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The Total Transformation Programme, 2007-9. Care Managers...back to social work? . In Contro l. In Control’s mission is to play a key role in the creation of a new system of social care, where people will control their support, their money and their lives as valued citizens.
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The Total Transformation Programme, 2007-9 Care Managers...back to social work?
In Control In Control’s mission is to play a key role in the creation of a new system of social care, where people will control their support, their money and their lives as valued citizens
The Total Transformation Programme 2007-9 Projects • Support systems • Conversion of inhouse services • Support for elected members • Social work* • Developing community capacity • External provider development • IT systems • Workforce* • Safeguarding • Outcomes for citizens
Total Transformation local authorities Newham Newcastle Northumberland Oldham Richmond Sheffield Southampton Tower Hamlets West Sussex York • Cambridgeshire • Croydon • Cumbria • Essex • Hampshire • Hartlepool • Hackney • Lancashire • Leeds • Lincolnshire
Values and Attitudes In Control's 7 principles 1. Right to Independent Living2. Right to an Individual Budget3. Right to Self-Determination4. Right to Accessibility5. Right to Flexible Funding6. Accountability Principle7. Capacity Principle
Citizenship “Citizenship is being someone who has respect within the community and who acts to support and sustain that community. Our commitment to each other and to the public services which support it relies on the willingness of citizens to contribute practically and financially to the strengthening of these services. If we erode citizenship, make participation and contribution harder then we will eliminate the very fabric of the community itself. Citizenship promises better outcomes by strengthening the commitment of each of us to each other and to the whole community”. (Simon Duffy)
So: What is changing? Changes: • Relationship of citizen with state • What we expect of citizens • What we expect of public servants • How we view professionals and professionalism
Reclaiming Public Service (1) From Street-Level Bureaucrats to Creators of the Conditions for Empowerment....
Reclaiming Public Service (2) • The whole social care workforce • The whole LA workforce • The whole local workforce, including mainstream services in private and Third sectors ....connect with people’s sense of who they are, engage the widest possible community
Professionals: care managers back to social workers? (1) Caring for People (1989) said case managers should • Identify people in need • Assess needs • Plan and secure the delivery of care • Monitor care quality • Review client needs
Professionals: care managers back to social workers? (2) Reclaiming social work: • Set out the common ground between SDS and social work: rights, human relationships, choice & control, resources & assistance • Spell out breadth of social work role: gateway to support, navigator, quality checker, co-ordinator, hazard checker, link to community, counsellor, professional social worker, LA officer • Specify how social work can help (and its limits) in each of the seven steps of the SDS process
Social workers’ commitment Social work is committed to enabling every child and adult to fulfil their potential, achieve and maintain independence and self-direction, make choices, take control of their own lives and support arrangements, and exercise their civil and human rights. It looks at people’s lives and circumstances in the round, and works with them to personalise social care responses to fit their own individual situations. Its approaches and working methods aim to promote empowerment and creativity. (General Social Care Council, 2008)
Social Workers’ contribution to the new system For example: Step two: Making my plan A system that defines the circumstances where professional social work intervention is required in helping someone to think about and make a support plan. These will be in one or more of the following situations: • When the person asks for such help. • When the person’s family or others supporters ask for such help • Etc.
Social Workers’ contributionto the new system Step three: Getting my plan agreed A system that supports social workers to make judgements about support plans based upon an understanding of the person, their strengths and needs, and what is achievable for the person in their situation, making best use of their Individual Budget. (From : In Control, Systems, Practice and Support of Professional Social Work under Self-Directed Support)
Newham social worker 1 ‘I feel that I am doing holistic social work: making a difference. I feel that service users have more say, that they are empowered, being independent and being valued. Some people say that social workers are no longer required, however we feel that it is now that social workers are required because we now empower clients; before it was mechanical in the way that a comprehensive assessment was completed and a care plan drawn up.’
Newham social worker 2 ‘I sometimes felt that I was limited in what I could do to bring about the desired change in vulnerable people’s lives by resource-driven service provision and delivery (managers have become more like finance controllers). I was therefore thrilled by the introduction of Self-Directed Support/Individual Budgets as a more flexible alternative...especially in leaving users in control of how services are delivered and in the assessment of their own needs.’
In Control resources Self-Directed Support: Social Workers’ Contribution Citizenship Through Social Work: A Discussion Paper from In Control Systems, Practice and Support of Professional Social Work under Self-Directed Support www.in-control.org.uk
Questions • What are the personal challenges for different actors within the system? • How will our behaviour be different? • What are the specific challenges for social workers? • Do we still need social workers? • How does the whole system need to flex and change to accommodate the new role?
