Talk given for Self-Direct in York on the implementation of personalisation and some of the thoughts looking back on its partial success and many current difficulties.
1. Self-Directed Support
some personal reflections
Dr Simon Duffy ■ The Centre for Welfare Reform ■
Self-Direct Conference ■ 18th April 2012
2.
3.
4. Some personal reflections/apologies
• Self-Directed Support
• Support planning and social work
• Individual budgets, the RAS and flexibility
• Community and peer support
• Politics and the law
• Welfare reform
14. Urgent
Service label N N Real need N
problem
Victim of Better self-
domestic 55 Debt 50 64
esteem
violence
To overcome
Mentally Ill 39 Housing 48 54
past trauma
To manage
Criminal 35 Benefits 46 51
current trauma
To stop being
Poor Mother 33 Health 37 50
bullied
Misuses 24 Rent 32 Guidance 50
Alcohol
Criminal Justice Relationship
Uses Drugs 22 24 45
Advocate skills
Violent 19 Dentistry 8 Mothering skills 26
Chronic Health
16 Others 3 Others 1
Condition
15.
16. 137 different
ways...
to give people not
very much...
•linked or not
•means-tested or
not
•tax credits or
benefits
•disability related
or not
•employment-
seeking or not
25. • 58% of all cuts target disabled people
and people in poverty
• 36% of all cuts target disabled people
• 24% of all cuts target the 1.9% of the
population who need social care -
those with the most severe
impairments
26.
27. • Unfair - target those who are most
disadvantaged
• Unfair - make an unequal society
even more unequal
• Unfair - target the groups that didn’t
benefit from the economic bubble
28.
29.
30. 1.Human rights - not services
2.Clear entitlements - not confusion
3.Early support - not crisis
4.Equal access - not institutional care
5.Choice and control - not dependence
6.Fair incomes - not insecurity
7.Fair taxes - not targeted
8.Financial reform - sustainable