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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 Society

The Centre for Welfare ReformReform does not mean cuts
and inequalityWelfare state is good, but designed
wrongNeeds more innovation, andRespect for citizenship,
families, community & justice
•Reform does not mean cuts and inequalityWelfare state is
good, but designed wrongNeeds more innovation,
andRespect for citizenship, families, community & justice
•   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?
•   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
How defined is the scope of medicine?
What makes the
difference to
someone’s life?
•   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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Healthcare & Personal Budgets

  • 1. Health & Personal Budgets exploring dilemmas Dr Simon Duffy - for Leeds University
  • 2. Dr Simon Duffy •Social innovator - e.g. personal budgets •Philosopher - work on citizenship •Advisor - Campaign for a Fair Society The Centre for Welfare ReformReform does not mean cuts and inequalityWelfare state is good, but designed wrongNeeds more innovation, andRespect for citizenship, families, community & justice •Reform does not mean cuts and inequalityWelfare state is good, but designed wrongNeeds more innovation, andRespect for citizenship, families, community & justice
  • 3.
  • 4. 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?
  • 5. 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
  • 6. How defined is the scope of medicine?
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. What makes the difference to someone’s life?
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. 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?