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(183) architecture for personalisation, sheffield (september 2010)

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(183) architecture for personalisation, sheffield (september 2010)

  1. 1. The
Architecture
for
 Personalisation: Social
Work
&
Community
Brokerage
  2. 2. What
are
we
learning
about
a
new
architecture
for
personalisation?
  3. 3. What
are
we
learning
about
a
new
architecture
for
personalisation?1. mostly people are being supported by the least efficient methods
  4. 4. What
are
we
learning
about
a
new
architecture
for
personalisation?1. mostly people are being supported by the least efficient methods2. the community already contains enough support
  5. 5. What
are
we
learning
about
a
new
architecture
for
personalisation?1. mostly people are being supported by the least efficient methods2. the community already contains enough support3. social workers are burdened by out- of-date systems
  6. 6. What
are
we
learning
about
a
new
architecture
for
personalisation?1. mostly people are being supported by the least efficient methods2. the community already contains enough support3. social workers are burdened by out- of-date systems4. the most important change to make is to rescript social work
  7. 7. social
work
is
the
art
of
helping
 people
be
active
citizensin
practice
citizenship
means...
  8. 8. 1. being in control2. with direction3. enough money4. your own home5. enough help, and6. being active in community
  9. 9. but
citizenship
isn’t
easy
  10. 10. poverty
attacks
citizenship
  11. 11. and
poverty
comes
in
many
forms• loss of hope• no power or control• disadvantage• exclusion & prejudice• isolation & abuse
  12. 12. 
so
social
workers challenge poverty
  13. 13. and
social
workers
do
this
by
  14. 14. and
social
workers
do
this
by★ inspiring - hope and recovery
  15. 15. and
social
workers
do
this
by★ inspiring - hope and recovery★ empowering - individuals & families
  16. 16. and
social
workers
do
this
by★ inspiring - hope and recovery★ empowering - individuals & families★ strengthening - personal development
  17. 17. and
social
workers
do
this
by★ inspiring - hope and recovery★ empowering - individuals & families★ strengthening - personal development★ connecting - to community
  18. 18. and
social
workers
do
this
by★ inspiring - hope and recovery★ empowering - individuals & families★ strengthening - personal development★ connecting - to community★ building - safer networks
  19. 19. but
social
workers
 cannot
do
this on
their
own
  20. 20. these
are
not
things
you
can
do
for
people
  21. 21. these
are
things
you
have
to
do
with
people
  22. 22. it
is
people
themselves
 who
make
a
change building
on
their
own
  23. 23. resilience = hopeful human spiritcontrol = money and the power to use itstrengths = gifts, skills & knowledgecommunity = opportunities to join inrelationships = safe and loving networks
  24. 24. personalisation
=
social
work so
what’s
the
big
problem?
  25. 25. the
big
problem
for
social
workers
is...
  26. 26. the
old system
 gets
in
the
way
  27. 27. the
old
care
management
system
  28. 28. the
old
care
management
systemmakes
it
hard
to
do
social
work
  29. 29. it’s
really
hard
to
  30. 30. it’s
really
hard
to• empower people - without entitlements
  31. 31. it’s
really
hard
to• empower people - without entitlements• strengthen capacity - focusing only on needs
  32. 32. it’s
really
hard
to• empower people - without entitlements• strengthen capacity - focusing only on needs• connect to community - inside segregated services
  33. 33. it’s
really
hard
to• empower people - without entitlements• strengthen capacity - focusing only on needs• connect to community - inside segregated services• build safe networks - without family, friends and love
  34. 34. replace
care
management
  35. 35. replace
care
managementwith
self‐directed
support
  36. 36. this
means
social
workers
can
  37. 37. this
means
social
workers
can1. empower people - tell people their budget
  38. 38. this
means
social
workers
can1. empower people - tell people their budget2. strengthen capacity - focus on personal outcomes
  39. 39. this
means
social
workers
can1. empower people - tell people their budget2. strengthen capacity - focus on personal outcomes3. access community - use funding flexibly
  40. 40. this
means
social
workers
can1. empower people - tell people their budget2. strengthen capacity - focus on personal outcomes3. access community - use funding flexibly4. build safe networks - work with family, friends & others
  41. 41. systems
sit
on
systems
‐
like
sedimentary
rock
  42. 42. Care Management Protection/Safeguarding Responsibilities Annual Reviews Joint Assessment Processes Eligibility Criteria & Resource Panels Care Planning Monitoring Systems Comprehensive Assessments Mental Capacity LawSocial Care Law for Children and Adults
  43. 43. personalisation
is
becoming
one
more
system Personalisation Care Management Protection/Safeguarding Responsibilities Annual Reviews Joint Assessment Processes Eligibility Criteria & Resource Panels Care Planning Monitoring Systems Comprehensive Assessments Mental Capacity Law Social Care Law for Children and Adults
  44. 44. We’re
all
still
workingin
the
old system

  45. 45. we’ve
changed
words
  46. 46. added
new
complexities
  47. 47. But
thesystem is still the same
  48. 48. social
workerssometimes
even
feel
 personalisation
 has
made
things
 worse
  49. 49. we
must
simplify
  50. 50. and
 redesign
the
whole
system
  51. 51. we
need
a
New
Script
 for
social
work
  52. 52. the New Script looks like this...
  53. 53. the New Script looks like this...
  54. 54. Assess
people’s
ELIGIBILITY
for:
  55. 55. Assess
people’s
ELIGIBILITY
for:• guidance
  56. 56. Assess
people’s
ELIGIBILITY
for:• guidance• rehab
or
  57. 57. Assess
people’s
ELIGIBILITY
for:• guidance• rehab
or• a
budget
  58. 58. Assess
CAPACITY
&
clarify
where
the
leadership
is:
  59. 59. Assess
CAPACITY
&
clarify
where
the
leadership
is:• the
individual
  60. 60. Assess
CAPACITY
&
clarify
where
the
leadership
is:• the
individual• a
representative
  61. 61. Assess
CAPACITY
&
clarify
where
the
leadership
is:• the
individual• a
representative• or
a
professional
  62. 62. Don’t
plan
for
people
‐
instead
ENABLE
other
people
to
plan
  63. 63. Don’t
plan
for
 people
‐
instead
 ENABLE
other
 people
to
planBut
always
make
sure
that
you...
  64. 64. is is Community Brokerage
  65. 65. OR
  66. 66. Plan
with
people
DIRECTLY
yourself,
especially
when:
  67. 67. Plan
with
people
 DIRECTLY
 yourself,
 especially
when:• it’s
a
critical
situation
  68. 68. Plan
with
people
 DIRECTLY
 yourself,
 especially
when:• it’s
a
critical
situation• the
solution
is
obvious,
or
  69. 69. Plan
with
people
 DIRECTLY
 yourself,
 especially
when:• it’s
a
critical
situation• the
solution
is
obvious,
or• nobody
else
can
help
  70. 70. AGREE
plans
as
soon
as
possible
if
they
are:
  71. 71. AGREE
plans
as
soon
as
possible
if
they
are:• sensible
  72. 72. AGREE
plans
as
soon
as
possible
if
they
are:• sensible• safe
  73. 73. AGREE
plans
as
soon
as
possible
if
they
are:• sensible• safe• and
in
budget
  74. 74. AGREE
plans
as
 soon
as
possible
 if
they
are: • sensible • safe • and
in
budgetPlans
should
NOT
be
perfect!
  75. 75. If
people
need
help
to
set
things
up
then
DIRECT
them
to
the
right
people
and
places
  76. 76. It
is
the
REVIEW
that
is
central
to
really
learning
what
is
working
and
to
helping
people
be
in
control
of
their
own
life.
  77. 77. This
is
a
New
Script
for
Social
Work
  78. 78. What
the
New
Script
means
is
  79. 79. What
the
New
Script
means
is★ things speed up
  80. 80. What
the
New
Script
means
is★ things speed up★ bureaucracy goes down
  81. 81. What
the
New
Script
means
is★ things speed up★ bureaucracy goes down★ social workers use their best skills
  82. 82. What
the
New
Script
means
is★ things speed up★ bureaucracy goes down★ social workers use their best skills★ people connect to community
  83. 83. What
the
New
Script
means
is★ things speed up★ bureaucracy goes down★ social workers use their best skills★ people connect to community★ but most importantly...
  84. 84. lives
are
transformed
  85. 85. For
example,
people
have
turned
the
funding
that
used
to
pay
for
residential
respite
into
more
effective,
inclusive
and
positive
experiences
‐
with
support
from
family
and
friends.
  86. 86. e New Scripthelps us to...
  87. 87. 1. empower people -e New Script people and families in control of their ownhelps us to... lives
  88. 88. 1. empower people -e New Script people and families in control of their ownhelps us to... lives 2. strengthen capacity - people living positive lives, achieving, growing
  89. 89. 1. empower people -e New Script people and families in control of their ownhelps us to... lives 2. strengthen capacity - people living positive lives, achieving, growing 3. access community - people as active citizens
  90. 90. 1. empower people -e New Script people and families in control of their ownhelps us to... lives 2. strengthen capacity - people living positive lives, achieving, growing 3. access community - people as active citizens 4. build safe networks - reducing abuse and isolation
  91. 91. waste
removed
  92. 92. Share Expenditure Cost PP Hours PP1. First point of contact - initialsign-posting 9.5% £414,437 £63 2.62. Overview assessment 13.7% £599,514 £91 3.73. Comprehensive/fullassessment 19.0% £831,038 £126 5.24. Basic planning 13.7% £597,272 £91 3.75. Intensive planning, servicedesign or support planning 16.3% £713,343 £108 4.46. Problem solving & respondingto crises 16.0% £700,749 £107 4.47. Short reviews - basic 7.5% £327,924 £50 2.08. Long reviews - intensive 4.3% £189,200 £29 1.2Total £4,373,478£665 27.2
  93. 93. N = 801 17% 23% 12% Indi vi du al 13% Fam ily/ F r i en ds 34% Pr ov id er Br o ke r C a re M an ag er Who is the best planner?
  94. 94. N = 774 16% 9% 17% 31% Indi vi du al Fam ily/ F r i en ds Pr ov id er 28% Br o ke r So ci al W o r k er Who is the best organiser?
  95. 95. Personalisation
should
be
efficientbut
it
can
easily
be
made
wasteful
  96. 96. Number of care managers (WTE) 111.55Cost of care management £4,373,477.75Number now served by authority 6465Ratio (number of people to 1 care 68.73manager)Total hours of care management 185507.18availableHours available per person 27.24Average cost per person £664.87Time on slimmed down core 81623.1592 44%functionsTime on crisis management 44521.7232 24%Residual time to reinvest 59362.2976 32%Share of residual time 32%Residual time expressed as money £1,399,512.88Residual time per person 8.7168Residual money per person £212.76
  97. 97. What
remains
to
be
done?
  98. 98. What
remains
to
be
done?1. strip out undue process - e.g. simplify the RAS
  99. 99. What
remains
to
be
done?1. strip out undue process - e.g. simplify the RAS2. let people in - e.g. recommend providers
  100. 100. What
remains
to
be
done?1. strip out undue process - e.g. simplify the RAS2. let people in - e.g. recommend providers3. let it go - e.g. good enough planning is best
  101. 101. What
remains
to
be
done?1. strip out undue process - e.g. simplify the RAS2. let people in - e.g. recommend providers3. let it go - e.g. good enough planning is best4. respect your staff - e.g. build on the best in the social work profession
  102. 102. www.bit.ly/social-work-project © Simon Duffy 2011
  103. 103. www.bit.ly/social-work-project © Simon Duffy 2011
  104. 104. 1. Is the job of the social worker less stressful?
  105. 105. 1. Is the job of the social worker less stressful?2. Do you make more use of the community’s resources?
  106. 106. 1. Is the job of the social worker less stressful?2. Do you make more use of the community’s resources?3. Do service providers get more involved in leading planning?
  107. 107. 1. Is the job of the social worker less stressful?2. Do you make more use of the community’s resources?3. Do service providers get more involved in leading planning?4. Have care management processes been simplified since personalisation?
  108. 108. 1. Is the job of the social worker less stressful?2. Do you make more use of the community’s resources?3. Do service providers get more involved in leading planning?4. Have care management processes been simplified since personalisation?5. Do social workers feel more empowered able to create innovative solutions?
  109. 109. A A Much No Much Bit Bit Worse Change Better Worse Better1. Social work less 14 16stressful?2. More community - - 7 29 1engagement?3. Service providers - - 22 15 -lead planning?4. Care management? 18 5 4 55. Social workers as 3 1 4 26 1innovators?
  110. 110. • Reviews & Outcomes• RAS and other entitlements• The fate of the profession of social work• Management and leadership

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