1. Where next for adult social care?
Prof. Jon Glasby
Director, Health Services Management Centre

2. What if SC for? Basic safety net? Citizenship rights?
Investing to save (prevention and rehab)?
Promoting active citizenship?
Supporting carers?

3. Prevention (and rehabilitation)
‘Breaking out of the Vicious Cycle’ (Audit Commission)
‘Inverting the triangle of care’ (ADSS/LGA)
Opportunity/challenge of public health White Paper
Evidence base = problematic – scope for ‘practice-based evidence’ rather than ‘evidence-based practice’ (key role for SCIE/ADASS etc?)

4. Personalisation
Personalisation is social care’s ‘Big Society’ – and adult social care could be at the forefront of broader change
Biggest risk is that we overly-complicate things, kill any innovation and set staff up to fail
Very vulnerable in the current political and financial context

5. PBs as a form of Conditional Resource Entitlement?

6. Partnership
Will the financial context bring us together or pull us apart?
GP commissioning – place/patch/
neighbourhood-based approaches?
Language of local democracy – but what does this mean?
Importance of ‘creating NHS local’/moving beyond ‘joint commissioning’

7. Productivity – SC as a form of social and economic investment
3 scenarios
‘Slow uptake’ – funding doubles in 20 years
‘Solid progress’ – costs rise, but less dramatically
‘Fully engaged’ – could manage roughly within current resources (BUT savings accrue elsewhere) – i.e. we invest in social care to achieve savings elsewhere

8. Implications for ADASS
Being clear about what SC has to offer
Sharing learning with others/leading the way
Standing up for social work
Being on the inside v external challenge
We need to be in it for the duration
Very difficult role for ADASS – scope to learn from other sectors/countries?