Debates in Personalisation

This unique book brings together, for the first time, advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from service users, practitioners, academics and policy commentators come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. Written in a lively and accessible way, practitioners, students, policy makers and academics in health and social care, social work, public policy and social policy will appreciate the interplay of rival arguments and the way that ambiguities in the care debate play out as policy ideas take programmatic form. DEBATES IN PERSONALISATION Contents List of tables and figures Table Figures Notes on contributors Part One. Introduction and overview 1. Introduction: debating personalisation 2. Taking stock of personalisation The policy context The history The role of evidence What has personalisation achieved? Where should personalisation go next? Conclusion 3. Making it real: from Putting People First to Think Local, Act Personal Policy evolution Putting People First Joined-up government and individual budgets Think Local, Act Personal Conclusion Part Two. The challenges of personalisation 4. Resource allocation systems: complex and counterproductive? Background: the aims of resource allocation systems The legal status of RASs How RASs work in practice Conclusion 5. Safeguarding, risk and personalisation Early days Converging Border crossing Managing risks Capacity concerns Making Safeguarding Personal Conclusion 6. Can personalisation work for older people? Introduction Demographic trends and the cost of care The preventive capacity of personalisation Ageing, dependency and the need for care Conclusion 7. Personalisation: where do carers fit? Introduction Background The study Carer involvement in service user assessment Assessing carers’ own needs Carers and resource allocation Support planning Issues and implications 8. Self-funders: the road from perdition? Understanding self-funders Policy and reform The Care Act and the Care Account Conclusion Part Three. Frontline perspectives 9. Managing direct payments The journey The advantages of a personal budget The issues and how they have been resolved What needs to be done to make personal budgets work well? 10. Beyond ‘being an employer’: developing micro-markets 11. What about the workforce? Role and skill mix From care assistants to personal assistants? Conclusion 12. A view from social work practice So where did it go wrong? To the future Part Four. Personalisation in the NHS: personal health budgets 13. Managing a personal health budget: Malcolm’s story(book) 14. Evaluation of the personal health budget pilot programme1 The impact of personal health budgets on quality of life The impact of personal health budgets on costs and cost-effectiveness Implementation and the impact on outcomes /cost-effectiveness Conclusion 15. Personal health budgets: a threat to the NHS? What is a personal health budget? The national evaluation of the PHB pilots: drawing the wrong lessons Social care: drawing the wrong lessons Learning the right lessons from social care Are direct payments the answer? Flexibility or ‘choice and control’? The importance of resource levels Implications of these findings for PHBs Conclusion 16. Where next for personal health budgets? PHBs and the challenge for commissioning The challenge of clinical buy-in Building bottom-up demand for PHBs Maintaining the political consensus for PHBs Part Five. Responses and conclusions 17. Advancing the positives of personalisation / person-centred support: a multi-perspective view Introduction Service user perspectives The circumstances of social care Personal budgets in perspective Personalisation in context Research findings for key questions Conclusion 18. After personalisation Citizenship and community Self-directed support The phases of personalisation Lessons What next? 19. Conclusion: glass half full or glass half empty? References Index Untitled This unique book brings together, for the first time, advocates and critics of the personalisation agenda in English social care services to debate key issues relating to personalisation. Perspectives from practitioners, service users and academics come together to give an account of the practicalities and controversies associated with the implementation of personalised approaches. The conclusion examines how to make sense of the divergent accounts presented, asking if there is a value-based approach to person-centred care that all sides share. Written in a lively and accessible way, practitioners and academics in health and social care, social work, public policy and social policy will appreciate the interplay of rival arguments and the way that ambiguities in the care debate play out as policy ideas take programmatic form. This volume brings together a substantial group of advocates and critics of the personalization agenda in English social services in order to debate key issues and attempt to find common ground. Practitioners, service users, and academics offer differing perspectives on the practicalities and controversies associated with the implementation of personalized approaches, which the book's conclusion then examines in order to attempt to make sense of the divergent accounts and find a value-based approach to personalized care that all sides could agree on