Whole System Changethe meaning of personalisation Dr Simon Duffy ￭ The Centre for Welfare Reform ￭ for North Lanarkshire Council ￭ 8th November 2011
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
Remember - personalisation• was (largely) developed in Scotland• is about greater social justice• changes the whole system• requires care to implement well
“personalisation” is usedin many different ways
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...
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
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
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!
resistance to innovationits natural - so don’t cheat...
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