The document discusses the shift from the professional gift model of welfare to a citizenship model. The professional gift model organizes support around expertise and gives citizens low control over 40% of GDP spent on welfare. The citizenship model builds in citizen control, values community, rethinks professional roles, and redefines gifts as entitlements and contracts. It discusses concepts like self-directed support, tapered control, individual budgets and financial assets that empower citizens. Total Place and redesigning the welfare state are presented as ways to innovate, encourage stronger families and civil society, and improve the system based on what works.