Posts Tagged ‘simon duffy’

Guest Blog A simple message about Personalisation “Trust More”

Thursday, October 14th, 2010

In our recent publication The Architecture for Personalisation Kate Fulton and I explore how best local leaders, social workers especially, can promote personalisation. The challenge is to promote personalisation as if we really mean it, promoting citizenship, family and community – not developing it as some new industry which will just be applied to ordinary people.

Social workers are at the cutting edge of personalisation – both its successes and its failures. At best they are discovering that it can be a liberating force, an opportunity to help people create new, flexible and community-focused support solutions. At its worst it is becoming more work, more forms to fill in, more complicated rules and – although its hard to credit it – more panels to try and get through. It is perhaps not surprising, given the thoughtless way in which government has gone about promoting personalisation, that we should be in this situation, and there is nothing inevitable about it. Local leaders can still protect people and staff from the encroaching madness.

One key lesson is to be entirely honest about the resources we have. If personalisation means giving people the chance to build more creative solutions with limited resources then the same principles should also apply within our systems. We can begin by being honest about how much time and energy social workers actually have and help them focus that time on things that really add values. Our estimates show that there is probably an average of £700 of care management time available for each individual served. This is a significant but very modest amount of time and it won’t be used well if it is spent largely on filling in forms to feed the system itself.

The only way of making better use of this limited time is to follow the principle of trust. We need to trust people more:

1. Trust people and families more. Give people information, contacts, simple systems and let them get on with it. Letting people make mistakes, solve problems and control things themselves is the key to good social work.

2. Trust community more. Encourage services to connect to people to design services with them directly. Make sure people are connected to community organizations and peer support groups.

3. Trust social workers more. Let people focus on those who need most help. In particular let social workers use their judgement. If they know of a good service, let them refer people to it. If they can see a quick solution to a problem then let them set it up.

Everyone fears that others cannot be trusted. Experience even teaches us that sometimes trust will be abused – people will lie, cheat or just make human mistakes. But a system that doesn’t encourage trust is expensive, stupid and disabling – by trying to put in systems that stop people making mistakes we delude ourselves that processes and rules will do what humans can’t do for themselves or if we shift power and control away from people then we shift it away from the point at which it can do most good. When we expect solutions to come from ‘on high’ then we are really expecting solutions from those who are least able to understand what really needs to be done and who are already trying to do far too many things for far too many people.

Trust, delegation and empowerment are efficient and effective – make them central to all your strategies and your work.

Simon Duffy is Director of The Centre for Welfare Reform www.centreforwelfarereform.org whose recent publications include The Architecture for Personalisation, Personalised Support, Personalised Transition and Personalisation in Mental Health

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Guest Blog ~ Personalisation – the challenges for social work by Simon Duffy

Saturday, May 22nd, 2010

I first met Simon when he accepted an invitation to speak at the Social Workers Educational Trust conference. “Being Inspired by Social Work”. A big thank you to Simon for sharing his thoughts following the Personalisation Conference held in London on the 21st May 2010.

“If we can each work together, accepting our weaknesses, we can make things happen.”

Thus spoke the social worker, reflecting on the tensions that can flare up between those who want to help other people and those they are trying to help. These words beautifully captured the spirit of Friday’s conference, at the Tavistock, on personalisation and social work. The conference organised by Skills for Care, in partnership with the Department of Health and the Tavistock and Portman NHS Trust Foundation, focused on exploring changes in the role and responsibilities of the social work practitioner within transformed adult services. 

The event had “hope and purpose”, but it also revealed an array of challenges that face social workers who try to make sense of ‘personalisation’ – a word which is full of meaning and unmeaning. It is hard to remember the purpose of all these personalisation ‘technologies’ (direct payments, individual budgets, self-directed support, peer support etc.). It is very hard to recall, amidst the consultants, government milestones, and official guidance, that these ideas didn’t start in government. These new ways of working were developed by disabled people and by social workers. And they were developed in order to take forward the ambition of social work – to achieve social justice.

Keeping a focus on social justice is hard, but it is essential when it comes to making sense of all the new processes associated with personalisation. Many social workers described the insanity they face working in a system which asks them to keep running the old bureaucratic system, while also setting up and running the new system. Processes are becoming more confused and over elaborate, and they are damaging our ability to respond quickly and sensitively to people’s needs. Sometimes ‘personalisation’ is leading to less personalisation.

Senior managers need to protect their staff from this chaos; but they are struggling to make sense of the overall policy direction. How deep and serious is the government’s commitment to personalisation when these new systems are developed in ways which lack any legal, financial and policy coherence. It is easy to suspect that a system which is being developed without any clear and rational plan will, in time, fade away.

But progress is being made, despite the madness, and we must be optimistic – not because we can expect things to get better – but because we can each take responsibility for making the most of this opportunity to build a fairer world.

Simon Duffy Director of The Centre for Welfare Reform

There are a number of interesting publications which can be downloaded at www.centreforwelfarereform.org

About the author

Dr Simon Duffy is Director of the Centre for Welfare Reform. Simon created Individual Budgets, Self-Directed Support and the Citizenship Model and put these ideas into practice at Inclusion Glasgow and In Control. He was awarded the RSA’s 2008 Prince Albert Medal for his work on personalisation.

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