Post on 12-Jan-2016
Self-direction and health care
Coverage
•in Control
•Self-Directed Support
•Key innovations
•Network for Social Innovation
•Independent social enterprise
•Led reform and innovation in Social Care
•Created concept of ‘Personal Budget’
•Network for Social Innovation
Filling the policy-practice gap
2003 Start of in Control - designs ‘Self-Directed Support’
2005 Policy interest in ‘Individual Budgets’
2006 in Control membership programme - 60 authorities
2006 DH launches ‘Individual Budget’ Pilot Programme
2006 in Control starts ‘Total Transformation’ - Oldham
2007 in Control membership over 100
2008 DH launches ‘Personalisation’ Programme
Self-Directed Support
•Why change was needed
•The new model for Social Care
•Key innovations
•What its achieved
Professional Gift Model
•Community merely a tax payer
• Services dominated by professional interests
• Individual is right-less - unable to identify or control their own support
•Resources are inflexible and cannot be personalised
• Perverse incentives set up for the individual and family
Citizenship Model
•Citizen at the centre
• Services negotiated
• Entitlements defined
•Community fully engaged
•Outcomes improved
Self-Directed Self-Directed SupportSupport
Self-Directed Support
1. Right to Independent Living
I can get the support I need to be an independent citizen
2. Right to a Personal Budget
I know how much money I can use for my support
3. Right to Self-Determination
I have the authority, support or representation to make my own
decisions
4. Right to AccessibilityI can understand the rules and
systems and be able to get help easily
5. Right to Flexible Funding
I can use my money flexibly and creatively
6. Accountability Principle
I should tell people how I used my money and anything I’ve learnt
7. Capacity PrincipleGive me enough help, but not too
much; I’ve got something to contribute too
Points of innovation
•Clarifying entitlements - PHBs
•Resource Allocation Systems
•Brokerage & care navigation
•Finding flexibilities
•Systems of control
•Individual Service Funds
•Using the internet
the logic of personal budgets
social justice & citizenship
©
Brokerage & Care Navigation
- not a person but a function
Resource Flexibility
•Self-determination - Ben’s Mum
•Direction - Jane’s Art Class
•Money - Margaret’s new family
•Home - Clive’s House
•Support - Keith’s personal trainer
•Community Life - Gavin’s season ticket
Person Representative Trust
Broker Provider Care Manager
Degrees of Control
Shop 4 Support
How it works
•Respecting professionals
•Empowering people
•Building partnerships
•Sharing success and information
Innovation from the ground ‘up’
What it means
•Influencing policy
•Focus on practical solutions
•Source of mutual support
•An exercise in citizenship...
Self-Direction in health