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Personalisation &
            Talks for Lambeth: February 2010


© Simon Duffy. Rights Reserved. The author must be cited if images or slides are used
Part One
Personalisation
The use of “Personalisation”


• Rhetoric - Inoffensive term of art (Charles
  Leadbeater)

• Policy Broad parcel of policies (Putting
  People First)

• Technologies - Self-Directed Support,
  Individual Budgets - to be explored
  further below

• But these uses point to a more
The shift to the citizenship paradigm
Professional Gift
           Model
•> 40% of GDP committed to welfare
•Government transfers much
 responsibility for delivering welfare
 to professions

•Professions organise support
 around their expertise.

•Citizens have low levels of control,
 weak entitlements and often face
 perverse incentives
Citizenship Model

•Build-in citizen
 control

•Assume the value
 and role of
 community

•Rethink
 professional roles

•Redefine gifts as
 entitlements and
 contracts
Citizenship is a social and political
              concept
1. Authority - complex & dynamic
Need for systems of tapered control
2. Direction - inspiration &
       understanding
Creativity comes from constraints
3. Money - control & independence
You can only plan with what you’ve
               ‘got’
4. Home - safe & secure



                                                                      5 Bedroom House




      Smith Family
                                                   Aunt


                        Person-Centred Planning


                                                                Service Coordinator
  Health
                     Individual Service Fund

Social Work            Inclusion Glasgow
                                                                © Simon Du y. All Rights Reserved.
                                               Motability Car
A ‘home’ is not a home
5. Support - who and how matters
Support services are NOT the enemy
6. Community - my life, lived my way
Real wealth - is not just money
Part Two
Coproduction
Coproduction is a new partnership
Self-Directed Support - Coproducing good
                 support
Community-based support - not JUST
          professional
>%35*"2(:$%*83%,1(*"(5$+&($4"(4$&;
                                Social Worker perceptions of impact of SDS




                                                                                                                     T,8,'$.*"2(-+..$&%(%03%(*-(%3*'$&,1(%$
                                                                                                                         %0,(",,1-($9(3"(!"1*8*1+3'6
                                                                                                                      >+..$&%*"2(.,$.',(%$(%3;,()$"%&$'
                                                                                                                     3"1(:3;,()0$*),-(3/$+%(%0,*&('*8,-
                                                                                                                     L3"32*"2(G*-;-
                                                                                                                                                              N5*('
                                                                                                                     >+..$&%*"2(.,$.',(%$(%3;,(3"(3)%*8,
                                                                                                                         .3&%(*"(%0,*&()$::+"*%56(




                                                                                                                                                              -5%.4;;'*'-+'
                                                                                                                     N,'.*"2(.,$.',(%$(:3*"%3*"(,S*-%*"2
                                                                                                                             -+..$&%(",%4$&;-
                                                                                                                     @''$)3%*"2(&,-$+&),-(93*&'5




                                                                                                                                                              ,'1:'.
                                                                                                                     R-*"2(5$+&($4"(-;*''-(3"1(;"$4',12,
                                                                                                                     O,%%*"2(0,'.(%$(.,$.',(*"(3(%*:,'5
$"3'(/+12,%-($"(%0,*&(4$&;(6(




                                                                                                                          435(P40,"(%0,5(43"%(*%Q6
                                                                                                                     O,%%*"2(%0,(&*20%(3:$+"%($9(0,'.(%$
                                                                                                                                   .,$.',
                                                                                                                     N,'.*"2(.,$.',(.'3"()&,3%*8,'5
                                                                                                                     L3;*"2(.$-*%*8,(1*99,&,"),(%$
                                                                                                                           .,$.',M-('*8,-6(

                                                                             BJ
                                                                                  BH
                                                                                       BD
                                                                                            BI
                                                                                                 K
                                                                                                     J
                                                                                                         H
                                                                                                             D
                                                                                                                 I
Carers perception of changes since SDS
                  Finances

              Ability to care

              Quality of life

                 Well-being

      Leisure & Social Life

                       Work
                                                                                Better
Relationship with Individual                                                    Same
                                                                                Worse
        Other relationships

          Choice & control

                                0         10             20                30            40
                Data from Cambridgeshire, Hertfordshire & Worcestershire
Economic Data
        Place            Number   Change

6 Sites Phase I Report     60      -18%
  17 Sites Phase II
                          128      -9%
       Report
13 Sites IBSEN Report     203      -6%

     Northants             17     -18.7%

   City of London          10      -30%

   Worcestershire          73      -17%
From Push to Pull Economics
System vs Personalised
     Integration
Personalised Transition
Models of efficiency




•Resource focus - control price
•Process focus - generate innovation
•Outcome focus - build capacity - prevent need
Total Place

•Partnership to achieve
 locally defined
 outcomes

•Build on local assets
•Coproduce solutions
•Think beyond services
 - people &
 communities

•Create possibility of
 innovation
Contact Details
     Simon Duffy
     Centre for Welfare Reform
     The Quadrant,
     99 Parkway Avenue, Parkway Business Park
     Sheffield, S9 4WG
     T +44 114 251 1790
     M +44 7729 7729 41
     admin@centreforwelfarereform.org
     www.centreforwelfarereform.org

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Personalisation and Coproduction

  • 1. Personalisation & Talks for Lambeth: February 2010 © Simon Duffy. Rights Reserved. The author must be cited if images or slides are used
  • 3. The use of “Personalisation” • Rhetoric - Inoffensive term of art (Charles Leadbeater) • Policy Broad parcel of policies (Putting People First) • Technologies - Self-Directed Support, Individual Budgets - to be explored further below • But these uses point to a more
  • 4. The shift to the citizenship paradigm
  • 5. Professional Gift Model •> 40% of GDP committed to welfare •Government transfers much responsibility for delivering welfare to professions •Professions organise support around their expertise. •Citizens have low levels of control, weak entitlements and often face perverse incentives
  • 6. Citizenship Model •Build-in citizen control •Assume the value and role of community •Rethink professional roles •Redefine gifts as entitlements and contracts
  • 7. Citizenship is a social and political concept
  • 8. 1. Authority - complex & dynamic
  • 9. Need for systems of tapered control
  • 10. 2. Direction - inspiration & understanding
  • 11. Creativity comes from constraints
  • 12. 3. Money - control & independence
  • 13. You can only plan with what you’ve ‘got’
  • 14. 4. Home - safe & secure 5 Bedroom House Smith Family Aunt Person-Centred Planning Service Coordinator Health Individual Service Fund Social Work Inclusion Glasgow © Simon Du y. All Rights Reserved. Motability Car
  • 15. A ‘home’ is not a home
  • 16. 5. Support - who and how matters
  • 17. Support services are NOT the enemy
  • 18. 6. Community - my life, lived my way
  • 19. Real wealth - is not just money
  • 21. Coproduction is a new partnership
  • 22. Self-Directed Support - Coproducing good support
  • 23. Community-based support - not JUST professional
  • 24.
  • 25. >%35*"2(:$%*83%,1(*"(5$+&($4"(4$&; Social Worker perceptions of impact of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
  • 26. Carers perception of changes since SDS Finances Ability to care Quality of life Well-being Leisure & Social Life Work Better Relationship with Individual Same Worse Other relationships Choice & control 0 10 20 30 40 Data from Cambridgeshire, Hertfordshire & Worcestershire
  • 27. Economic Data Place Number Change 6 Sites Phase I Report 60 -18% 17 Sites Phase II 128 -9% Report 13 Sites IBSEN Report 203 -6% Northants 17 -18.7% City of London 10 -30% Worcestershire 73 -17%
  • 28. From Push to Pull Economics
  • 29.
  • 30.
  • 31. System vs Personalised Integration
  • 33. Models of efficiency •Resource focus - control price •Process focus - generate innovation •Outcome focus - build capacity - prevent need
  • 34. Total Place •Partnership to achieve locally defined outcomes •Build on local assets •Coproduce solutions •Think beyond services - people & communities •Create possibility of innovation
  • 35. Contact Details Simon Duffy Centre for Welfare Reform The Quadrant, 99 Parkway Avenue, Parkway Business Park Sheffield, S9 4WG T +44 114 251 1790 M +44 7729 7729 41 admin@centreforwelfarereform.org www.centreforwelfarereform.org

Editor's Notes