Transcript Document

Personalisation: The
policy and practice
context
Martin Routledge June 2013
Emergence of
Personalisation in Policy (1)
• Background of disability and inclusion movements,
direct payments, independent living
• Reflections on post 1993 social care experience
• Person centered planning and approaches
• Think Tanks (Demos) – co-productive approaches
• In Control, self-directed support 2003
• Individual Budgets pilots 2005-7
• Improving the Life Chances of Disabled People 2005
Emergence of
Personalisation in Policy (2)
• Our Health Our Care Our Say 2006
• Putting People First 2007 (TASC)
• Darzi Report 2008
• Personal Health
Budgets pilots 2009 -12
• Right to Control DWP 2010
• SEND Pathfinders 2009
• Open Public Services 2011
Emergence of personalisation
in policy (3)
Putting People First Concordat
outlining national multi
department, multi agency
commitment to transformation of
Adult Social Care.
• Personal budgets, greater
choice and control
• Prevention, universal services,
social capital.
PPF Superseded by Capable
Communities and Active Citizens
Vison, (November 2010)
• Care Bill 2013
7 P’s of Capable Communities and
Active Citizens
• Prevention: (social capital, reducing/delaying demand for ongoing care)
• Personalisation: individuals not institutions take control of their
care. Personal budgets, preferably as direct payments, are
provided to all eligible people. Information about care and
support is available for all local people, regardless of whether or
not they fund their own care.
• Partnership: (integation)
• Plurality (diverse, quality provision).
• Protection: (safeguarding)
• Productivity: (efficiency)
• People: (workforce)
Current social care policy context
Law
Commission
Report
__________
May 2011
Social Care
Vision
__________
Nov 2010
•Caring for our future brought together the
recommendations from the Law Commission,
Commission on the Funding of Care and Support
with the Government’s Vision for Adult Social Care,
to discuss with stakeholders what the priorities for
reform should be.
Caring for our
future engagement
_________
Sept - Dec
2011
Dilnot
Commission
Report
__________
_
July 2011
Care and
Support
White Paper
and
progress
report on
funding
_________
_
April 2012
Draft Care Bill
Consultation
and scrutiny
Care Bill May
2013
In Practice (since 2007)
• Effects of policy focus/de-facto targets for personal
budgets and initial delivery approach (top-down
implementation of an early stage innovation)
• Implementation in context of major budget reductions and
Dilnot/funding debate
• Big technical, practice and cultural challenges for
commissioners, providers, practitioners, people and
families
• A lot of experience, some significant positive outcomes,
some poor delivery, much learning (but much more to do!)
Looking forward in social
care:
• Implementation in context of much reduced £ and wider
reforms
• Continuing cultural and practical challenges – process,
outcomes
• Integration, Health and Well-Being Boards – personalisation
part of the solution?
• Making it work for all (all groups, all circumstances)
• Supporting a new workforce and new ways of working
• Beyond personal budgets – provider and market
development, social capital, information, advice and advocacy
• Co-production - power of people using public services?
Research
• Vital in context of early stage innovations
• Should test policy – but also keep step
with it
• Needs to help policymakers,
commissioners, providers and people
using social care to improve it
• To have impact needs to be well engaged
and connected with the above
www.thinklocalactpersonal.org.uk