The document discusses innovations in social care that have occurred since World War II, including the closure of long-stay institutions and development of direct payments. However, institutionalization appears to have increased and rhetoric about families and communities has not matched resource shifts. The document then outlines seven innovations that have occurred in "lost years" including peer support groups, local area coordination, women-centered approaches, personalized support, self-management, place-based work, and real local democracy. Each innovation is briefly described with an example. The document concludes by asking what social care could look like if citizenship, communities, and democracy were truly valued.

1. The Future is Citizenship
Simon Duffy
@simonjduffy @cforwr @citizen_network @ubilabsheffield

2. thanks to

4. Developments in social care since World War II have been surprisingly modest. Highlights
include the closure of long-stay institutions and the development of direct payments.
However the overall level of institutionalisation appears to have increased during the period
and a rhetorical focus on families and communities has not been matched by a shift in
resources, power or focus. In particular it is hard to identify the benefits of the shift to
markets, commissioning and regulated service provision of the last 40 years.

6. Innovation in the lost years
1. Peer Support
2. Local Area Coordination
3. Women-Centred Approaches
4. Personalised Support
5. Self-Management
6. Placed-Based Work
7. Real local democracy

7. 1. Peer support
• PFG Doncaster were formed
by independent social worker
Kelly Hicks with a diverse
group of people with mental
health problems or disabilities.
• They are now based in a local
community building and
provide a wide array of
supports, built on tiny funding.

11. Don’t underestimate people

12. 2. Local Area Coordination
• Australian model of providing
support which prioritises
community solutions over
institutional services
• Embedded ‘coordinator’
works to support people and
to avoid unnecessary crises
• A disciplined form of
community social work

15. You only see what you can see

16. 3. WomenCentre
• Based in Halifax and
Huddersfield in West Yorkshire
and working with all women
across the community.
• Highly effective work with
women who are going through
hell, but as part of a holistic
community service run by
women for women.

20. Go to where the fires are

21. 4. Personalised Support
• i-Direct builds on the work of
Inclusion Glasgow and other
pioneers of personalised
support from 1996 onwards.
• Chris Watson now leads
national work to open up
possibility of using Individual
Service Funds (ISFs) across
the whole of England.

28. In principle statutory
bodies can manage
ISFs - there is no
obligation for them
to pre-purchase
services or to only
offer inflexible
services.

30. You can’t buy creativity

31. 5. Self-Management
• Buurtzorg, a Dutch
organisation led by Jos de
Blok has gained international
attention for its work.
• Growing numbers of
organisation exploring how to
both reduce middle-
management and encourage
local decision-making.

32. keys for paid staff

34. The middle is disappearing

35. 6. Stronger communities
• Hazel Stuteley’s work at the
Beacon Estate in Falmouth is
a model of excellent
community development.
• Local people have been able
to transform lives and
community by creating power
and renegotiating their
relationship with local
services.

38. You need to tap into local pride

39. 7. Renewing democracy
• Barnsley Council have been
working on methods to
empower local citizens for 15
years or more.
• They have changed their
governance systems to move
councillors and funding
decisions close to ward level.

43. Democracy isn’t finished yet

44. An ecology for innovation
• What would it be like if we
REALLY believed in
citizenship?
• What would it be like if we
REALLY valued our
communities?
• What would it be like if we
REALLY lived in a meaningful
democracy?

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