1. Self-direction and health care

2. Coverage in Control Self-Directed Support Key innovations Network for Social Innovation

3. Independent social enterprise Led reform and innovation in Social Care Created concept of ‘Personal Budget’ Network for Social Innovation

4. Filling the policy-practice gap 2003 Start of in Control - designs ‘Self-Directed Support’ 2005 Policy interest in ‘Individual Budgets’ 2006 in Control membership programme - 60 authorities 2006 DH launches ‘Individual Budget’ Pilot Programme 2006 in Control starts ‘Total Transformation’ - Oldham 2007 in Control membership over 100 2008 DH launches ‘Personalisation’ Programme

6. Self-Directed Support Why change was needed The new model for Social Care Key innovations What its achieved

7. Professional Gift Model Community merely a tax payer Services dominated by professional interests Individual is right-less - unable to identify or control their own support Resources are inflexible and cannot be personalised Perverse incentives set up for the individual and family

8. Citizenship Model Citizen at the centre Services negotiated Entitlements defined Community fully engaged Outcomes improved

9. Self-Directed Support

11. 1. Right to Independent Living I can get the support I need to be an independent citizen 2. Right to a Personal Budget I know how much money I can use for my support 3. Right to Self-Determination I have the authority, support or representation to make my own decisions 4. Right to Accessibility I can understand the rules and systems and be able to get help easily 5. Right to Flexible Funding I can use my money flexibly and creatively 6. Accountability Principle I should tell people how I used my money and anything I’ve learnt 7. Capacity Principle Give me enough help, but not too much; I’ve got something to contribute too

14. Points of innovation Clarifying entitlements - PHBs Resource Allocation Systems Brokerage & care navigation Finding flexibilities Systems of control Individual Service Funds Using the internet

15. the logic of personal budgets social justice & citizenship

16. ©

17. Brokerage & Care Navigation - not a person but a function

18. Resource Flexibility Self-determination - Ben’s Mum Direction - Jane’s Art Class Money - Margaret’s new family Home - Clive’s House Support - Keith’s personal trainer Community Life - Gavin’s season ticket

19. PersonRepresentativeTrust BrokerProviderCare Manager Degrees of Control

21. Shop 4 Support

22. How it works Respecting professionals Empowering people Building partnerships Sharing success and information

23. Innovation from the ground ‘up’

24. What it means Influencing policy Focus on practical solutions Source of mutual support An exercise in citizenship...

25. Self-Direction in health