sds in mental health: finding things you can change
TRANSCRIPT
people lives communitiespeople lives communities
Finding the things you can change
Permission to Dream / #SDSdream15
4 March 2015, Edinburgh
people lives communities
Background
Series of events last year ahead of the SDS Act
Wide range of peopleRich and engaging conversations from different perspectives
Painted a picture of how things currently are
people lives communities
The picture
Few people thought health and social care system was working for people with mental health problems
Not just social care and health
Housing, employment, welfare support, stigma, arts and culture
people lives communities
The picture
people lives communities
The question
How do we make things better?
SDS ActA major part of the answer
Empower people to have control and responsibility
Offering people different choices for organising their care
people lives communities
South of the border
Big increase in personalisation, through Personal Budgets
But look under the surface and majority were council-arranged services
Why?Resource Allocation Systems
Menus of ‘choices’
Panels
A fundamental change in mindset?
people lives communities
South of the border
people lives communities
Which brings us to Henry Ford
“If you always do what you’ve always done, you’ll always get what you’ve always got”
people lives communities
People who use services
Know your rightsThink about what you want in your life
Work back from thisDon’t start with ‘just’ support
Work in partnership with professionalsFind out friends’ experiences and share your ownBe practically creative (or creatively practical)
people lives communities
Frontline practitioners
Ask yourself: How many people this week have I supported to do something differently?
Constantly ask yourself: how is what I’m doing now different to what I did before?
… If not, what’s getting in the way?
… and what can I do to change it?
people lives communities
Frontline practitioners
Work in partnership with people
Start with conversations - think beyond the paperwork
Think of ends, not means
“Risk management wasn’t as difficult as I imagined”
people lives communities
Team managers
Create space and time for people to share learning and talk through questionsTrust your staffSupport your staff
Training, supervision
Support your senior leadersUnderstanding, ambitions
“Risk management wasn’t as difficult as I imagined”Create space and time to build relationships with providers and support services
people lives communities
Commissioners / senior managers
Get good information in place for everyoneIncluding staff and providersIncluding real-life examples
Identify and support SDS championsCreate space / time to work with all providersCreate a positive feedback loop to change patterns of spendingEnsure independent advocacy/support is in placeValue and seek input from all different perspectives
Including co-production with people who use services
people lives communities
Other ideas
Getting There: http://www.gettingtheresds.com/wp-content/uploads/2014/02/SDS-and-mental-health-Background-Paper-3.pdf JRF: http://www.jrf.org.uk/sites/files/jrf/1841961388.pdfSCIE: http://www.scie.org.uk/publications/ataglance/ataglance18.aspNDTi: http://www.ndti.org.uk/uploads/files/New_Paths_to_Personalisation_(NDTi,_April_2013).pdf
people lives communities
Being a persuasive individual
Pressure and constraints in the mental health system
People think things are “beyond their control”
Progress is where as many people as possible take the opportunity to do something different…
… no matter how small a change they personally make
people lives communities
Disagreeing with Henry Ford
people lives communities
Reflecting on Henry Ford
people lives communities
Contact us
www.ndti.org.uk
@rich_w
ndti.org.uk