1. Main title Date Time Name etc
Citizen Directed Support A life not a service
Main title
Date
Time
Name etc

2. What is Citizen Directed Support?
Involves finding out what is important to people with social care needs and their families, helping them to plan how to use the available money to achieve these aims.
It is about keeping a focus on outcomes and ensuring people have choice and control over their support arrangements

3. Starting with the person
Personalisation means thinking about public services and social care in an entirely different way – starting with the person rather than the service. It will require the transformation of adult social care.
Julie Jones, Chief Executive, SCIE
Starting point is not a policy or service but the person – summed up in Julie Jones; quote. Not just another new initiative but something very radical – will mean a transformation of adult social care
Put in personal terms – Maria quote. This is really the essence of personalisation.

4. begins with the person, not the service
recognises person’s strengths, preferences, networks of support, friendship etc
individual is best placed to make decisions about their life
with access to information, advice
irrespective of whether ‘self’ funded or publicly funded
about giving people choice and control over their lives
So what is personalisation ? no one single definition but here are the main elements (page 2-3 of rough guide)

5. Where has personalisation come from?
social work values (individual self-determination)
Social justice movement
community care reforms in early 1990s
experience of direct payments
independent living movement & social model of disability
the work of ‘in Control’
policy ideas and thinking
p8-11 the current policy framework is important but the ideas and thinking behind personalisation go back a long way and have been shaped by many different influences. Especially by people who have used direct payments and the movement for independent living.

6. Putting People First Key Elements
PREVENTION
EARLY INTERVENTION
UNIVERSAL SERVICES
“Everyone, irrespective of their illness or disability has the right to self determination and maximum control over their own lives."
Alan Johnson
Health Secretary, 2007
CHOICE & CONTROL
SOCIAL CAPITAL
Part of personalisation agenda
Personalisation means thinking about public services and social care in an entirely different way – starting with the
person rather than the service. People, rather than systems and procedures, come first. The personalised social care
system will need to meet a number of set objectives:
a universal information, advice and advocacy service for people needing services and their carers, including those funding their own care
person-centred planning and self-directed support becoming mainstream adults ’ services
a fair and transparent system for allocating resources to people with different levels of need
personal budgets as an option for everyone eligible for publicly funded support
an increase in the take-up of direct payments
family members, friends and carers to be treated as experts and supported in their role as well as having a life outside their caring responsibilities
commissioning processes that encourage services offering high standards of care, dignity and maximum choice and control
a common assessment process with greater emphasis on self assessment
ensuring people, their carers and families have a collective ensuring people, their carers and families have a collective voice, influencing policy and provision
adult social care services championing the rights and needs of people across the local authority, public services and the wider community
the promotion of dignity in local care services as part of systems aiming to minimise the risk of abuse and neglect of vulnerable adults
prevention, early intervention and re-ablement as more standard practice
supporting people to remain in their own homes as long as possible while combating potential isolation
viewing telecare as integral rather than marginal.

7. Independent Living Institution Care Citizenship
Would you want your social care needs to be met by the current system?
Institution
Care
Citizenship

8. Process Self directed assessment (proportionate)
Indicative budget – up front allocation
Support planning
Choice and control
Review

9. Who can manage the money:
Person
Representative
Trust
Broker
Provider
Care Manager
Personal Budget
One element
Moving from gift to entitlement
Offered as a direct payment or as an ‘account’ managed by the Council or a Third Party

10. But what about here
in Wales?

11. Welsh Policy context
One Wales
“ the principles of social justice, sustainability and inclusivity…….. We will help people to be independent and achieve their full potential, whilst also protecting people when they are most vulnerable”.
“Our vision is of a fair and just Wales, in which all citizens are empowered to determine their own lives and to shape the communities in which they live.”

12. Delivering beyond the Boundaries
“Services must be designed to meet the needs of all citizens. Putting citizens first and involving them in the design of public services is central to achieving radical change…….People must not be seen as passive recipients.”
“ Rethinking social services so that ‘better educated, better informed and empowered service users, carers and their families, supported by more accessible, more widespread and independently available information and budget control will be able, and will expect, to play a much more active role, in managing their own situation, assessing their own needs, selecting their own care providers, and managing their resources.”

13. Fulfilled Lives, Supportive Communities
“ Whatever their difficulty or impairment, people should be supported to have control over the life they wish to live.
People have a right to expect services, which help them to make full use of their potential, protect them from harm and offer a choice about how they are supported.”

14. Co-production
Co-production is about how services ‘work with rather than do unto users’.
It refers to active input by the people who use services, as well as – or instead of – those who have traditionally provided them.
It emphasises that the people who use services have assets which can help to improve those services, rather than simply needs which must be met.
Co-production means involving citizens in collaborative relationships with more empowered frontline staff who are able and confident to share power and accept user expertise.
Co-production is a potentially transformative way of thinking about power, resources, partnerships, risks and outcomes, not an off-the-shelf model of service provision or a single magic solution.

15. - What do you want to achieve? Focus on strengths not just needs
Outcome focused
- What do you want to achieve?
Focus on strengths not just needs
Person centred
What’s important to and for people?
Much work has been done - especially over the last 10 years -
about developing person centred approaches in health and social
care services in order to deliver better treatment and care for
older people. However, very often this means doing things in a
more efficient and organised way rather than really doing things
differently in ways that make sense for older people. Older people
also live their lives outside of health and social care services so we
need to develop person centred ways of supporting older people
that aren’t just about quicker, faster, more efficient services, but
are about improving lives and life chances. This means ensuring
any kind of support is led, designed and planned by and with older
people and their families. We also call this ‘self directed support’.

16. X just about giving people personal budgets
What it is not
X a completely new idea
X just about giving people personal budgets
X only for people eligible for Council funding
X or those needing traditional services only
p4 continued – emphasises that although individual budgets are an important mechanism to achieve personalised outcomes, there is more to it, and the principles apply to people in a variety of settings e.g. care homes.

17. How Citizen Centred / Outcome focused do you think your services are today?
On a scale of 1-5
(1 being not at all….)

18. Tailoring support to people’s individual needs
What it does mean?
Finding new collaborative ways of working and developing local partnerships, which produce a range of services for people to choose from and opportunities for social inclusion
Tailoring support to people’s individual needs
Recognising and supporting carers in their role, while enabling them to maintain a life beyond their caring responsibilities
page 4

19. CDS has implications for:
the role of social workers and social care staff
third sector organisations and private sector providers
user-led organisations
commissioning
regulation
key issues for the whole social care sector
Section 3 of the rough guide sketches out the main implications for different parts of the social care world and for the sector as a whole. Depending on your audience, you can focus on any one or all of these headings, drawing on the content of the guide accordingly.

20. Need a ‘can do’ approach
Learning from Others
Communication is key
Need a ‘can do’ approach
Active work with people with social care needs their families
Well developed implementation programme
Link with other major changes e.g. reablement
Community development
Not have all the answers – a journey, learning together
End to end review of operating models and business processes

21. Wales Alliance for Citizen Directed Support Empowered lives, Supportive Communities
Learning Disability Wales
Mencap
Carers Wales
Age Alliance
Mind
Disability Wales
Provider Network
ADSS
SSIA
LA Forum rep
Lay chair
WAG observer
In partnership with In Control

22. WACDS 3 Principles Choice and Control Community Change
I will have the greatest possible choice and control to direct my own life
We will work together to have lives that we can all aspire to
Community
I have a rightful place in my community and an opportunity to contribute to it.
We will help to build communities in which we all can exercise our responsibilities and enjoy our rights as citizens.
Change
I can work to create a better life for me and those around me.
We can work together to create a major change in the way we support each other and meet our needs.

23. Key issues for social care services
Whole system change
- Processes (business/care pathway / fit with UA / charging)
- People (culture, roles, training)
-Commissioning (impact on existing services; unit cost of in house services, market shaping, prevention)
- Community development
Equality - potential exposure of inequities in the system
Workforce regulation and performance
Approaches to risk and safeguarding
And I’m sure you can think of lots of more!
Fit with Unified Assessment; link with Reablement

24. Thank you