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Personalisation & the Art of Co-ordinating Care

Personalisation & the Art of Co-ordinating Care. Steve Morgan Practice Based Evidence www.practicebasedevidence.com. Can practice ever match up to the rhetoric of policy?. Grand visions for the future Goodbye to 1948, it’s the 21 st century Workforce transformation

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Personalisation & the Art of Co-ordinating Care

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  1. Personalisation &the Art of Co-ordinating Care Steve Morgan Practice Based Evidence www.practicebasedevidence.com

  2. Can practice ever match up to the rhetoric of policy? • Grand visions for the future • Goodbye to 1948, it’s the 21st century • Workforce transformation • Easier said than done… but can we really afford not to do it? • Why does partnership working struggle at times? Steve Morgan ~ www.practicebasedevidence.com

  3. Is the bigger picture anything new? • Yes: it offers a uniform vision for all public services… • Yes: it apparently has all-party support • No: what initiative didn’t talk of putting the person at the centre? • No: case management… NSF… Valuing People… recovery… Steve Morgan ~ www.practicebasedevidence.com

  4. What does personalisation mean? • Carr, S. and Dittrich, R. (2008) Personalisation: a rough guide. Adult Services Report 20, Social Care Institute for Excellence. • Bird, A. and Wooster, E. (2008) Personalise this! Openmind, Sept/Oct pp6-9. Steve Morgan ~ www.practicebasedevidence.com

  5. Where did the CPA go wrong? • Clear messages, unclearly interpreted • Changing Practitioners into Administrators • Creative Passionate and Artful (Morgan, Wetherell and Wetherell 2009: The Art of Co-ordinating Care. OLM-Pavilion, Brighton) • Co-ordinating care is about everyone, not just care co-ordinators! Steve Morgan ~ www.practicebasedevidence.com

  6. How do we translate policy into practice (1)? • Training develops awareness, but… meaningful change requires a new priority on practice development • Knowledge & skill is the easy bit, but… what about prioritising values & attitudes? • It’s more about doing the right things, than the fear of things going wrong • Can we trust bureaucracies to deliver? Steve Morgan ~ www.practicebasedevidence.com

  7. How do we translate policy into practice (2)? • Service user-centred working… starts with the individual not the focus group • Strengths-working… more than lip-service • Positive risk-taking… reasoned & structured approach to decision-making • Systemic practice development… redress the balance between evidence-based practice & practice-based evidence Steve Morgan ~ www.practicebasedevidence.com

  8. Does transformation have to cost money? • Yes, but… not as much as might first be thought! • No evidence that it needs any new massive injection of cash (8 US agencies research) • But… it does need piecemeal long-term use of money • Development budgets need to be intact or newly initiated… and much better focused Steve Morgan ~ www.practicebasedevidence.com

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