Search results for ‘Author:"duffy simon"’ Sort:
Results 1 - 10 of 49
Self-directed support: if it's so good then why is it so hard
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2018
- Pagination:
- 42
- Place of publication:
- Sheffield
This discussion paper, written as the first stage in an international survey on self-directed support and as part of the SKILLS Project, offers initial analysis of some of the lessons learned so far. Drawing on the Scottish and English experience, the paper explores what self-directed support is, how it works, what the evidence says, why it works, what is different about it, who uses it, how to implement it, and what its underpinning principles are. Self-directed support works by shifting control to the person and to those close to them and ensuring they can shape the support they need to fit their lives. Research on self-directed support shows that it improves peoples’ lives and that it can also be more efficient than older systems of support. The paper argues that self-directed support works primarily because it better enables people to enjoy a good life, as member of the community, instead of being in more institutional systems that increase isolation and reduce contribution. It works well for people of all ages and many different kinds of disability or need; however systems need to be flexible enough to adjust for those differences. Changing to a system of self-directed support requires innovation, not just at the beginning of the journey, but at every stage of development – it should be built on a foundation of human rights principles together with an awareness for the need for a respectful partnership between the citizen and community. In addition, self-directed support needs to be developed in ways which avoid the risk of reducing social protections and which strengthens solidarity and community. The paper concludes by noting that self-directed support has been developing around the world in a complex pattern and now is good time to connect different initiatives and to share learning. (Edited publisher abstract)
Commentary: what is a resource allocation system?
- Author:
- DUFFY Simon
- Journal article citation:
- Tizard Learning Disability Review, 20(4), 2015, pp.207-212.
- Publisher:
- Emerald
Purpose: In discussing some of the issues arising from the paper by Sue Davies and colleagues, this paper provides an overview of the development of the concept of a Resource Allocation System (RAS). Design/methodology/approach: Critical analysis based on review of literature and personal experience. Findings: The paper discusses the emergence of RAS and the change in its role and purpose over time. Five areas that have led to changes in the RAS are identified: making the system increasingly rules based, the development many variations of RAS across areas, the need to manage of an increasingly complex system, the desire for predictability and accuracy, and that it now needs to cope in an environment of austerity. Practical implications: Local authorities may consider whether their RAS will be fit for purpose in the future. Social implications: Social innovations are often unstable and may have unexpected consequences; especially when other factors beyond their original design intentions begin to influence their use. Originality/value: The author of a social innovation reflects on the failure of that innovation to achieve its original purpose. (Publisher abstract)
Getting there: lessons from Devon and Plymouth's work to return people home to their communities from institutional placements
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2015
- Pagination:
- 37
- Place of publication:
- Sheffield
This is the second of three reports commissioned by NEW Devon CCG to support development of the Beyond Limits Project. The project aims to bring back disabled people and people with mental health needs from institutional services and help them return home. The report reflects on the processes that are currently in place for managing crises, commissioning support and discharging people from institutional services. It begins by putting the work from Devon and Plymouth in its national context, suggesting that, while there is a national drive to address the problem of excessive institutional placements for people with learning disabilities, overall the problem is growing. The second section describes progress in the development of personalised support in Devon and Plymouth, highlighting that its immediate challenge is to offer people the right kind of flexible support so they can return home successfully. The third section outlines some of the work taking place to reduce the risk of the new people being sent away to institutional placements while the fourth section examines some of the questions about the underlying cause. The conclusion summarises some of the lessons for local and national agencies, including the need to take values seriously, and to combine them with the kind of realism and pragmatism that makes things happen. (Edited publisher abstract)
Returning home: piloting personalised support
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2013
- Pagination:
- 42
- Place of publication:
- Sheffield
This report sets the scene for the Beyond Limits Pilot project, providing an overview of its design, goals and approach and highlighting some of the early successes and current problems. The project, which is focused on people living within the Plymouth footprint of the Western Locality within NEW Devon Clinical Commissioning Group, aims to bring back disabled people and people with mental health needs from institutional services and help them return home. The report discusses key components of the projects, focusing on personalisation, capacity development and wider developments, including prevention, crisis management, flexible services, strategic commissioning and rights. The report also looks at the impact the pilot made on people’s lives, the family experience and the increased collaboration with other service providers to help develop and share good practice and resources. It concludes with the key challenges ahead, including: protecting human rights; increasing efficiency; and strengthening strategic commissioning. (Edited publisher abstract)
A fair society? How the cuts target disabled people
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2013
- Pagination:
- 44
- Place of publication:
- London
This report, written on behalf of the Campaign for a Fair Society, analyses cuts in government welfare expenditure and describes how disabled people and those living in poverty have been hardest hit by current policy. It looks specifically at the cuts in social care and benefits that target disabled people and people living in poverty. The author argues that the cuts will lead to greater injustice, social damage and result in an increase in costs in other parts of the welfare system. Recommendations are made for a welfare system which is under pinned by human rights. (Original abstract)
Personalisation in mental health: a model for the integration of health and social care mental health services
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2010
- Pagination:
- 68p.
- Place of publication:
- Sheffield
This report sets out a new model, called the Personalisation Model, for integrating health and social care for people with mental health problems. The model is being developed for implementation in Yorkshire & Humber. It is designed to promote personalisation, empowerment and citizenship for people with mental health problems. The report comprises 3 sections. The first describes how, drawing on the latest thinking and practice, the Personalisation Model has been designed. The second section describes the model and its 7 main elements: total place commissioning; prevention; individual funding; self-directed support; co-production; community-based support; and outcomes-focus. Finally, the third section describes plans for implementing and testing the model. The name of the new development programme and its underlying partnerships will be Personalisation in Mental Health.
Dying with dignity: applying personalisation to end of life care
- Author:
- DUFFY Simon
- Publisher:
- Centre for Welfare Reform
- Publication year:
- 2010
- Pagination:
- 32p.
- Place of publication:
- Sheffield
Too many people die in hospital or in nursing homes rather than at home with family and friends. This is despite the fact that dying in hospital is expensive and wasteful. This report offers a framework for rethinking the organisation of end of life care. It proposes a Personalised Model for End of Life Care (PMELC) that is both realistic and positive. If implemented this model would: help more people die at home; help more families plan positively for death; make better use of existing resources; and help professionals design more responsive supports. The PMELC involves 4 key elements: GP-led commissioning; individual budgets; an expert coordinating body for palliative care; and community-based support systems. The report argues that putting the PMELC into practice would make good use of existing institutions and would be feasible within the current economic and political context and the proposed development of a tariff for end of life care.
Personal budgets: whose money is it?
- Author:
- DUFFY Simon
- Journal article citation:
- Community Living, 25(4), Summer 2012, pp.18-19.
- Publisher:
- Hexagon Publishing
The focus of this article is direct payments, personalisation, and self-directed support for disabled people. The article argues that there were major problems with direct payments for people with learning difficulties and that self-directed support was designed to tackle these problems and create a new system for social care. It describes the work of a project called In Control from 2003 to 2009 in challenging previous practice and proposing new ways of using personal budgets, and reports that despite some improvements there are still considerable problems. The author asserts that personal budgets should belong to disabled people and their families but that there are often barriers to how they can use them, and argues that campaigning is needed to ensure further progress.
The limits of personalisation
- Author:
- DUFFY Simon
- Journal article citation:
- Tizard Learning Disability Review, 17(3), 2012, pp.111-123.
- Publisher:
- Emerald
The term ‘personalisation’ has come to dominate policy and practice for people with learning disabilities. However, it is a term that can be used in many different ways. The aim of this paper is to explain the development of the concept of personalisation and its dependence upon prior innovations such as independent living, person-centred planning and individual budgets, and to explore its meaning, limitations and future prospects. The paper takes the form of an analytical and historical review of ideas that have been important in the recent history of public policy for people with learning disabilities. The paper argues that the innovations associated with personalisation were instead inspired by citizenship. People with learning disabilities, along with other disabled people, have been engaged in a struggle to achieve full citizenship. Recent reforms that go by the name of personalisation treat disabled people as citizens and may mark an important stage in the development of a fairer system. However, these innovations are limited by the lack of more fundamental reforms and at best are only stepping stones for a fairer society that takes citizenship for all seriously.
Personalisation in social care – what does it really mean?
- Author:
- DUFFY Simon
- Journal article citation:
- Social Care and Neurodisability, 2(4), 2011, pp.186-194.
- Publisher:
- Emerald
This article presents an overview of recent reforms to the social care system in England, and explores the historical factors that have encouraged reform. The author suggests that the current reforms will bring about some benefits but their long-term impact is very uncertain. The changing political and economic environment and the inherent difficulties that reform suggests indicate that these changes will be subject to significant differences in their interpretation. The article is based on a set of ethical assumptions about the rights of disabled people and the injustice of arrangements that limit those rights. The article suggests that practitioners should treat new ideas such as individual budgets and self-directed support as positive opportunities for improving practice, while being mindful of unresolved issues that may harm good practice. The author concludes that the article should help policy-makers avoid misunderstanding the role of these innovations and to better understand when and how these reforms can be used positively.