International learning on Self-Directed Support

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Self-directed support has been developing since the 1960s - there is a long way still to go - here are some thoughts about lessons so far from around the world.

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International learning on Self-Directed Support

  1. 1. Self-Directed Support international learning
  2. 2. Self-Directed Support • It is not new - it has been growing since the 1960s. • It can be found in lots of places around the world. • It has been successful, but slow to grow. • It creates new opportunities and new risks.
  3. 3. Sami Helle at European Parliament, November 2013 “We are obliged to surrender to the will of the strong. Big companies, cities and municipalities decide what is best for us. This is about power. Why do I feel a lack of power in my own life?”
  4. 4. Research • Positive outcomes (often) negative outcomes (never) • Can cost less, can cost more • Tends to increase demand • Design matters - there are big differences between different systems
  5. 5. English data 2003-2005, first In Control pilot
  6. 6. English data 2005-2007
  7. 7. Design Matters 1. Rights - secure foundations 2. Control - person focused 3. Clarity - transparent 4. Flexibility - high in options 5. Ease of use - low in burdens 6. Community - connectivity 7. Sustainability - evolving
  8. 8. 1. Rights
  9. 9. Support should not be a professional gift - it should be an entitlement
  10. 10. The government money fallacy it can’t always be government money: where did government get it from?
  11. 11. 2. Control
  12. 12. The right person must have responsibility - control as close to the person as possible
  13. 13. Needs are met - but met in ways that are shaped by the person.
  14. 14. 3. Clarity
  15. 15. Systems ration resources in different ways ! 1.by responding to crises or requests 2.by creating waiting lists for places 3.by professional assessment 4.by public rules for entitlements 5.by negotiation
  16. 16. Clarity about money seems to improve how people plan and how willing the system is to provide flexibility. But it can be corrupted.
  17. 17. 4. Flexibility
  18. 18. Flexible funding helps promote greater community involvement
  19. 19. 5. Easy to use
  20. 20. Resistance to innovation often leads to increases in complexity.
  21. 21. • Big support plans • Complex resource assessments • Lengthy processes for review and decisions • Intrusive bureaucracy and monitoring • Multiple and conflicting funding streams • Weak incentives to take control • Regulations and inspections
  22. 22. Trust is critical.
  23. 23. 6. Community
  24. 24. Self-directed support seeks to move money into community - in different ways.
  25. 25. This includes how people take control.
  26. 26. • Best support there is • A flexible concept • Facilitation is key • Evolving • NOT commissioned
  27. 27. 7. Sustainability
  28. 28. Self-directed support demands a new way of managing - NOT the middle
  29. 29. Its about citizenship - NOT services
  30. 30. For more information: ! Web: www.centreforwelfarereform.org ! Twitter: @CforWR and @simonjduffy ! Blog: www.simonduffy.info ! Facebook: centreforwelfarereform ! Campaign: www.campaignforafairsociety.org © Simon Duffy. Rights Reserved. Full copyright details at www.centreforwelfarereform.org

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