Transcript Freedom of Information (Scotland) Act 2002

Developing Creative Practice
Stephen Plunkett
University of the West of Scotland Institute for
Older Peoples Health and Wellbeing
Presentation Content
• This presentation will briefly explore creativity and selfdirected support (SDS) in the context of professional social
work practice.
• It will highlight key challenges and potential opportunities
when developing creative SDS practices.
• It draws on emerging research and evaluation evidence on the
implementation of SDS within Scottish local authority social
work departments.
Context
• Historically, the role of social work with older people has been
less clearly defined than other aspects of practice.
• Scotland has a strong tradition of ‘public welfare’ and
personalisation has been somewhat slower to develop here
than elsewhere.
• SDS may offer an opportunity to explore new and creative
approaches to social care underpinned by the principle of coproduction.
Embracing change
• Research indicates that health and social work professionals
recognise that many people are not receiving services best
suited to their circumstances or preferences.
• There is little evidence within the emerging research on SDS
of paternalistic attitudes amongst practitioners.
• The evidence does suggest that SDS is regarded as compatible
with core social work values.
• There appears to be a genuine willingness to diversify the
social care sector and explore innovative ways of meeting
needs and achieving goals.
The Scale of Change
• Evaluations of SDS pilot
sites in Scotland have
revealed the extent of
change required local
authorities in order to
implement SDS.
 “Whole systems change”.
New training
New assessment processes
and tools
Developing new resource
allocation systems
New monitoring processes
Key Challenge 1
Developing creative and
innovative practice.
Managing the workload and time
required to undertake new and complex
processes and procedures with finite
resources.
Cultural Change
Service led and needs
focused.
Person centred and
outcomes focused.
Achieving cultural change
• Training programmes and
practice tools have been
developed to help health
and social care
professionals make the
shift towards person
centred and outcomes
focused practice.
 E.g. “Talking Points”.
Encouraging creativity
• The emerging evaluation evidence
suggests that people are more
likely to explore and test creative
options if they have the support
and reassurance of a lead
practitioner.
 Reinforces the principle of
empowering people to have the
confidence to chose and control
their own care arrangements.
Key Challenge 2
Encouraging creative and
flexible ways of meeting needs
and achieving outcomes.
The pressure associated with
“getting it right”.
Challenges of “Getting it Right”
in the Context of Dementia
People with dementia and
there families.
• Having control and making
choices can be challenging
and stressful, especially for
those making decisions on
behalf of another.
• Netten et al (2012) suggest
that older people and their
families may be more likely
to experience this than other
client groups.
Practitioners
• Whilst aiming to empower
people (including ‘risk
empowerment’)
practitioners must also
continue
to
safeguard
vulnerable people from
neglect,
abuse
and
exploitation.
Creative Options?
• The emerging evidence on the
implementation of SDS in Scotland
suggests that individual frontline
practitioners (especially those within
the public services) have limited
awareness about the type or
availability of alternative service
options within their localities.
 There may be few alternatives because
the market has not yet been stimulated.
Stimulating Creative
Options
Creating opportunities
for creative practices
and solutions will
require close
collaboration,
communication,
planning and a shared
‘vision’ amongst the
various agents
involved in promoting
effective change.
Budget holders,
carers, families and
advocates.
Service
providers.
(Statutory,
commercial
and
voluntary)
Frontline
practitioners
and
managers.
Finance officers and
service commissioners.
Examples of creative practices
Social
Enterprises
Resource Banks
• Applied negation skills.
• Recommend budget
pooling.
• Support innovative user led
services e.g. Dementia
Adventure.
• Independent practitioners.
• Develop innovative ways
to supply and share
information.
• Create forums for
interaction where people
can source services and
personal care.
Recap
Person centred and
outcomes focused
Emerging care
markets
Creative
Practice
Skills and practice
tools
Collaboration and
supportive practice
environments
Manageable
processes and
procedures
Concluding Thoughts
• SDS is new and represents a significant change in Scottish
social care.
• Professionals are on the same journey of change as the people
and families who will choose SDS.
• There are encouraging signs that the social care workforce is
ready to embrace SDS and explore creative approaches.
• Evidence based practice: More research is required to enhance
the evidence base on creative SDS outcomes for people with
dementia and also the role of health and non-statutory care
practitioners who may have more expertise in this feild.
Recommended Further Reading
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Ferguson, I. (2007) Increasing User Choice or Privatising Risk? The Antimonies of
Personalisation. British Journal of Social Work. 37. 387-403
Manthorpe, J. Hides, J. Martineau, S. Cornes, M. Ridley, J. Spandler, H. Rosenguard, A.
Hunter, S. Little, S. Gray, B. (2011). Self-Directed support: A review of the Barriers and
Facilitators. Edinburgh. Scottish Government.
Manthorpe, J. and Kritika Samsi. (2013) “Inherently Risky?”: Persaonal Budgets for People
with Dementia and the Risks of Financial Abuse: Findings from an Interview-Based Study
with Adult Safeguarding Coordinators. British Journal of Social Work. 43.889-903
Netten, A. Jones, K. Knapp, M. Fernandez, J, L. Challis, D. Glendinning, C. Jacobs, S.
Manthorpe, J. Moran, N. Stevens, M. Wilberforce. M. (2012) Personalisation Through
Individual Budgets: Does it Work and for Whom? British Journal of Social Work. 42, 15561573.
Ridley, J, Spandler, H, Rosenguard, A, Little, S. Cornes, M. Manthorpe, J. Hunter, S, Kinder,
T. Gray, B. (2011) Evaluation of Self Directed Support Test Sites in Scotland. Edinburgh.
Scottish Government Social Research.
Ridley, J. Spandler, H, Rosengard, A. Menhennet, A. (2012) Follow-Up Evaluation of Self
Directed Support Test Sites in Scotland. Edinburgh. Scottish Government.