How Powys acted as an enabling state for its citizens working hands-on with a willing provider

Brecon Floating Support Service

Key Changes Purpose: System: Learning: Not delivering top-down care plans But doing what mattered to people System: Not fixed tasks, and rotas based on staffing hours But when, what and how works best for people Learning: Not did we follow the script and deliver the hours? But are we spending our time well or wasting it?

Key Achievements Support Staff: Citizens: Commissioners: Trusted and valued as creative, problem-solvers Successful at reducing many people’s dependency Citizens: Getting what they wanted nearly all the time Doing more for themselves and for each other Commissioners: Better outcomes, and more people served Whilst absorbing a budget cut

15% cut Threefold growth

Turning things the right way up

From welfare state to enabling state Target setting Top-down Representation Silos Crisis management Doing To State Outcomes Bottom-up Participation Working together Prevention Doing With Third Sector

From market state to enabling state Outputs Top-down Commodification Competition Crisis management Doing To Hands-off State Outcomes Bottom-up Co-production Collaboration Prevention Doing With Public/Social Partnership

Key Elements Purpose System Learning

What’s our Purpose for Wales?

Sustainable well-being

Our shared public/social responsibility to act sustainably Long-term Prevention Integration Collaboration Involvement

Our shared public/social responsibility to act sustainably Long-term Prevention Integration Alignment Collaboration Involvement

What’s the Purpose of social care?

What’s the Purpose of social care?

What’s the Purpose of social care? Do What Matters

What Systems are we using?

What Systems are we using? How do we find out what matters to people? How do we help people to get what matters? How do we build capacity & sustainability: With individuals? With communities? With other organisations? Within our own organisations?

How are we Learning?

How are we Learning? What are we measuring? What trends are the measures telling us about? How much time and resource are we wasting? What experiments can we try: To reduce dependency and waste? To achieve and sustain people’s well-being? How are we learning together and sharing?

“I think the penny dropped with me about four weeks into recording “demands”. I thought, My Goodness, we’ve held people back for such a long time. I feel quite passionate about it because I can see now how people are really doing things”.

“They (Powys Council) were our mentors if you like “They (Powys Council) were our mentors if you like. They worked very closely with us all the way through”.

Purpose System - Learning adrian.roper@cartrefi.org CEO, Cartrefi Cymru

Purpose System - Learning adrian.roper@cartrefi.org Chair, Wales Co-production Network Chair, Wales Social Co-operation Forum Chair, Mid Wales Social Co-operative Consortium Member, Bronllys Well-Being Park CLT Steering Group Third Sector Member, National Commissioning Board Member, Third Sector Alliance of Alliances Member, LDAG Transforming Care Sub-Group Trustee, Learning Disability Wales Family Carer