 January 12 63
  96. 96. replace  care  management with  self-­‐directed  supportMonday, 23 January 12 63
  97. 97. this  means  social  workers  canMonday, 23 January 12 64
  98. 98. this  means  social  workers  can 1. empower people - tell people their budgetMonday, 23 January 12 64
  99. 99. this  means  social  workers  can 1. empower people - tell people their budget 2. strengthen capacity - focus on personal outcomesMonday, 23 January 12 64
  100. 100. this  means  social  workers  can 1. empower people - tell people their budget 2. strengthen capacity - focus on personal outcomes 3. access community - use funding flexiblyMonday, 23 January 12 64
  101. 101. this  means  social  workers  can 1. empower people - tell people their budget 2. strengthen capacity - focus on personal outcomes 3. access community - use funding flexibly 4. build safe networks - work with family, friends & othersMonday, 23 January 12 64
  102. 102. systems  sit  on  systems  -­‐  like  sedimentary  rockMonday, 23 January 12 65
  103. 103. Personalisation Care Management Protection/Safeguarding Responsibilities Annual Reviews Joint Assessment Processes Eligibility Criteria & Resource Panels Care Planning Monitoring Systems Comprehensive Assessments Mental Capacity Law Social Care Law for Children and AdultsMonday, 23 January 12 65
  104. 104. We’re  all  still   working in  the   old system  Monday, 23 January 12 66
  105. 105. we’ve  changed  wordsMonday, 23 January 12 67
  106. 106. added  new  complexitiesMonday, 23 January 12 68
  107. 107. But  the system is still the sameMonday, 23 January 12 69
  108. 108. social  workers sometimes  even  feel   personalisation   has  made  things   worseMonday, 23 January 12 70
  109. 109. we  must  simplifyMonday, 23 January 12 71
  110. 110. and   redesign   the  whole  systemMonday, 23 January 12 72
  111. 111. we  need  a  New  Script   for  social  workMonday, 23 January 12 73
  112. 112. the New Script looks like this...Monday, 23 January 12 74
  113. 113. the New Script looks like this...Monday, 23 January 12 74
  114. 114. Assess  people’s   ELIGIBILITY  for:Monday, 23 January 12 75
  115. 115. Assess  people’s   ELIGIBILITY  for: • guidanceMonday, 23 January 12 75
  116. 116. Assess  people’s   ELIGIBILITY  for: • guidance • rehab  orMonday, 23 January 12 75
  117. 117. Assess  people’s   ELIGIBILITY  for: • guidance • rehab  or • a  budgetMonday, 23 January 12 75
  118. 118. Assess   CAPACITY  &   clarify  where  the   leadership  is:Monday, 23 January 12 76
  119. 119. Assess   CAPACITY  &   clarify  where  the   leadership  is: • the  individualMonday, 23 January 12 76
  120. 120. Assess   CAPACITY  &   clarify  where  the   leadership  is: • the  individual • a  representativeMonday, 23 January 12 76
  121. 121. Assess   CAPACITY  &   clarify  where  the   leadership  is: • the  individual • a  representative • or  a  professionalMonday, 23 January 12 76
  122. 122. Don’t  plan  for   people  -­‐  instead   ENABLE  other   people  to  planMonday, 23 January 12 77
  123. 123. Don’t  plan  for   people  -­‐  instead   ENABLE  other   people  to  plan But  always  make  sure  that  you...Monday, 23 January 12 77
  124. 124. Monday, 23 January 12 78
  125. 125. is is Community BrokerageMonday, 23 January 12 78
  126. 126. ORMonday, 23 January 12 79
  127. 127. Plan  with  people   DIRECTLY   yourself,   especially  when:Monday, 23 January 12 80
  128. 128. Plan  with  people   DIRECTLY   yourself,   especially  when: • it’s  a  critical  situationMonday, 23 January 12 80
  129. 129. Plan  with  people   DIRECTLY   yourself,   especially  when: • it’s  a  critical  situation • the  solution  is  obvious,  orMonday, 23 January 12 80
  130. 130. Plan  with  people   DIRECTLY   yourself,   especially  when: • it’s  a  critical  situation • the  solution  is  obvious,  or • nobody  else  can  helpMonday, 23 January 12 80
  131. 131. AGREE  plans  as   soon  as  possible   if  they  are:Monday, 23 January 12 81
  132. 132. AGREE  plans  as   soon  as  possible   if  they  are: • sensibleMonday, 23 January 12 81
  133. 133. AGREE  plans  as   soon  as  possible   if  they  are: • sensible • safeMonday, 23 January 12 81
  134. 134. AGREE  plans  as   soon  as  possible   if  they  are: • sensible • safe • and  in  budgetMonday, 23 January 12 81
  135. 135. AGREE  plans  as   soon  as  possible   if  they  are: • sensible • safe • and  in  budget Plans  should  NOT  be  perfect!Monday, 23 January 12 81
  136. 136. If  people  need   help  to  set   things  up  then   DIRECT  them  to   the  right  people   and  placesMonday, 23 January 12 82
  137. 137. It  is  the  REVIEW   that  is  central  to   really  learning   what  is  working   and  to  helping   people  be  in   control  of  their   own  life.Monday, 23 January 12 83
  138. 138. This  is  a  New  Script  for  Social  WorkMonday, 23 January 12 84
  139. 139. What  the  New  Script  means  isMonday, 23 January 12 85
  140. 140. What  the  New  Script  means  is ★ things speed upMonday, 23 January 12 85
  141. 141. What  the  New  Script  means  is ★ things speed up ★ bureaucracy goes downMonday, 23 January 12 85
  142. 142. What  the  New  Script  means  is ★ things speed up ★ bureaucracy goes down ★ social workers use their best skillsMonday, 23 January 12 85
  143. 143. What  the  New  Script  means  is ★ things speed up ★ bureaucracy goes down ★ social workers use their best skills ★ people connect to communityMonday, 23 January 12 85
  144. 144. What  the  New  Script  means  is ★ things speed up ★ bureaucracy goes down ★ social workers use their best skills ★ people connect to community ★ but most importantly...Monday, 23 January 12 85
  145. 145. lives  are  transformedMonday, 23 January 12 86
  146. 146. e New Script helps us to...Monday, 23 January 12 87
  147. 147. 1. empower people - e New Script people and families in helps us to... control of their own livesMonday, 23 January 12 87
  148. 148. 1. empower people - e New Script people and families in helps us to... control of their own lives 2. strengthen capacity - people living positive lives, achieving, growingMonday, 23 January 12 87
  149. 149. 1. empower people - e New Script people and families in helps us to... control of their own lives 2. strengthen capacity - people living positive lives, achieving, growing 3. access community - people as active citizensMonday, 23 January 12 87
  150. 150. 1. empower people - e New Script people and families in helps us to... control of their own lives 2. strengthen capacity - people living positive lives, achieving, growing 3. access community - people as active citizens 4. build safe networks - reducing abuse and isolationMonday, 23 January 12 87
  151. 151. Share Expenditure Cost PP Hours PP 1. First point of contact - initial sign- posting 9.5% £414,437 £63 2.6 2. Overview assessment 13.7% £599,514 £91 3.7 3. Comprehensive/full assessment 19.0% £831,038 £126 5.2 4. Basic planning 13.7% £597,272 £91 3.7 5. Intensive planning, service design or support planning 16.3% £713,343 £108 4.4 6. Problem solving & responding to crises 16.0% £700,749 £107 4.4 7. Short reviews - basic 7.5% £327,924 £50 2.0 8. Long reviews - intensive 4.3% £189,200 £29 1.2 Total £4,373,478 £665 27.2Monday, 23 January 12 88
  152. 152. Monday, 23 January 12 89
  153. 153. Monday, 23 January 12 90
  154. 154. N = 801 17% 23% 12% Individual 13% Family/Friends 34% Provider B ro k e r C are Ma n ag e r Who is the best planner?Monday, 23 January 12 91
  155. 155. N = 774 16% 9% 17% 31% Individual Family/Friends Provider 28% B ro k e r Soci al Wo r ke r Who is the best organiser?Monday, 23 January 12 92
  156. 156. Monday, 23 January 12 93
  157. 157. Personalisation  should  be  efficient but  it  can  easily  be  made  wastefulMonday, 23 January 12 94
  158. 158. Number of care managers (WTE) 111.55 Cost of care management £4,373,477.75 Number now served by authority 6465 Ratio (number of people to 1 care manager) 68.73 Total hours of care management available 185507.18 Hours available per person 27.24 Average cost per person £664.87 Time on slimmed down core functions 81623.1592 44% Time on crisis management 44521.7232 24% Residual time to reinvest 59362.2976 32% Share of residual time 32% Residual time expressed as money £1,399,512.88 Residual time per person 8.7168 Residual money per person £212.76Monday, 23 January 12 95
  159. 159. how  do  you  make  a   ‘good  idea’  really  usefulMonday, 23 January 12 96
  160. 160. Know how to take things. Never against the grain, though they’re handed to you that way. There are two sides to everything. If you grab the blade, the best thing will do you harm; the most harmful will defend you if you seize it by the hilt. Many things that caused pain could have caused pleasure if only their advantages had been considered. There are always pros and cons; the trick lies in knowing how to turn things to your advantage. Things look different when seen in a different light. So look at them in the light of happiness. Don’t confuse good and bad. This is why some people find contentment in everything, and others sorrow. This is a sure defence against the reversals of fortune, and a great rule for living, at all times and in every pursuit - Baltasar GracianMonday, 23 January 12 97
  161. 161. Monday, 23 January 12 98
  162. 162. What are the opportunities • safeguarding children and adults from abuse? • empowering disabled people? • helping people manage long-term conditions, dementia or end of life care? • allocating resources more fairly? • improving the quality of planning and support? • strengthening communities and improving connectedness? • improved family work?Monday, 23 January 12 99
  163. 163. www.campaignforafairsociety.orgMonday, 23 January 12 100
  164. 164. © Simon Duffy 2011. Rights Reserved. Full copyright details at www.centreforwelfarereform.orgMonday, 23 January 12 101
  165. 165. 9.20 What is ‘Personalisation’ 10.30 Opportunities & Concerns - tables 11.00 Break 11.15 Debate 12.00 Social Work Rescript Agenda 12.45 Lunch 2.15 Applications - tables 3.00 Feedback 3.30 Break 4.00 Polling Questions 4.30 Final Questions 5.15 FinishMonday, 23 January 12 102
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