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Personalisation & Employment. IPPR Seminar on Personalising Welfare . Dr Simon Duffy Centre for Welfare Reform 21st October 2009 www.centreforwelfarereform.org. Key Issues. Context Direct Payments Personal Budgets Resource Allocation Systems Conditionality Self-Directed Support
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Personalisation & Employment • IPPR Seminar on Personalising Welfare Dr Simon Duffy Centre for Welfare Reform 21st October 2009 www.centreforwelfarereform.org
Key Issues • Context • Direct Payments • Personal Budgets • Resource Allocation Systems • Conditionality • Self-Directed Support • Community-based Support • Efficiency • Rationale • Welfare Reform
A history of institutional care and powerlessness Growth of Independent Living movement (1960s) Slow policy shifts 1996 Direct Payments Act Context in Social Care
Offers input efficiencies - not process/outcome efficiencies DPs and IPs - chosen by c. 50% Does not explain greater efficiencies of Personal Budgets Direct Payments
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 Resource Allocation Systems
Conditionality offers a way of increasing engagement of citizens Outcome vs Process conditionality Change of management vs penalty Conditionality
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 Community-based support
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 Efficiency in Pull Economics