Whole System Change, the meaning of personalisation - Simon Duffy

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Dr Simon Duffy speaks on the topic of personalisation at North Lanarkshire Council's event Self Directed Support: The Bigger Picture on 8th November 2011.

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Whole System Change, the meaning of personalisation - Simon Duffy

  1. 1. Whole System Change the meaning of personalisation Dr Simon Duffy The Centre for Welfare Reform for North Lanarkshire Council 8th November 2011Tuesday, 15 November 11
  2. 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 businessTuesday, 15 November 11
  3. 3. Remember - personalisation • was (largely) developed in Scotland • is about greater social justice • changes the whole system • requires care to implement wellTuesday, 15 November 11
  4. 4. “personalisation” is used in many different waysTuesday, 15 November 11
  5. 5. technologies rooted in valuesTuesday, 15 November 11
  6. 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. 7. Direct payments... power, with many limitationsTuesday, 15 November 11
  8. 8. Whose money? for services, or for peopleTuesday, 15 November 11
  9. 9. Individual budgets from push to pull economicsTuesday, 15 November 11
  10. 10. Tuesday, 15 November 11
  11. 11. Individual budgets not shopping - communityTuesday, 15 November 11
  12. 12. Tuesday, 15 November 11
  13. 13. Self-directed support change the whole systemTuesday, 15 November 11
  14. 14. Tuesday, 15 November 11
  15. 15. Social justice at the root citizenshipTuesday, 15 November 11
  16. 16. Social justice at the root real wealthTuesday, 15 November 11
  17. 17. Social justice at the rootTuesday, 15 November 11
  18. 18. Case study Personalised Transition...Tuesday, 15 November 11
  19. 19. Tuesday, 15 November 11
  20. 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 LSCTuesday, 15 November 11
  21. 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 differentTuesday, 15 November 11
  22. 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. 23. resistance to innovation its natural - so don’t cheat...Tuesday, 15 November 11
  24. 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 easyTuesday, 15 November 11
  25. 25. unlock community capacityTuesday, 15 November 11
  26. 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 skillsTuesday, 15 November 11
  27. 27. Tuesday, 15 November 11
  28. 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 enoughTuesday, 15 November 11
  29. 29. ending care management... ...rescripting social workTuesday, 15 November 11
  30. 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 powerTuesday, 15 November 11
  31. 31. Scottish Campaign for a Fair SocietyTuesday, 15 November 11
  32. 32. personalisation through collective actionTuesday, 15 November 11
  33. 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.orgTuesday, 15 November 11

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