The document discusses the UK government's vision for transforming adult social care by moving further towards personalization. It outlines key aspects of this vision, including: [1] Greater citizen responsibility and involvement in social care through the "Big Society" initiative; [2] Expanding personal budgets so that more eligible individuals can arrange and manage their own care; [3] Increased partnership between individuals, communities, and public/private organizations to provide social care based on principles like prevention, personalization, and productivity.

1. Transforming Adult Social Care:
Moving Personalisation Forward
Steven Pruner
17 February 2011

2. Agenda
• Health & Social Care
• The Big Society
• The Vision

3. Health and Social Care
• Two care services, one history
• Social care provided by NHS
• Same aspirations, different approach
• Resources never enough
• Free versus Means-tested

4. BIG SOCIETY
Smaller State
“…a new role for the state: actively helping to
create the big society; directly agitating for,
catalysing and galvanising social renewal.”
– David Cameron, 10 Nov 2009

5. BIG SOCIETY
Cuts
“We are looking at the largest, deepest,
sustained period of cuts to the public
services since the second world war.”
– Robert Chote, Institute of Fiscal Studies, 23 June
2010

6. Big Society
• Central idea in coalition government
approach to public services
• Greater citizen responsibility and involvement
• Increased voluntary effort

7. Big Society
• Smaller in range of functions & number of
governmental and quasi-government bodies
• Families, individuals, charities & communities
come together to solve problems
• Social entrepreneurs running social
programmes

8. The Vision
“Social care is not solely the responsibility of
the state.”
- Rt Hon Andrew Lansley MP and Paul Burstow MP

10. Big Society Underpins Vision for
Social Care
Values
• Freedom Choose services from marketplace
• Fairness Resolving who pays for the care
• Responsibility Reduce dependency on care
services

11. Commitments
• Personalised Extend roll out of personal budgets
• Preventative Health & social care together
• Focused on Outcomes “Self-determination”

12. The Principles
1. Prevention
2. Personalisation
3. Partnership
4. Plurality
5. Protection
6. Productivity
7. People

13. Prevention
• More support to carers to prevent problems
escalating to point of requiring statutory
services
• Re-ablement as short-term intervention
follow period of illness to reduce need for
long-term care packages
• Expansion of re-ablement across health and
social care

14. Personalisation
• Provide personal budgets over next two
years to all those eligible
• Councils (in partnership with NHS partners)
to shape the marketplace

15. Plurality & Partnership
• Partnership between individuals,
communities, statutory & voluntary sector,
private & community organisations
• Health & Social Care Bill: local councils
have opportunity to play a lead role
• Pooled budgets / joint commissioning
between health and social care

16. • Joint protocol making a
commitment to work
together
• “Our health, our care,
our say” White Paper
• JSNA assessment
between LAs, PCTs, and
NHS providers

17. • Sector-wide partnership
agreement to push
ahead with
personalisation /
community-based
support
• Wider range of services
and providers (non-
statutory)

18. What does it all mean?
• Follow the money
• FACS criteria still in place
• Personal budgets: Those eligible for social care
subsidy to arrange for & manage their own care
• Greater reliance on family, friends and voluntary
sector
• Greater incentives for health and social care to work
together

19. Other Drivers
• Liberating the NHS (Health & Social Care Bill)
• Public Health White Paper
• Law Commission (review of ASC law)
• Commission on Funding of Care
• Social Care Reform Bill (in 2012 ?)

20. Questions?