Whole System Change

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Slides from talk to Scottish event, hosted by North Lanarkshire Council, on the whole system impact of personalisation and self-directed support.

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  • Whole System Change

    1. 1. Whole System Changethe meaning of personalisation Dr Simon Duffy ■ The Centre for Welfare Reform ■ for North Lanarkshire Council ■ 8th November 2011
    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 business
    3. 3. Remember - personalisation• was (largely) developed in Scotland• is about greater social justice• changes the whole system• requires care to implement well
    4. 4. “personalisation” is usedin many different ways
    5. 5. technologies rooted in values
    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...
    7. 7. Directpayments...power, with many limitations
    8. 8. Whose money?for services, or for people
    9. 9. Individual budgetsfrom push to pull economics
    10. 10. Individual budgetsnot shopping - community
    11. 11. Self-directed supportchange the whole system
    12. 12. Social justice at the rootcitizenship
    13. 13. Social justice at the rootrealwealth
    14. 14. Social justice at the root
    15. 15. Case studyPersonalisedTransition...
    16. 16. Jonathan’s storyFor the 3 years before 150 days in hospital -responding to problems with breathing.In the 3 years after leaving hospital he has spentonly 2 nights in hospital - for elective dentaltreatments.Personalised learning - on the job - 2 City & GuildsQualifications.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 LSC
    17. 17. Implementation hazards1.targets, instead of clear entitlements2.complexity, instead of simple systems3.new professionals, instead of community4.undermining, not respecting professionalslearn from England and do different
    18. 18. 1. focus on entitlements • revisit ‘health and social care’ • remove charging - ‘disability super tax’ • create more flexibility • clarify and strengthen entitlementsearly targets drive down quality - areaswill do it if its legal and it works!
    19. 19. resistance to innovationits natural - so don’t cheat...
    20. 20. 2. focus on simple systems• NOT systems added on top of old• NOT new more paperwork• NOT more complex planning• NOT monitoring the wrong thingsnormalise - make stuff easy
    21. 21. unlock community capacity
    22. 22. 3. focus on community1.share information2.enable peer support3.work with community organisations4.use service providers as allies5.respect professional skills
    23. 23. 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 enough
    24. 24. ending care management... ...rescripting social work
    25. 25. 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 power
    26. 26. ScottishCampaignfor a FairSociety
    27. 27. personalisationthroughcollectiveaction
    28. 28. For more information go towww.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.org ■

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