Innovation - problem-solving where no standard solution work - adaptation Keeping means and ends in view but distinct Generating ideas in a spirit of humility and fun Focus on what is both do-ability and test-ability Don’t try and solve tomorrow’s problems today Do remind yourself of the vision and the values Simpler is almost always better given two equal ideas

1. Improving health Improve health for the whole community Take care of yourself better Connect to people who are at increased risk Connect to people who may have been missed out Where will self-direction strategies help?

Examples of real innovation so far Money - Small Sparks, community grants Peer support - Plan, POPs Information - Keys to Citizenship, Terry Lynch’s book Development - Partners in Policy Making, Weight-watchers Key Challenge: Using citizen energy

2. Diagnosis & assessment Understand our health and needs better Understand our rights and options Find the right expertise Gather information better Where will self-direction strategies help?

Examples of real innovation so far Self-Assessment Questionnaire RAS: Version 5, Children’s 5 Outcomes, LSC, CHC Care Pathways: Nice Guidelines, MND NHS Choice Key Challenge: Find where information can add value now

3. Planning Make effective decisions Improve our own health management - self-care Plans on-going support that makes sense in our life Involve and consult the right people Record important information, intentions, living wills etc. Create accountabilities that help improve decisions Where will self-direction strategies help?

Examples of real innovation so far Support planning framework - 7 elements Tools - In the Driving Seat, Top Tips... CAF/SAP - ? Patient records Health wikis Key Challenge: Make it easy, useful but connected

4. Developing Roles Build better relationships between professionals and citizens Improve professional effectiveness Improve information flows and accountabilities Give people new skills and information Where will self-direction strategies help?

Examples of real innovation so far Social Workers - new roles Service Providers - ISF Supporters - PAs CPNs and the CPA Community Matrons General Practitioners Key Challenge: Add value to professionals

5. Resources See NHS resources in their full context Offer a full range of control options Enable funding integration Expand flexibility where possible Monitor where it adds values Improve equity Where will self-direction strategies help?

Examples of real innovation so far 6 control systems Pooled & integrated funding Shop4Support Contractual mechanisms DH: real, managed, virtual Key Challenge: Focus on unlockable resources

6. Support systems Connect to existing services and supports Connect to new emerging markets or possible markets Identify what is missing from the market How are people supported throughout the process Ensure effective regulation and QA Clarify what is standard and what is purchasable Ensure ‘navigation’ is easy and universal Where will self-direction strategies help?

Examples of real innovation so far 6 pathways Total flexibility rules - new forms of support Improved social capital Increase innovation Key Challenge: Spot positive leadership

7. Review & Outcomes Know what we are trying to achieve Measure success (or failure) Gather information robustly Use meaningful outcomes Let people define the personalised outcomes Think who needs what information Where will self-direction strategies help?

Examples of real innovation so far 6 Citizenship Outcomes 5 Every Child Matters Outcomes Robust Questionnaires - Lancaster Patient Opinion Internet-based data gathering e.g. Personal Budgets Key Challenge: Health, Health, Health