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Welfare Reform


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This presentation was given at the joint think tank on welfare reform by The Centre for Welfare Reform and the Health Service Management Centre. It describes the underlying logic of personalisation and the wider impact it may have on the whole welfare state.

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Welfare Reform

  1. 1. From Personalisation to Welfare Reform? HSMC Think Tank, June 2010 © Simon Duffy. Rights Reserved. The author must be cited if images or slides are used
  2. 2. Understandable scepticism... • Welfare reform will never happen • Welfare reform isn’t really necessary • Personalisation is proving hard enough • Welfare reform is just a cover for ‘Tory cuts’ • Personalisation is just a ‘social care’ issue
  3. 3. Opportunities for optimism 1. Social justice theory 2. Health care 3. Skills and education 4. Total Place 5. Tax-benefit reform
  4. 4. 1. Social Justice Theory • Personalisation was inspired by visions and values outside mainstream political theory • Provides a capabilities approach that takes us beyond a limited focus on money - real wealth • Provides a non-meritocratic and inclusive vision of social change - equal citizenship • Offers principle of equity - sufficient for citizenship
  5. 5. The goal is citizenship
  6. 6. Assumptions or Explorations 1. What if people could make better decisions? 2. What if people could respond better to problems? 3. What if people could have positive incentives? 4. What if people could face less complexity? 5. What if people could take more
  7. 7. Real wealth is the resource
  8. 8. this means real poverty is 1. Despair - having no hope 2. Loneliness - having no friends or family 3. Exclusion - never being part of anything 4. Worthlessness - not believing in yourself 5. Powerlessness - having no control
  9. 9. Equity principles • A fair society is one where all its members treat each other with respect, that is, as equal citizens. • A fair society ensures that the grounds for respect (the keys to citizenship) are so designed inclusively - so that everyone can achieve citizenship, and thus be respected as an equal. • A fair society organises itself so that
  10. 10. Focus Shifting from... ...towards Utility Equal citizenship Purpose maximisation Ending poverty economic growth Income inequality Capabilities Resources Equal Sufficiency opportunities Community Process control Process development Regulation Innovation & leadership
  11. 11. 2. Individual Budgets & Social Care • Incoherence of social care will only become clearer as individual budgets increase • The interesting boundary is between areas where individual budget doesn’t work • Individual budgets for care would extend deeply into the NHS e.g £20 billion on mental health • Distinct means-testing for social care will come under greater scrutiny
  12. 12. Personalisation Model
  13. 13. new rules and flexibilities
  14. 14. new forms of funding
  15. 15. personalisation will work for people • needing support in the community • managing long-term health conditions • trying to rebuild their mental health • wanting to die at home • wanting more personalised education • trying to find work • wanting to avoid prison
  16. 16. 3. Skills and education • What is at the heart of learning and personal development? • What are the other 26 pupils paying for? • Schools as social networks for organising learning • Home school networks • Nationalise private education
  17. 17. 4. Local government & civil society • As needs become more complex so does the complexity of the response • Service professions, departments, organisational boundaries lead to ‘privileged irresponsibility’ • The state struggles to recognise and support civil society responses
  18. 18. success is dependent upon • ability to spot and support innovation • celebrate and own civil society responses • radically disinvest from current blocks • shifting authority and control to
  19. 19. 5. Tax-Benefit Reform • Means-testing in social care - bizarre double-taxation for the most vulnerable • 100 different benefits and benefit rates • The uncertain boundary between an individual budget and a benefit • The hidden innovation of personalisation - the simplifying RAS
  20. 20. Conclusion: Change? • Resistance is inevitable • Timescales are uncertain • Intentional organisation is required • Success will be a ‘constitutional’ shift in power and control to citizens, families & communities
  21. 21. strategies • smallness provokes less resistance • powerful ideas can create powerful communities • testing and evidence matter • implementation
  22. 22. Contact Details Simon Duffy Centre for Welfare Reform The Quadrant, 99 Parkway Avenue, Parkway Business Park Sheffield, S9 4WG T +44 114 251 1790 M +44 7729 7729 41