Health & Personal Budgets        exploring dilemmas Dr Simon Duffy - for Leeds University
Dr Simon Duffy•Social innovator - e.g. personal budgets•Philosopher - work on citizenship•Advisor - Campaign for a Fair So...
•   Does real evidence exists for the use of personal    budgets?•   Is it possible to develop and test innovations like  ...
•   From 1960s disabled people tried to convert fixed    service solutions into budgets under their own    control... mixe...
How defined is the scope of medicine?
What makes thedifference tosomeone’s life?
•   What is the role of doctor beyond rationing    medicine and surgery? If the doctor is not relevant    to whom does the...
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
Healthcare & Personal Budgets
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Healthcare & Personal Budgets

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The use of personal budgets for healthcare raises many different questions about the role of the doctor and the nature of medical expertise.

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Healthcare & Personal Budgets

  1. 1. Health & Personal Budgets exploring dilemmas Dr Simon Duffy - for Leeds University
  2. 2. Dr Simon Duffy•Social innovator - e.g. personal budgets•Philosopher - work on citizenship•Advisor - Campaign for a Fair SocietyThe Centre for Welfare ReformReform does not mean cutsand inequalityWelfare state is good, but designedwrongNeeds more innovation, andRespect for citizenship,families, community & justice•Reform does not mean cuts and inequalityWelfare state isgood, but designed wrongNeeds more innovation,andRespect for citizenship, families, community & justice
  3. 3. • Does real evidence exists for the use of personal budgets?• Is it possible to develop and test innovations like personal budgets in the same way as we test other clinical innovations?• Are social innovations relevant or even possible within healthcare?• Do personal budgets open up new forms of innovatory and scientific spaces between clinicians and patients?
  4. 4. • From 1960s disabled people tried to convert fixed service solutions into budgets under their own control... mixed international progress• Innovations start within communities, but then have to engage with wider policy process... e.g. PHBs• Innovations can be supported or corrupted by many factors - they are factors in systemic changes - but they do not determine everything.• Relationship between social innovations and institutions of validity are complex
  5. 5. How defined is the scope of medicine?
  6. 6. What makes thedifference tosomeone’s life?
  7. 7. • What is the role of doctor beyond rationing medicine and surgery? If the doctor is not relevant to whom does the doctor look for other help?• If social innovations start outside government, and are often corrupted by government what is the role of doctors or academia in nurturing them?• What is the best methodological approach for an evolving social practice that exists in a complex, changing context?• Is innovation possible or valuable within the doctor-patient relationship?
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