Lives Plus.org.uk White Paper: implications for personalisation, choice & control Alex Fox, CEO Shared Lives Plus Karl and Clare with carers Blossom and Mike, at their wedding, before moving to live independently

Lives Plus.org.uk Personalisation limited within a needs-based system Personalisation has brought us a long way: huge shift of care for working age adults into community- based locations Individual choice and service tailoring well-established But system remains needs-based, not asset-based: Individual budget control hasn’t led to commissioning power Choice is illusory without user-led service design Even a well-tailored service doesn’t guarantee a good life “Independence” sometimes seems to mean living alone New locations/ budgets; same old gift-model services?

Lives Plus.org.uk Putting People First 2007 Of the four equal quadrants of Putting People First (universal offer, social capital, prevention, choice and control), only choice and control is strongly evidenced through huge increase in personal budgets (340,000 people; £1.57bn). The White Paper is likely to look at the unfinished business of: 1.prevention, 2.community capital 3.a more universal system, not just crisis response.

Lives Plus.org.uk Prevention Prevention often seen as limited to early intervention. Every intervention should have a preventative ‘push back’ or ‘steer outwards’ into the community. This means every cost-effective intervention has a future focus. Preventative interventions are always empowering and connecting, reducing isolation and dependency. So not necessarily a quicker journey into ‘service land’, but early access to support to plan, navigate the system and connect. Local Area Coordination and ‘ABCD’ Time banking and care banking eg Spice

Lives Plus.org.uk Micro-scale and hyper-local approaches and enterprises Micro-enterprises won’t scale up, but will ‘scale out’ Shared Lives: better & £13k per person pa cheaper Keyring: volunteer community connectors The hidden wealth of communities

Lives Plus.org.uk Asset approaches open up the system because: It’s not all about the money, money, money Not all about “in” or “out” of the system: less stigma There are fewer distinctions between levels of need and personal wealth More strategic use of money spent on information & advice Our responsibilities are clear alongside our entitlements Risks are shared more clearly and fairly Personal budget holders and communities share in commissioning decisions: eg Community Fundholding A more universal system

Lives Plus.org.uk Alex Fox, CEO, Shared Lives Plus, Contact details