Changing Services, Changing Support, Changing Lives
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Allies in Change UK Ltd. 1
Changing Services, Changing Support, Changing Lives
Sue Rickell
Allies in Change
Tuesday 28th September 2010
Allies in Change UK Ltd. 2
Equality Our Future - Our Right
“By 2025, disabled people in Britain should have full opportunities and choices to improve their quality of life, and will be respected and included as equal members of society.”
Improving Life Chances of Disabled People, Prime Minister’s Strategy Unit, January 2005)
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What does Equality for Disabled and Older People mean..
To you?
To your work place?
To Your Community?
To Disabled/Older People?
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If you are still providing services in 2025… Who will be buying your services? What will they want and expect for their
money? Where will they receive their support? How will they assess Quality and value for
money? Why should they buy services from you?
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I would hope an altogether different “class” of people! Who know they are equal members of a
society where attitudes, the environment and systems are the problem, not them!
Have individual identity whilst working together as a group
Have opportunities and support to do what’s right for them. (now, not for ever)
Have ordinary experiences and take risks
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A different “class” of peoplewho … Are equal members of the community and
are proud of who they are Have Choices and Rights and are involved
in the development and progression of an Equal and Inclusive lifestyle
Start and lead activity and actions which promote status, money, contribution, a full and Equal life.
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Staying in business - Providing Personalised Support
What could/would prevent your organisation “Putting Disabled/Older People First”?
People with Attitudes,Environments / Places / Premises The way things work (or don’t)The way things are organised (or aren’t)
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The life Chances Report Defined Disability as the …
“Disadvantage experienced by an individual resulting from barriers to independent living, educational, employment or other opportunities that impact on people with impairments and/or ill health.”
Improving Life Chances of Disabled People, Prime Minister’s Strategy Unit, January 2005
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The Life Chances Reportemphasised that:
“While disabled people may need support with daily living, this does not mean they have to be ‘dependent’;
rather, “independence comes from having choice and being empowered regarding the assistance needed”.
and disabled people should take the lead in identifying their own needs and how they should be met
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Then the Government…
outlined a vision for a new system in which “adults are able to take greater control of their lives”,
and accepted that Individual Budgets should be tried out a means of offering greater choice, empowerment and freedom.
Independence, Well-being and Choice 2005
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In 2006 - “Our health, Our care, Our say” said. . .
There needed to be high-quality support to meet people’s aspirations for…
independence and greater control over their lives,
and to shift services into a more personalised way of doing things, to fit around people’s needs.
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At last agreement with Disabled People that ‘barriers to dignity and quality of life’ are the things which make it difficult to:
Exercise choice and control, Enjoy health and emotional well-
being, Have personal dignity and respect, Have quality of life, Be free from discrimination, Make a positive contribution, Enjoy economic well-being.Department of Health (2006) Our health, our care, our say – a new direction for community
services. London: Department of Health
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Change is on the way… Transforming Adult Social Care
This means giving Social Services and Healthcare a Make - Over
It means that if we are going to have Healthcare and Services which have a personal or individual approach then something has got to change
This is called ‘Putting People First’
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The vision – what the “Make-over” means…. Services tailored to the needs and preferences of
citizens… empowered to shape their own lives and the services they receive”
People are able to live their own lives as they wish, with high quality, safe services which promote their own individual requirements for independence, well-being and dignity.
The role of social workers will be focused on advocacy and brokerage, rather than assessment and gate keeping.
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What the “Make-over” means….
Individuals designing their support or care to suit their specific needs.
Better use of Direct Payments. Use of Individual Budgets giving people more
choice and control. All individuals who are eligible for Adult Social
Care will have a personal budget A clear, upfront allocation of funding to enable
individuals to make informed choices about how best to meet their needs, including their broader health and well-being.
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Making Personalisation a reality for the 21st century
It will take time.. Service providers will need to work in
Partnership. All participants in Health and Social
Services will need to work together to bring about change in Attitudes and the Systems which are essential if they are to
Put People First
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What Difference Will it Make? (Outcomes)
Better health and well-being for all
Better care for all
Better Value for all
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What should be the vision and purpose of Health and Social Care services?
Improving people’s health and emotional wellbeing whilst enabling them to live as independently as suits them.
Individuals managing their own lives, confident that they have access to the right information, and someone to help at the right time, should they need more support.
Focusing on prevention, support and enablement, rather than crisis management
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Better care and support by way of:
Enabling people to make choices and be in control of their care so that it makes a difference first time.
Shared decision making to encourage ownership. (your choice, your life)
Providing quality care that promotes dignity, and is safe, effective and available when and where people need it.
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This means that we ensure people, whatever their health condition or impairment:
Live independentlyStay healthy and recover quickly from illnessHave maximum control over their own life
and, where appropriate the lives of their family members
Support the whole family so that children do not have to take on caring roles
Participate as active and equal citizens, both economically and socially
Enjoy the best possible quality of life, and maintain maximum dignity and respect.
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What might prevent you or your organisation ‘Putting People First’? Doubt Fear Lack of experience Lack of expectation Love of power Commitment to the system Attitudes – “our people won’t manage”
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Barriers to Personalisation
The myth of “independence” Misunderstanding of Equality Contradictions – Residential Care,
Supported Living, Inclusion, Choice and Control
Living and working in the “safety” of the past rather that the “opportunity” of the future
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2010 – 2025 and all the years between!
15 years
25 year old will be 40
45 year old will be 60
65 year old will be 80
75 year old will be 90
How old will you be?
What do you expect you will have achieved?
What will YOU doing?
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