Personalisation: The policy and practice context Martin Routledge June 2013

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 Improving the Life Chances of Disabled People 2005 Emergence of Personalisation in Policy (1)

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

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 PPF Superseded by Capable Communities and Active Citizens Vison, (November 2010) Care Bill 2013

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)

Current social care policy context Social Care Vision __________ Nov 2010 Law Commission Report __________ May 2011 Dilnot Commission Report __________ _ July 2011 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 Caring for our future brought 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.

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!)

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?

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