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Sharing voluntary sector provider experience. Recovery and personalisation.
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Sharing voluntary sector provider experience Recovery and personalisation
“It is not enough in itself for a group of staff to be committed to recovery-led change; this in itself will not guarantee that a recovery model becomes truly effective. There will need to be a commitment at all levels including those who commission services, those who develop and implement training and those who manage staff in their practice and more strategically” (Marshall 2007)
6 Key Outcomes for MH • More people will have good MH • More people with MH problems will recover • More people will MH problems will have good physical health • Fewer people will suffer avoidable harm • Fewer people will experience stigma and discrimination • More people will have a positive experience of care (No Health Without Mental Health , 2011)
What is a recovery culture? • Cultivate the right conditions for recovery to take root – both for individuals and for organisations • Life story and strengths vs pathology and containment • Least restrictive conditions • Workforce development • Creative case management
Personalisation and Personal Budgets; Rhetoric – how we want it to look
Personalisation and Personal Budgets; Reality – how it feels 7
If, as a society we wish to reclaim personalisation for the goals it was originally intended to serve we must reassert the long-standing duties of local authorities to truly meet the needs of vulnerable people (Whittaker, 2013)
Statutory partners need to work to develop a shared account of outcomes that they are trying to achieve. in addition resources need to be invested so that outcomes can be co-produced by local people, community organisations and services. (Duffy, 2012)
Personalisation requires a major shift in the way both commissioning and provision of support is delivered • NCC and NHS need to make significant savings • Personalisation is a complex process which will need proper resourcing, meaningful dialogue and a willingness to be flexible and learn from one another.
Recommendations • More direct involvement of users, carers and providers in the design of systems and structures to support personalisation • A representative x-sector forum specific to the design, review and implementation of personalisation and PBs • Development and promotion of a transparent and equitable market place • Workforce development strategy • Using direct payments as a first option • Support planning externally commissioned • More stable service contracts
Outcomes for Norfolk • Secure income and home • Reduced use of residential accommodation • Fewer admissions and effective alternatives • Increase in uptake and effectiveness of IAPT • More use of personalisation and direct payments and the means to do so • Recovery embedded and learning from peer workers • Speedy and effective clinical and medical interventions