Innovation - problem-solving where no standard solution work - adaptation

1. Innovation - problem-solving where no standard solution work - adaptation • Keeping means and ends in view but distinct • Generating ideas in a spirit of humility and fun • Focus on what is both do-ability and test-ability • Don’t try and solve tomorrow’s problems today • Do remind yourself of the vision and the values • Simpler is almost always better given two equal ideas

2. 1. Improving health • Improve health for the whole community • Take care of yourself better • Connect to people who are at increased risk • Connect to people who may have been missed out Where will self-direction strategies help?

3. Money - Small Sparks, community grants Peer support - Plan, POPs Information - Keys to Citizenship, Terry Lynch’s book Development - Partners in Policy Making, Weight-watchers Key Challenge: Using citizen energy Examples of real innovation so far

4. 2. Diagnosis & assessment • Understand our health and needs better • Understand our rights and options • Find the right expertise • Gather information better Where will self-direction strategies help?

5. Self-Assessment Questionnaire RAS: Version 5, Children’s 5 Outcomes, LSC, CHC Care Pathways: Nice Guidelines, MND NHS Choice Key Challenge: Find where information can add value now Examples of real innovation so far

6. 3. Planning • Make effective decisions • Improve our own health management - self-care • Plans on-going support that makes sense in our life • Involve and consult the right people • Record important information, intentions, living wills etc. • Create accountabilities that help improve decisions Where will self-direction strategies help?

7. Support planning framework - 7 elements Tools - In the Driving Seat, Top Tips... CAF/SAP - ? Patient records Health wikis Key Challenge: Make it easy, useful but connected Examples of real innovation so far

8. 4. Developing Roles • Build better relationships between professionals and citizens • Improve professional effectiveness • Improve information flows and accountabilities • Give people new skills and information Where will self-direction strategies help?

9. Social Workers - new roles Service Providers - ISF Supporters - PAs CPNs and the CPA Community Matrons General Practitioners Key Challenge: Add value to professionals Examples of real innovation so far

10. 5. Resources • See NHS resources in their full context • Offer a full range of control options • Enable funding integration • Expand flexibility where possible • Monitor where it adds values • Improve equity Where will self-direction strategies help?

11. 6 control systems Pooled & integrated funding Shop4Support Contractual mechanisms DH: real, managed, virtual Key Challenge: Focus on unlockable resources Examples of real innovation so far

12. 6. Support systems • Connect to existing services and supports • Connect to new emerging markets or possible markets • Identify what is missing from the market • How are people supported throughout the process • Ensure effective regulation and QA • Clarify what is standard and what is purchasable • Ensure ‘navigation’ is easy and universal Where will self-direction strategies help?

13. 6 pathways Total flexibility rules - new forms of support Improved social capital Increase innovation Key Challenge: Spot positive leadership Examples of real innovation so far

14. 7. Review & Outcomes • Know what we are trying to achieve • Measure success (or failure) • Gather information robustly • Use meaningful outcomes • Let people define the personalised outcomes • Think who needs what information Where will self-direction strategies help?

15. 6 Citizenship Outcomes 5 Every Child Matters Outcomes Robust Questionnaires - Lancaster Patient Opinion Internet-based data gathering e.g. Personal Budgets Key Challenge: Health, Health, Health Examples of real innovation so far