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Creative Disruption in Health and Social Care: the role of the citizen Overview by Glen Garrod

Explore the role of citizens in shaping health and social care through direct payments. Gain valuable insights from the POET Survey 2017 on social care support, personal budgets, and decision-making. Understand the impact on dignity, quality, and everyday activities. Learn about funding options like DWP, PHB, and more. Discover the effectiveness of personalization and behavioral science in improving service delivery for individuals.

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Creative Disruption in Health and Social Care: the role of the citizen Overview by Glen Garrod

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  1. Creative Disruption in Health and Social Care: the role of the citizen Overview by Glen Garrod ADASS President And Executive Director of Adult Care and Community Wellbeing Lincolnshire County Council

  2. Direct Payments

  3. Direct Payments

  4. Direct Payments

  5. POET Survey 2017: adults in receipt of social care support 4300 responses: 14 one off surveys in different local authorities (52%); Ongoing collection from embedded poet survey in 4 local authorities; 16yrs – 64yrs (48%); 65yrs+ (52%); Support received: Home care (45%) Personal assistant (33%) Day care (18%) Res and nursing (14%) Social support (30%) Short term reablement(4%) Supported living (3%)

  6. Do you know the amount allocated to your Personal Budget and can you decide how to spend it? • (2017) 50% knew the amount allocated to their personal budget and 51% reported that they could decide how their personal budget was spent. • (2017) As a whole group 27% said they could not decide how to spend their personal budget – this rose to 43% for people with learning disabilities. • (2017) People aged 65yrs+ and people with memory and cognition support needs were significantly less likely to know the amount of money in their personal budget. • (2017) A common theme throughout the survey analysis was the disparity in results between people with different support needs, suggestion a lack of consistency in approach. In 2013 the figures are not broken down to this extent in the report so it is difficult to make a general judgement.

  7. What seems to be working In 2017 (84%) and 2014 (82%) rated their support as good or very good in relation to dignity. In 2017 a large majority (81%) rated their support as good or very good in relation to quality. People were generally less positive about the impact of support upon the following: 2014 2017 Everyday activity: n/a 57% Community: 55% 58% Relationships:71% 57%

  8. Social Care: Operating in virtual worlds ‘State’ Funded Self-funding DWP Carers Allowance IPC, PHB, DP PIPs ISF Attendance Allowance

  9. Some Useful Caveats? • Personalisation in any form is not a panacea for all. • Personalisation is most effective when targeted at individuals with specific conditions where self-management is possible. • The use of behavioural science is critical in delivering people-orientated system change; get the engagement with service users wrong, and it will fail. 

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