About me• A social worker and proud of it!• A activist not a theorist• Trained in Plymouth and then went to work in social services, health, regulation and campus closures• Constantly felt things should be better for people• Started consultancy to model how things could be more personalised• Enough is Enough – Time for Change!• People agreed but saw no change• Decided best to do it myself!
What got me startedKey theories:• Social Role Valorization – Dr. Wolf Wolfensberger (1983)• Social Model of Disability – Mike Oliver (1983)• Keys to Citizenship – Dr. Simon Duffy (2006)Meeting some inspiring peopleAnd the people I met – families and people with learning disabilities
About Beyond Limits• 3 year project with NEW Devon CCG Personalising Commissioning• Using Individual Service Funds• Using Service Design & Working Policy• 20 people currently in Hospital placements• 20 people with big reputations• 20 people who will get a tailor made service• 20 people who will get a life that makes sense to them
What does ‘Radical’ mean to me• Never think of myself about being radical!• Having a passion for what I do• Can do attitude – ‘never give up!’• Thinking ‘out of the box’• Not accepting systems that hold people back• Never losing sight of the person and bringing power back to the person
Real Wealth The resources that keep people resilient and fighting for a good life Strengths – skills, gifts and abilities Connections (relationships) – family, friends, community networks and organisations Community (Access) – information, emotional and physical support Control (Assets) – income, property, savings, benefitsPippa Murray, Simon Duffy, Nic Crosby (2008)
The World We Work Within• Health (medical model still persists) – patients, medicine and programmes• ‘Winterbourne’ is not a one off• Power imbalance to professionals• Families excluded• People seen as the problem• People and community torn apart
Jim Mansell 2007 Individualised, local solutions providing good quality of life not those too large to provide individualised support, too far from their homes, and providing good quality of life in the home and as part of the local community. Direct payments and individual budgets should always be considered and be more widely available. Closer co-ordination between the commissioners paying for services, the managers providing services and the professional specialist advising on the support people need to ensure advice is both practicable and acted on. Commissioners should allocate a budget to be used to fund a much wider variety of interventions as an alternative to placement in a special unit.Jim Mansell ‘Services for people with learning disabilities and challenging behaviour ormental health needs’ 2007
So where do we start? Service Design‘Every service is designed, from scratch, with only the person in mind, and modified in the light of experience and as things change. Individual service design in rooted in the organisation’s commitment to help everyone achieve citizenship for themselves’.
You can’t plan without a Budget! Planning and pre-move transition is funded (one off payment clawed back through reductions from years 2 onward) Post move transition is funded On-going budget flexible in first year Greatest reductions after year two and three
The ‘how to’ bit!• Many great plans are made and fall down because they are not followed up by a detailed ‘how to’ bit.• It is fundamentally important that once a service is designed a ‘how to’ plan is written. Partners for Inclusion and Beyond Limits call this a Working Policy.• Involves the person (if they wish), present and past professionals and family
If you always do what you always did You will always get what you always got Think Radical!