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Achieving Cultural Change “It’s More Than Direct Payments” Clare Gent Service Development Manager The personalisation of social and health care services: more than personal budgets. •It's about treating disabled children and young people (and families and carers) with respect •It is about seeing people as individuals and equal partners in making decisions about care and support •It’s about not making assumptions about what supports might work based on people’s impairments and lifestyles •It is more than just handing over money to a young person or a family so they can choose how they want to be supported Defining Organisational Culture Values Key components Beliefs Achieving Cultural Change: 6 Key Factors •Formulate a clear strategic vision •Senior managers lead & demonstrate commitment •Senior managers model values and behaviours •Identify & revise current systems, policies, procedures and rules that need to be changed to align with the new values and desired culture •Select staff based on fit with new culture and train all in new systems & processes •Evaluate impact: identify areas for further development Achieving Cultural Change “When people not used to being listened to are heard by people not used to listening, real change is made” A Practical Guide to Delivering Personalisation Think Local Act Personal http://www.thinklocalactpersonal.org.uk/News/PersonalisationNewsItem/?cid=9232 Barriers to Personalisation Accessibility of Support Planning Tools Understanding how it applies to individual circumstances Over Emphasis on Finance Skilled Support Planners Making it Personal How to commission for personalisation – guidance for commissioners and others in children’s services • http://www.opm.co.uk/resources/mak ing-it-personal-how-to-commissionfor-personalisation-guidance-forcommissioners-and-others-inchildrens-services Making it Personal BHLP The Culture & Relationship Change Aspect of Practice ‘Under developed practice’ The BHLP model Outcomes focus Services are often confused with outcomes or outcomes are described in general terms SMART outcomes are identified Restricted focus on the 5 outcomes All 5 outcomes considered as a joint set Making it Personal Cultural Aspects Outcomes Creating a culture which nurtures innovation Service providers, front line staff and families Operational level commissioning Changing cultures & behaviours Aims of the SEND Pathfinder Programme To explore how to effectively reform the statutory SEN assessment and statement framework to: Better support life outcomes for children and young people Giving parents confidence by giving them more control Transferring power to professionals on the front line and to local communities. https://www.education.gov.uk/publications/eOrd eringDownload/DFE-RR248.pdf SEND Pathfinder Programme Weaknesses they are seeking to address: Lack of independence, choice & control for families & YP Lack of join up across services Low parental confidence Short term planning & lack of integration across age ranges Lack of multi-agency working & poor use of existing resources Lack of accountability across agencies to jointly deliver support packages Findings from the Evaluation of the SEND Pathfinder Programme • Engagement of relevant stakeholders • Recruitment of designated staff • Change management • Market development & local offer “What is being asked of you is not easy, I know that. It means a change in approach. It means going much further in treating the people you work with as individuals & tailoring support around them. It means letting them be in charge. And it means really signing up to the principles of independent living, and helping people move away from being dependent on you for help to being dependent only on themselves. That’s no small task!” Speech by Dr Stephen Ladyman, former Minister for Community, DOH 18 May 2004 Questions & Discussion Points How is your organisation responding to the need for cultural change in relation to personalisation? Do you have a strategy and vision for personalisation and strong leadership? How can the VCS support the work of the Pathfinders?