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Choice, Control and Obfuscation – How the Personalisation Dream is Dying

In the bold move towards a transformation in adult social care, it feels from where I sit, that control has completely overtaken any pretence of ‘choice’ in the so-called move towards more idealised ‘person-centred’ care and support planning. I hope I...

Published 12 Sep 2011 7:29 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, carers, socialcare, mental health, discrimination, local authority, old age, elderly, health, carer, direct payments, local government, Disability, Mental Health Foundation, personal, personal budget, resource allocation system, ras, burstow, the small places
Technology, Social Media and Social Services – Finding new ways to ‘help’

I have some across lots of discussions and debates about ways of using social media and new technologies and interactions to ‘help’ social services become more effective. Most of it seems to revolve around building online directories and databases of...

Published 30 Aug 2011 6:39 AM by Fighting Monsters

Filed under: social care, social work, older people, dementia, work, carers, socialcare, local authority, old age, carer, direct payments, Disability, personal, election, Twitter, british social work, personal budget, Social media, social work and technology, social media and social work, IPad, technology and social work, using technology with service users, YouTube
Social Work and the March to Neoliberalism (or Personalisation gone bad)

I caught this article a few days ago on the Huffington Post by a Social Work academic, trying to explain away another aspect of the riots and cashing in on his status no doubt as an ‘authority’. I don’t have much time for the body of the article. He starts...

Published 18 Aug 2011 6:53 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, old age, elderly, health, direct payments, local government, Employment, Disability, social workers, personal, personal budget, personal budgets, neoliberal social work, professor jonathan parker
Personal Budgets, Personalisation, Thoughts and Hopes

Yesterday Think Local Act Personal (TLAP) published the results of a National Personal Budget Survey. The headline ‘results’ are of course overwhelmingly positive. Personal Budgets work. Direct Payments Are Good. Everyone is happy. jrambow@flickr Is any...

Published 23 Jun 2011 7:37 AM by Fighting Monsters

Filed under: social care, social work, older people, work, carers, socialcare, mental health, discrimination, local authority, old age, politics, elderly, health, carer, direct payments, local government, Home Care, Disability, personal, personal budget, budget
Human Rights, Home Care, Personal Budgets and Cost Saving

I read on the BBC website among others that there is a report suggesting that care provided in the home by local authorities to older adults may be overlooking human rights issues. Daniel2005@flickr An inquiry into this was initiated by the Equality and...

Published 20 Jun 2011 6:55 AM by Fighting Monsters

Filed under: social care, social work, older people, dementia, work, carers, mental health, discrimination, local authority, old age, government, elderly, health, carer, direct payments, personalisation, local government, Home Care, Disability, personal, personal budget, individual budgets, personal budgets, equality and human rights commission, ehrc, elderly home care, home care and human rights, Human Right, Human Rights and Liberties, human rights of older adults, report into home care
Personalisation and Professional Disillusionment

Yesterday, Community Care published the result of a survey they had undertaken about ‘personalisation’ among social care professionals. The headline figures while wholly unsurprising, make for interesting reading where only 41% of respondents felt...

Published 26 May 2011 7:14 AM by Fighting Monsters

Filed under: social care, social work, older people, work, discrimination, local authority, old age, elderly, uk, carer, direct payments, personalisation, local government, personal, personal budget, individual budgets, personal budgets, care in the community, personalisation agenda, burstow, budget, paul burstow, implementation of personalisation, Personalization
Are Beans more valuable than People? – Or A Day at Community Care Live 2011

Yesterday I went to the C0mmunity Care Live conference. It is an annual event put on by Community Care Magazine and runs across two days. Being one of the very few free events (and excellent – free isnt the ONLY reason I go but it does help!), I...

Published 20 May 2011 6:29 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, carers, mental health, MCA, old age, elderly, health, carer, direct payments, Mental Health Foundation, caregiver, personal, peter beresford, Social media, miranda wixon, think local act personal
Law Commission Report on Adult Social Care – some thoughts

I’ve not had much time to look through the Law Commission Report into the proposed changed in Adult Social Care Law but to say it’s been long needed is an understatement. Adult Social Care Law is a hotch-potch and a mess. A couple of weeks ago, I was...

Published 12 May 2011 7:21 AM by Fighting Monsters

Filed under: social care, social work, older people, work, carers, mental health, old age, politics, elderly, uk, health, carer, direct payments, local government, adult social care, national assistance act, national assistance act 1948, british social work, direct payments for residential care, Law Commission, law commission report on adult social care, social care law, Statute
Personal Budgets in Practice

Recently, I’ve been working with a service user and his carer (daughter) to put together a support plan or rather two support plans – one for him and one for his daughter . The two live together and without his daughter’s presence, there is no doubt at...

Published 6 May 2011 7:06 AM by Fighting Monsters

Filed under: social care, social work, social issues, dementia, work, carers, local authority, old age, elderly, uk, health, carer, carers allowance, direct payments, direct payment, local government, Home Care, caregiver, personal, personal budget, individual budget, budget, carer's direct payment, carers personal budget
Personalisation in Mental Health and Older Adult Services

Personalisation is a very broad brush term to describe the so-called ‘transformation’ agenda in adult social care. In very general terms it refers to the process of moving from resource-led to needs-led systems of service provision (just as the NHS …...

Published 4 Mar 2011 6:09 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, mental health, discrimination, learning disability, local authority, old age, politics, elderly, health, direct payments, personalisation, Disability, adult social care, personal, personal budget, individual budgets, putting people first, personal budgets, individual budget, sds, self-directed support, ilf, budget, care provision, Support group
Cuts – a personal tale

A couple of weeks ago, I had one of those deeply depressing moments that will generally punctuate a career in social care. I had to go and tell a woman, who cares for her mother with enormous patience and dignity, … Continue reading → Read...

Published 28 Jan 2011 6:56 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, carers, mental health, local authority, old age, politics, elderly, london, health, carer, direct payments, personalisation, respite care, family, Disability, caregiver, personal, personal care, personal budget, individual budget, sds, self-directed support, budget, evil tories, cuts
Why the ILF went..

There’s a post on Community Care’s ‘The Big Picture’ blog which explains some of the reasons behind the decision to scrap the ILF (Independent Living Fund). It is written by Melanie Henwood and Professor Bob Hudson who were commissioned (they …...

Published 15 Dec 2010 6:28 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, local authority, benefits, politics, direct payments, personal, personal budget
The Death of the Independent Living Fund

Yesterday was quite a day for adult social services. As well as the more obvious announcements of the cuts to local authorities and the unveiling of a so-called ‘Localism Bill’, Maria Miller, the minister for disabled people announced that the …...

Published 14 Dec 2010 6:18 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, MCA, discrimination, local authority, politics, long-term care, uk, direct payments, personalisation, local government, Disability, personal, Independent living, personal budget, ilf, independent living fund, disability discrimination, Spending Review (United Kingdom), Alf Morris, abolition of independent living fund, cutting ilf, lord morris, Maria Miller, Quality of life
A Vision for Adult Care – a few brief thoughts

I’ve only just had a chance to read the ‘Vision for Adult Care’ published yesterday and wanted to offer a view very initial thoughts although I haven’t any doubt that it will be referred to continually for many years to … Continue reading →...

Published 17 Nov 2010 7:12 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, dementia, work, carers, mental health, local authority, old age, politics, elderly, health, carer, direct payments, personalisation, local government, care services, personal, uk social work, personal budget, individual budgets, care in the community, big society, paul burstow, care sector, personal budgets in care, vision of adult care
The Financial Management of Personal Budgets

The soon-to-be defunct Audit Commission published ‘The Financial Management of Personal Budgets’ today. Community Care have a good run down on the basic points but I thought I’d read through it myself, just because I’m actually genuinely interested...

Published 28 Oct 2010 7:26 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, carers, mental health, local authority, old age, politics, elderly, health, carer, direct payments, local government, National Health Service, Disability, personal, personal budget, budget, Audit Commission
The Disgrace of Individual Budgets

I have a few words for Paul Burstow, the Minister responsible for Care Services, who is appalled, according to Community Care, about the low take up and roll out of personal budgets in Adult Services – the take up is … Continue reading → Read...

Published 22 Sep 2010 6:35 AM by Fighting Monsters

Filed under: social care, social work, older people, work, government, politics, elderly, uk, health, direct payments, local government, social worker, personal, personal budget, individual budgets, personal budgets, burstow, paul burstow
Bel Mooney, Disability and Sex

There is something of a theme for the week and while I wanted to move onto other subjects and events, I was unfortunate enough, in my daily trawl of news websites to come across this ignorant abomination of a ‘column’ … Continue reading →...

Published 18 Aug 2010 7:56 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, discrimination, local authority, politics, uk, health, direct payments, daily mail, Disability, social workers, personal, personal budget, bel mooney, daily fail, disability discrimination, hateful daily mail, mooney, prejudiced journalism, sex and disability
Getting back to work

I’ve been building my work up slowly over the last few weeks after a lengthy period of sickness following my operation. I missed it more than I thought I ever could! As I have been revisiting people I haven’t seen for a while, it’s good to know that everyone...

Published 30 Jul 2010 8:09 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, mental health, local authority, old age, politics, elderly, uk, health, direct payments, personal, IT, personal budget, individual budgets, disfunctional IT systems, information technology
Resource Allocation Systems

Community Care has an article about a case which refers to the RAS (resource allocation system) used to determine the levels of personal budgets in social care. Perhaps I should step back a little and explain briefly about the RAS. There is a lot of jargon...

Published 19 Jul 2010 7:57 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, local authority, uk, direct payments, personal, personal budget, individual budgets, resource allocation system, personal budgets, ras, administration, r(savva) v Kensington and Chelsea LBC
Cuts

Some of the coalition’s plans to cut the national budget deficit are beginning to take shape and we are beginning to see where the ‘pain’ will be felt. As I have previously remarked, the atmosphere within the service where I work anyway, has most definitely...

Published 18 Jun 2010 6:57 AM by Fighting Monsters

Filed under: social work, social issues, work, politics, direct payments, Disability, personal, abolition of free swimming, government cuts, ilf, independent living fund, physical disability, Swimming
Thoughts on the Leaders’ Debate – 15.4.10

I watched the ‘Leaders Debate’ or rather, most of it. I thought Brown did better than I expected and Cameron worse. That may have been due to my expectations that Brown would be poor and Cameron would be polished. I expected Clegg to make quite a strong...

Published 16 Apr 2010 6:58 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, carers, local authority, old age, government, politics, carer, direct payments, personal, Gordon Brown, Liberal Democrat, Conservative, personal budget, cameron, david cameron, leaders debate, itv, Brown, Nick Clegg
Individual Fudge-its.

I have tried to embrace the personalisation agenda. Really, client-choice is wonderful. I welcomed Direct Payments and saw a few through to the finish although always keen to emphasise the difficulties as they arose. Basically, the idea of giving the...

Published 23 Feb 2010 7:29 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, local authority, elderly, health, direct payments, care management, Disability, personal, personal budget, individual budgets, self-directed support, ib
Moving on Individual Budgets

And so it starts. Currently we are still in ‘pilot’ phase of the Individual Budget roll-out – the forefront of the personalisation and self-directed support agenda and if that sentence made little sense to you – you can probably count yourself lucky!...

Published 25 Nov 2009 6:49 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, carers, local authority, elderly, uk, health, carer, alzheimers, direct payments, social services, personalisation, England, personal, personal budget, ras, individual budget, sds, attempts to be positive about new systems, self-directed support, self-assessment questionnaires, resource allocation systems, ib, personalisation agenda, carers individual budgets
Personal Budgets – Some thoughts

I attended some training on Personal Budgets a while ago. It was fairly comprehensive training that was surprisingly well-presented (it isn’t that I don’t always expect good training but sometimes it can be something of a curate’s egg.. ). It leaves me...

Published 21 Oct 2009 5:44 AM by Fighting Monsters

Filed under: social care, social work, older people, work, socialcare, mental health, local authority, old age, politics, elderly, uk, health, direct payments, adult care, Disability, adult social care, personal, government policy, personal budget, individual budgets, putting people first, well-being and choice, resource allocation system, independence, personal budgets, ras
A future for adult social work?

Community Care carried out an investigation a couple of weeks ago which found that vacancy rates in adult and children and families’ teams were roughly equal therefore the news that the Migration Advisory Council have dropped specifically adult social...

Published 30 Apr 2009 6:48 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, socialcare, local authority, old age, politics, elderly, long-term care, direct payments
Britain’s Homecare Scandal

I saw Panorama last night. It was an undercover report into the poor state of home care services provided to elderly people in their own homes by a few private companies. I wish I could say some of the findings surprised me, but they didn’t. Some of the...

Published 10 Apr 2009 5:41 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, local authority, old age, elderly, uk, health, csci, direct payments, local government, Home Care, Commission for Social Care Inspection, Care Quality Commission, cqc, panorama, home care agency, domiciliary care, poor home care, bbc1
Direct Payments and Continuing Care

We are used to ‘Direct Payments’ in the social care sector. They were introduced in the Direct Payments (Community Care) Act 1997. While without doubt they are incredibly beneficial and empowering to some service users as they allow the user to receive...

Published 24 Mar 2009 4:46 AM by Fighting Monsters

Filed under: social care, social work, social issues, work, socialcare, discrimination, local authority, london, long-term care, health care, health, direct payments, National Health Service, Department of Health, England, NHS primary care trust, Primary Care Trust, continuing care
The Joy of Targets

We operate to a system of targets. That should be no great surprise. It is how ‘value’ is determined and efficiency is maintained. Social Work is, for the most part in the UK, funded from the public purse and it’s quite right that we...

Published 17 Nov 2008 7:14 AM by Fighting Monsters

Filed under: social care, social work, older people, work, local authority, mental health social work, direct payments, United Kingdom, social work in the uk, meeting targets, NHS Trust
Personal view of Personalisation

I have to admit, before I start, that I have a somewhat brief view of personalisation which the Department of Health explains:- This means that every person who receives support, whether provided by statutory services or funded by themselves, will have...

Published 4 Aug 2008 8:08 AM by Fighting Monsters

Filed under: social care, social work, work, local authority, politics, health care, health, direct payments, United Kingdom, personalisation, Department of Health, Disability
Direct Payments - Chapter Two

So, a week from the start of my journey into a Direct Payments referral and I have sent the appropriate forms, documents and paperwork to the appropriate people. The figures are being checked and the amount that has been requested matched up against ...

Published 3 Jul 2008 5:34 AM by Fighting Monsters

Filed under: social care, social work, older people, work, carers, socialcare, old age, elderly, uk, fair access to care, carer, direct payments, social services, family, opening direct payments bank accounts, personal assistants, gscc., carer direct payments
Direct Payments - Chapter One

Direct Payments is the system of, basically, rather than giving a direct service, providing money to the user of the service to ‘buy’ the care that they need directly. ‘Direct Payments were introduced in the UK - for adults with a disability...

Published 26 Jun 2008 5:10 AM by Fighting Monsters

Filed under: social care, social work, older people, work, carers, old age, uk, caregivers, carer, alzheimers, direct payments, care services, carers direct payments, carers assessment, choice
Help to care

I first saw on the news over the weekend about the report produced by the Institute for Public Policy Research related to Personalised Budgets for Carers and it baffled me a little bit. Don’t get me wrong, I completely think that carers need...

Published 4 Jun 2008 5:40 AM by Fighting Monsters

Filed under: social care, social work, social issues, older people, work, carers, local authority, old age, benefits, long-term care, uk, caregivers, carer, institute for public policy research, carers allowance, direct payments, social services, personalised budget, adult care, direct payment

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