Personalisation: The policy and practice context Martin Routledge June 2013

1. Personalisation: The policy and practice context Martin Routledge June 2013

2. Emergence of Personalisation in Policy (1) • Background of disability and inclusion movements, direct payments, independent living • Reflections on post 1993 social care experience • Person centered planning and approaches • Think Tanks (Demos) – co-productive approaches • In Control, self-directed support 2003 • Individual Budgets pilots 2005-7 • Improving the Life Chances of Disabled People 2005

3. Emergence of Personalisation in Policy (2) • Our Health Our Care Our Say 2006 • Putting People First 2007 (TASC) • Darzi Report 2008 • Personal Health Budgets pilots 2009 -12 • Right to Control DWP 2010 • SEND Pathfinders 2009 • Open Public Services 2011

4. Emergence of personalisation in policy (3) Putting People First Concordat outlining national multi department, multi agency commitment to transformation of Adult Social Care. • Personal budgets, greater choice and control • Prevention, universal services, social capital. PPF Superseded by Capable Communities and Active CitizensVison, (November 2010) • Care Bill 2013

5. 7 P’s of Capable Communities and Active Citizens • Prevention: (social capital, reducing/delaying demand for on-going care) • Personalisation: individuals not institutions take control of their care. Personal budgets, preferably as direct payments, are provided to all eligible people. Information about care and support is available for all local people, regardless of whether or not they fund their own care. • Partnership: (integation) • Plurality (diverse, quality provision). • Protection: (safeguarding) • Productivity: (efficiency) • People: (workforce)

6. Current social care policy context • Caring for our futurebrought together the recommendations from the Law Commission, Commission on the Funding of Care and Support with the Government’s Vision for Adult Social Care, to discuss with stakeholders what the priorities for reform should be. Law Commission Report __________ May 2011 Social Care Vision __________ Nov 2010 Caring for our future - engagement _________ Sept - Dec 2011 Care and Support White Paper and progress report on funding __________ April 2012 Draft Care Bill Consultation and scrutiny Care Bill May 2013 Dilnot Commission Report ___________ July 2011

7. In Practice (since 2007) • Effects of policy focus/de-facto targets for personal budgets and initial delivery approach (top-down implementation of an early stage innovation) • Implementation in context of major budget reductions and Dilnot/funding debate • Big technical, practice and cultural challenges for commissioners, providers, practitioners, people and families • A lot of experience, some significant positive outcomes, some poor delivery, much learning (but much more to do!)

8. Looking forward in social • care: • Implementation in context of much reduced £ and wider reforms • Continuing cultural and practical challenges – process, outcomes • Integration, Health and Well-Being Boards – personalisation part of the solution? • Making it work for all (all groups, all circumstances) • Supporting a new workforce and new ways of working • Beyond personal budgets – provider and market development, social capital, information, advice and advocacy • Co-production - power of people using public services?

9. Research • Vital in context of early stage innovations • Should test policy – but also keep step with it • Needs to help policymakers, commissioners, providers and people using social care to improve it • To have impact needs to be well engaged and connected with the above

10. www.thinklocalactpersonal.org.uk