Debates in Personalisation
Journal Data
| Type | SOURCE_BOOK |
|---|---|
| Publisher | Policy Press (GB) |
| ISBN-13 | 9781447313434 |
| Open Library | OL27359622W |
| Total publications | 38 |
| Coverage period | 2014 - 2017 |
| Language | EN |
| Cited by | 17 |
| h-index | 1 |
| i10-index | 1 |
Part 1: Introduction and Overview Introduction ~ Catherine Needham and Jon Glasby Taking Stock of Personalisation ~ Catherine Needham and Jon Glasby Making it Real: from Putting People First to Think Local, Act Personal ~ Sarah Carr Part 2: The Challenges of Personalisation Resource Allocation Systems: complex and counterproductive? ~ Lucy Series Safeguarding, risk and personalisation ~ Jill Manthorpe Can personalisation work for older people? ~ Liz Lloyd Personalisation: where do carers fit? ~ Wendy Mitchell, Jenni Brooks and Caroline Glendinning Self-funders: the road from perdition? ~ Melanie Henwood Part 3: Frontline Perspectives Managing a direct payment ~ Christine Bond Beyond 'being an employer': developing micro markets ~ Sian Lockwood What about the workforce? ~ Helga Pile A view from social work practice ~ Victoria Hart Part 4: Personalisation in the NHS - Personal Health Budgets Managing a personal health budget: Malcolm's Story(book) ~ Colin Royle Evaluation of the personal health budget pilot programme ~ Julien Forder and Karen Jones PHBs: a threat to the NHS? ~ Colin Slasberg Where next for personal health budgets? ~ Vidhya Alakeson Part 5 - Responses and Conclusions Advancing the positives of personalisation/person-centred support: a multi-perspective view ~ Peter Beresford After Personalisation ~ Simon Duffy Conclusion: glass half full or glass half empty? ~ Jon Glasby and Catherine Needham
Taking stock of personalisation
Personal health budgets
After personalisation
Managing a personal health budget
A view from social work practice
Evaluation of the personal health budget pilot programme
1. The personal health budget initiative is a key aspect of personalisation across health care services in England. Its aim is to improve patient outcomes, by placing patients at the centre of decisions about their care. Giving people greater choice and control, with patients working alongside health service professionals to develop and execute a care plan, given a known budget, is intended to encourage more responsiveness of the health and care …
Advancing the positives of personalisation / person-centred support
Conclusion
Self-funders
Resource allocation systems
Beyond ‘being an employer’
Can personalisation work for older people?
Safeguarding, risk and personalisation
What about the workforce?
Where next for personal health budgets?
Managing direct payments
Personalisation
Making it real
What about the workforce?
Personalisation in social care is a policy that started life with grand ambitions to ‘transform’ care and support. But there has been relatively little detailed discussion of role of the workforce in bringing about this transformation, and how it needs to change. This lack of emphasis on workforce has meant many councils have struggled to articulate a compelling workforce strategy. Little in the way of national policy leadership around this quest…
After personalisation
Every idea can be interpreted in different ways, but some ideas are more open to interpretation than others. Personalisation is particularly open-ended. Opinion differs about its authors, its purpose, its content, its impact and its real meaning. In this chapter, I am going to write as one of those associated with its development. I will describe my own thinking, what happened as my ideas were put into practice and how those ideas were absorbed i…
Managing direct payments
In this chapter, I outline my personal experiences and views of using a personal budget and managing direct payments (DPs). I have received support packages both under the old assessment process and have had a personal budget for over four years, all of which have had some form of a DP element. Having social care needs is not a choice. It was not until I reached crisis point and came to terms with my situation that I asked for help and started to…
Conclusion
Throughout history, most revolutions fail in the first instance. Some never really ignite and others end with a whimper in a short space of time. However, even revolutions that seem to be ‘successful’ at the time often fail to bring about anticipated results. Sometimes this is because previous elites are unwilling to give up power and find ways of going with the flow in the short term, but quietly re-emerge near the top of the new system. ‘Turkey…
Advancing the positives of personalisation / person-centred support
We should not be surprised if the issue of personalisation and personal budgets has come to be seen as controversial and contentious. What perhaps would be more concerning would be if it were treated as straightforward and without complexity. Indeed, that has been one of the significant features of political approaches to personalisation. It has gained support from all three main political parties and tended to be treated as unproblematic. Howeve…
A view from social work practice
What does ‘personalisation’ mean to me as a social worker who has been working in adult and mental health services for about ten years? It means a lot less to me now than it meant when the new language burst onto the scene in the mid-2000s. When I first started working with direct payments in adult social care, it was liberating and exciting. Contrary to some of the murmurings at the time, we, as social work practitioners, wanted people to be abl…
Safeguarding, risk and personalisation
In Chapter Two, Catherine Needham and Jon Glasby observe that ‘attitudes to risk and expectations of the state are essentially contested and yet are crucial to the deployment of social care policies’ (p 24). This chapter takes this observation further by interweaving the narratives of personalisation, risk and safeguarding. It draws on a set of research studies in which the implications of personalisation, risk and safeguarding have been debated.…
Debates in personalisation
Part 1: Introduction and Overview Introduction ~ Catherine Needham and Jon Glasby Taking Stock of Personalisation ~ Catherine Needham and Jon Glasby Making it Real: from Putting People First to Think Local, Act Personal ~ Sarah Carr Part 2: The Challenges of Personalisation Resource Allocation Systems: complex and counterproductive? ~ Lucy Series Safeguarding, risk and personalisation ~ Jill Manthorpe Can personalisation work for older people? ~ …
What about the workforce?
Personalisation in social care is a policy that started life with grand ambitions to ‘transform’ care and support. But there has been relatively little detailed discussion of role of the workforce in bringing about this transformation, and how it needs to change. This lack of emphasis on workforce has meant many councils have struggled to articulate a compelling workforce strategy. Little in the way of national policy leadership around this quest…
After personalisation
Every idea can be interpreted in different ways, but some ideas are more open to interpretation than others. Personalisation is particularly open-ended. Opinion differs about its authors, its purpose, its content, its impact and its real meaning. In this chapter, I am going to write as one of those associated with its development. I will describe my own thinking, what happened as my ideas were put into practice and how those ideas were absorbed i…
Managing direct payments
In this chapter, I outline my personal experiences and views of using a personal budget and managing direct payments (DPs). I have received support packages both under the old assessment process and have had a personal budget for over four years, all of which have had some form of a DP element. Having social care needs is not a choice. It was not until I reached crisis point and came to terms with my situation that I asked for help and started to…
Conclusion
Throughout history, most revolutions fail in the first instance. Some never really ignite and others end with a whimper in a short space of time. However, even revolutions that seem to be ‘successful’ at the time often fail to bring about anticipated results. Sometimes this is because previous elites are unwilling to give up power and find ways of going with the flow in the short term, but quietly re-emerge near the top of the new system. ‘Turkey…
Advancing the positives of personalisation / person-centred support
We should not be surprised if the issue of personalisation and personal budgets has come to be seen as controversial and contentious. What perhaps would be more concerning would be if it were treated as straightforward and without complexity. Indeed, that has been one of the significant features of political approaches to personalisation. It has gained support from all three main political parties and tended to be treated as unproblematic. Howeve…
A view from social work practice
What does ‘personalisation’ mean to me as a social worker who has been working in adult and mental health services for about ten years? It means a lot less to me now than it meant when the new language burst onto the scene in the mid-2000s. When I first started working with direct payments in adult social care, it was liberating and exciting. Contrary to some of the murmurings at the time, we, as social work practitioners, wanted people to be abl…
Safeguarding, risk and personalisation
In Chapter Two, Catherine Needham and Jon Glasby observe that ‘attitudes to risk and expectations of the state are essentially contested and yet are crucial to the deployment of social care policies’ (p 24). This chapter takes this observation further by interweaving the narratives of personalisation, risk and safeguarding. It draws on a set of research studies in which the implications of personalisation, risk and safeguarding have been debated.…
Resource allocation systems
Resource allocations systems (RASs) are computer algorithms used by local authorities to produce an ‘indicative amount’ for a personal budget, which service users and care practitioners may use to start planning their support. Most RASs work by allocating a point score to a person’s responses on a needs questionnaire, and then converting that – using some algorithm – to a cash value. Some simplified RASs, called ‘ready reckoners’, require local a…
Where next for personal health budgets?
Judged by government announcements, the progress of personal health budgets (PHBs) continues apace. Following the government’s 2012 announcement that adults and children eligible for NHS Continuing Healthcare (CHC) would be entitled to ask for a PHB from April 2014, a new announcement in 2013 has already transformed the ‘right to ask’ into a ‘right to have’ (House of Commons, 2013). However, looking beyond the 56,000 people who are eligible for C…
Managing a personal health budget
Since receiving a personal health budget in 2009, my dad’s medication has been reduced by two-thirds, he now receives more consistency in his care, he no longer requires the support of a care manager or a consultant, and he now gets to choose where and when his care is provided, and by whom. It isn’t so much that receiving a personal health budget has changed our lives; it is more that it has helped to restore them. In hindsight my dad, Malcolm, …
Personal health budgets
When Norman Lamb, Minister for Care and Support, announced to Parliament the introduction of a right to ask for a personal health budget (Lamb, 2013), he said it would “... go further towards our goal of providing greater personalisation within our NHS”. He thus saw a personal health budget (PHB) as a means to an end, not an end in itself. By not declaring any alternative definition of the word ‘personalisation’, we can deduce that he was applyin…
Self-funders
Personalisation is, above all, ‘about giving people choice and control over their lives’, and ensuring that care and support responds to people’s needs and wishes and enables them to ‘lead active, independent and connected lives’ (HM Government, 2012). A key element in enabling people to exercise choice and control is the personal budget, particularly when taken in the form of a direct payment. It might be assumed that having purchasing power aut…
Index
Introduction
For anyone working in or receiving adult social care services, the personalisation agenda is of fundamental importance. Different people may love it or loathe it – may be fully supportive, completely opposed and/or just confused – but the shifts in policy and practice that personalisation might imply are potentially far-reaching and certainly hard to ignore. Of all the changes that have taken place in adult social care (and increasingly in other …
Can personalisation work for older people?
The debates and controversies surrounding the personalisation agenda that have already been identified in this text are clearly evident in the context of services for older people. The development of any policy can be understood as a battle of ideas in which there will be winners and losers (Colebatch, 2005). In this case, as Needham (2011b) has pointed out, the personalisation agenda has gained enormous popularity in the field of social care pol…
Making it real
This chapter is a critical examination of the core government personalisation policy documents – Putting People First (DH, 2007) and Think Local, Act Personal (TLAP, 2011b) – and how the proposals were influenced by broader strategies for welfare reform. It analyses the policy documents across changing ideological standpoints following the 2010 change of government from New Labour to a Conservative-dominated coalition with the Liberal Democrats. …
Taking stock of personalisation
There has been growing interest in narrative approaches to policy that focus on how policies are framed as stories in order to build coalitions of support (Hajer, 1995;Yanow, 1996, 2000; Fischer, 2003). Such interpretive approaches to policy have also drawn attention to the ways in which academics themselves offer narrative interpretations of those policies: ‘stories about stories’ (Yanow, 1996). This layering of interpretation is very evident in…
Beyond ‘being an employer’
The government strategy to drive personalisation focused in the early days almost entirely on giving people personal budgets (then called individual budgets). Targets were set for the percentage of people with a personal budget and the assumption was that giving people the money would drive the development of new types of supports and services and deliver personalisation: Giving people an individual budget should drive up the quality of services.…
Evaluation of the personal health budget pilot programme
Debates in personalisation
Part 1: Introduction and Overview Introduction ~ Catherine Needham and Jon Glasby Taking Stock of Personalisation ~ Catherine Needham and Jon Glasby Making it Real: from Putting People First to Think Local, Act Personal ~ Sarah Carr Part 2: The Challenges of Personalisation Resource Allocation Systems: complex and counterproductive? ~ Lucy Series Safeguarding, risk and personalisation ~ Jill Manthorpe Can personalisation work for older people? ~ …
Taking stock of personalisation
Personal health budgets
After personalisation
Managing a personal health budget
A view from social work practice