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Whole System Change
the meaning of personalisation




    Dr Simon Duffy ■ The Centre for Welfare Reform ■
    for North Lanarkshire Council ■ 8th November 2011
The Centre for Welfare Reform

• voluntary fellowship of over 60
  innovators

• belief in human equality, and the value
  of diversity

• welfare state is good, it’s just designed
  wrong

• independent of political parties,
  government and big business
Remember - personalisation

• was (largely) developed in Scotland
• is about greater social justice
• changes the whole system
• requires care to implement well
“personalisation” is used
in many different ways
technologies rooted in values
4 key developments

• Direct payments - Hampshire
• Individual budgets - Glasgow
• Self-directed support - North Lanarkshire
• Resource allocation systems - Wigan
• of course, many more innovations...
• and its an international movement...
Direct
payments...




power, with many limitations
Whose money?




for services, or for people
Individual budgets




from push to pull economics
Individual budgets




not shopping - community
Self-directed support




change the whole system
Social justice at the root




citizenship
Social justice at the root




real
wealth
Social justice at the root
Case study



Personalised
Transition...
Jonathan’s story
For the 3 years before 150 days in hospital -
responding to problems with breathing.
In the 3 years after leaving hospital he has spent
only 2 nights in hospital - for elective dental
treatments.
Personalised learning - on the job - 2 City & Guilds
Qualifications.
Saving NHS, LA & Education
•Over £100,000 in hospital stays
•Over £300,000 in residential care costs
•Over £100,000 of funding contributed by the LSC
Implementation hazards

1.targets, instead of clear entitlements

2.complexity, instead of simple systems

3.new professionals, instead of community

4.undermining, not respecting professionals


learn from England and do different
1. focus on entitlements

  • revisit ‘health and social care’
  • remove charging - ‘disability super tax’
  • create more flexibility
  • clarify and strengthen entitlements
early targets drive down quality - areas
will do it if its legal and it works!
resistance to innovation




its natural - so don’t cheat...
2. focus on simple systems

• NOT systems added on top of old
• NOT new more paperwork
• NOT more complex planning
• NOT monitoring the wrong things

normalise - make stuff easy
unlock community capacity
3. focus on community
1.share information

2.enable peer support

3.work with community organisations

4.use service providers as allies

5.respect professional skills
4. focus on the front-line
• empowerment is compatible with good
  practice

• front-line professionals can own and
  develop these ideas

• leaders need to remove burdens
• remember words are not enough
ending care management...




    ...rescripting social work
Remember - personalisation

• is not foreign - you made it
• is based on your values
• is fundamental to a better system
• works - so make use of its power
Scottish
Campaign
for a Fair
Society
personalisation
through
collective
action
For more information go to
www.centreforwelfarereform.org




      These slides are © Simon Duffy 2011 ■ Publisher is The
      Centre for Welfare Reform ■ Slides can be distributed subject
      to conditions set out at www.centreforwelfarereform.org ■

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Whole System Change

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