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Whole System Change
1. Whole System Change
the meaning of personalisation
Dr Simon Duffy ■ The Centre for Welfare Reform ■
for North Lanarkshire Council ■ 8th November 2011
2. The Centre for Welfare Reform
• voluntary fellowship of over 60
innovators
• belief in human equality, and the value
of diversity
• welfare state is good, it’s just designed
wrong
• independent of political parties,
government and big business
3. Remember - personalisation
• was (largely) developed in Scotland
• is about greater social justice
• changes the whole system
• requires care to implement well
6. 4 key developments
• Direct payments - Hampshire
• Individual budgets - Glasgow
• Self-directed support - North Lanarkshire
• Resource allocation systems - Wigan
• of course, many more innovations...
• and its an international movement...
20. Jonathan’s story
For the 3 years before 150 days in hospital -
responding to problems with breathing.
In the 3 years after leaving hospital he has spent
only 2 nights in hospital - for elective dental
treatments.
Personalised learning - on the job - 2 City & Guilds
Qualifications.
Saving NHS, LA & Education
•Over £100,000 in hospital stays
•Over £300,000 in residential care costs
•Over £100,000 of funding contributed by the LSC
21. Implementation hazards
1.targets, instead of clear entitlements
2.complexity, instead of simple systems
3.new professionals, instead of community
4.undermining, not respecting professionals
learn from England and do different
22. 1. focus on entitlements
• revisit ‘health and social care’
• remove charging - ‘disability super tax’
• create more flexibility
• clarify and strengthen entitlements
early targets drive down quality - areas
will do it if its legal and it works!
24. 2. focus on simple systems
• NOT systems added on top of old
• NOT new more paperwork
• NOT more complex planning
• NOT monitoring the wrong things
normalise - make stuff easy
26. 3. focus on community
1.share information
2.enable peer support
3.work with community organisations
4.use service providers as allies
5.respect professional skills
27.
28. 4. focus on the front-line
• empowerment is compatible with good
practice
• front-line professionals can own and
develop these ideas
• leaders need to remove burdens
• remember words are not enough
30. Remember - personalisation
• is not foreign - you made it
• is based on your values
• is fundamental to a better system
• works - so make use of its power