SDS in Aberdeen
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SDS in Aberdeen

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Talk given to senior managers in Aberdeen on the nature of self-directed support and the challenges of effective implementation.

Talk given to senior managers in Aberdeen on the nature of self-directed support and the challenges of effective implementation.

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SDS in Aberdeen SDS in Aberdeen Presentation Transcript

  • Self Directed Support Dr Simon Duffy ■ The Centre for Welfare Reform ■ Aberdeen ■ 18th July 2012 ■
  • Dr Simon Duffy• 22 years working on reforming welfare systems, especially with people with learning difficulties and their families• Invented Individual Budgets, RAS, SDS and Keys to Citizenship.• Works to support innovations in the design of the welfare state to promote citizenship, family, community and fairness.
  • Centre for Welfare Reform• The welfare state is a good thing,• Its just designed wrong• Based on 1945 thinking• Needs to promote citizenship, family and community• Needs to be fairer
  • Key messages1.SDS is about citizenship2.SDS is not Direct Payments3.Keep it simple and clear4.Include everyone in it5.Build on your assets
  • 1. SDS is about citizenship
  • Above all, I think the idea ofcitizenship should remain at the centreof modern political debates aboutsocial and economic arrangements.The concept of a citizen is that of aperson who can hold their head highand participate fully and with dignity inthe life of their society. Professor Jeremy Waldron
  • System spendspeople’s money forthem on thingsthey wouldn’t buyfor themselves
  • The Spectrum of Services£200,000£150,000£100,000 £50,000 £0 Specialist Placements 24 Individual Support Group Homes Specialist Day Services Residential Colleges Nursing Homes Residential Homes Individual Day Supports Day Services Adult Placements Outreach Supports Domicilary Care Residential Respite
  • Numbers using services400320240160 80 0 Specialist Placements 24 Individual Support Group Homes Specialist Day Services Residential Colleges Nursing Homes Residential Homes Individual Day Supports Day Services Adult Placements Outreach Supports Domicilary Care Residential Respite
  • Expenditure£15,000,000£11,250,000 £7,500,000 £3,750,000 £0 Specialist Placements 24 Individual Support Group Homes Specialist Day Services Residential Colleges Nursing Homes Residential Homes Individual Day Supports Day Services Adult Placements Outreach Supports Domicilary Care Residential Respite
  • The balance8% 92% Segregated Services Community Services
  • Recent developments• International developments• Scottish export to England• Interesting innovations• Radical policy changes
  • Place N Change6 Sites Phase I Report 60 -18%17 Sites Phase II Report 128 -9%13 Sites IBSEN Report 203 -6%Northants 17 -18.7%City of London 10 -30%Worcestershire 73 -17%
  • but some real problems too1.Hidden services, hidden budgets2.Increasing bureaucracy & control3.Poor engagement with community4.Growing inflexibility5.Poor use of service providersnevertheless, momentum continues...
  • 2. SDS is not Direct Payments
  • But it really should build onDirect Payments
  • Not Direct Payments,because1. It’s about entitlements - not cash2. It’s about the right point of control3. It’s about supporting decisions4. It is not about employing staff5. It is for everyone
  • clear entitlements - up-front
  • different ways to control a budget
  • returning to the values of social work
  • personalised solutions
  • universal system
  • Implementation should buildon expertise of DirectPayments workers andsupport systems
  • 3. Keep it simple and clear
  • 1. Entitlements - clear and quick2. Rules - minimal3. Systems - simple and efficient
  • Don’t Razzle - use simple tiers or existing budgets
  • right to be a citizen “I have a right to live my life in a way that1. Independent living - full access to makes sense to me” ordinary life right to enough “I have a right to enough support and a2. Entitlement support to achieve right not to be over supported” citizenship “I have a right to make decisions about right to be in control how I live my life and to be supported by3. Self-determination of our own lives people who know me and love me to make those decisions for and with me” rules & systems “I have a right to be told clearly and simply how the system works and how4. Openness should be clear and any rules affect me; including how much fair money I am entitled to for my support” “I have a right to use my money in any free to use our way that helps me to live my life;5. Flexibility money as we see fit including the freedom to take risks, make mistakes and learn from them” “I have a responsibility to share with we should share6. Learning others what I have learnt works for me what we are learning and what doesn’t work for me” “I have a right and a responsibility to use we should each7. Contribution my skills, talents and knowledge to play a make a contribution full part as a citizen in my community”
  • Avoid layering systems onsystems, likeSedimentary rock
  • SDS Processes Support Planning RAS Care ManagementProtection/Safeguarding Responsibilities Annual Reviews Joint Assessment Processes Eligibility Criteria & Resource Panels Care Planning Monitoring Systems Comprehensive Assessments Mental Capacity LawSocial Care Law for Children and Adults
  • Who is the best planner? Indi vi dual Fami l y/Fri ends 17% 23% Provid er Broker Soci al Worker 12% 13% 34%N = 801
  • Who is the best organiser? Indi vi dual 9% 16% Fami l y/Fri ends Provid er Broker Soci al Worker 17% 31%N = 774 28%
  • 4. Include everyone in it
  • social workers
  • schools
  • Jonathan’s storyFor the 3 years before 150 days in hospital -responding to problems with breathing.In the 3 years after leaving hospital he has spentonly 2 nights in hospital - for elective dentaltreatments.Personalised learning - on the job - 2 City & GuildsQualifications.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
  • services
  • use Individual Service Funds
  • advocacy
  • people
  • The real innovators aredisabled people & their familiesJohn O’Brien
  • 5. Build on your assets
  • Real Wealth
  • from push to pull economics
  • flexibility creates efficiency
  • We need to recognise the RealWealth of our communitiesWork with what you’ve already got
  • communities are not products
  • New money, training, jobs oftenbecomes a distractionThe real change is cultural -playing by a new set of rules
  • You can’t start playing a newgame incrementally...you must stop playing cricketand start playing rugby...even if (to begin with) youdon’t feel very competent.
  • For more information go towww.centreforwelfarereform.org These slides are © Simon Duffy 2012 ■ Publisher is The Centre for Welfare Reform ■ Slides can be distributed subject to conditions set out at www.centreforwelfarereform.org ■