Post on 27-Mar-2015
Personalisation & Employment
IPPR Seminar on Personalising Welfare
Dr Simon DuffyCentre for Welfare Reform
21st October 2009www.centreforwelfarereform.org
• Context
• Direct Payments
• Personal Budgets
• Resource Allocation Systems
• Conditionality
• Self-Directed Support
• Community-based Support
• Efficiency
• Rationale
• Welfare Reform
Key Issues
Context in Social Care
•A history of institutional care and powerlessness
•Growth of Independent Living movement (1960s)
•Slow policy shifts
•1996 Direct Payments Act
Direct Payments
• Offers input efficiencies - not process/outcome efficiencies
• DPs and IPs - chosen by c. 50%
• Does not explain greater efficiencies of Personal Budgets
Personal Budgets
Resource Allocation Systems
•Resource Allocation Systems are rules-based systems for allocating funds
•Radically simplify criteria and enable funding integration
•Indicative quality of budget allows for fine-tuning
Conditionality
•Conditionality offers a way of increasing engagement of citizens
•Outcome vs Process conditionality
•Change of management vs penalty
Self-Directed Support
Community-based support
• Independent brokerage is the least effective and efficient form of support.
• Other forms of support have differential impact on different groups - but support from family & friends always correlates with greater improvements in outcomes
• Sophistication of this message is not getting through - risk of explosion in wasteful support
Efficiency in Pull Economics
• Focusing paid support where it’s really valued
• Purchasing non-standard services
• Integrating paid and unpaid support - tackling disincentives
• Increased community activity
• More careful spending
Underpinning rationale
Welfare Reform