Personalisation: can we stop the
solution becoming the problem?
Jill Manthorpe
Social Care Workforce Research Unit
King’s College London
What this is NOT about
• Long term care
funding
• Not pensions
• Not NHS
• Not eligibility
• Not everything else
What have older people said about
council home care?
• You don’t know who is
coming today?
• I can’t get the help
• It’s not worth the
when I need it
money I pay
• They don’t do some
• It’s brilliant
things that I need
• At least they will turn
• It’s a bit take it or
up
leave it
Narrowly defining personalisation
• Money worked out on
the basis of need
• Can be paid as Direct
Payment (into bank)
• Or money to care
provider
• Or Money as a
voucher
Building blocks
• Let’s spend £100 on
care….
• Who would you go to
and what would you
want ?
– Home care angels
– Home care amateurs
– Next door neighbour
but one’s cousin
Three points to ponder
• Transformation –
remembering others
– Decimalisation
– Coronation
– Air travel
From individual view
• Will there be winners
and losers in this new
system?
• What safeguards are
in place?
• What is there to buy?
• What is the best
source of information
– challenges to local
Age UK
From services’ view
• Winners and losers?
• Decommissioning –
closing down
• Outsourcing of
council services
• Price hikes?
• New businesses?
• More scope to keep
and increase custom
Effects on care homes?
• More options in the
community
• Greater agreement on
risk
• Quicker
arrangements out of
hospital?
• Commitment to
personal health
budgets.
Paths to transformation
• Huge pressure on
local councils to meet
targets, save money,
manage rising
numbers, set council
tax, etc…
• The older vote
matters (if it votes)
How to stop the solution becoming
the problem?
• Co-production of
information
• Involvement in
developing menus
• Challenge – what’s
not working, and why
• Collect stories,
statistics & develop
expertise.
• What do I want? And
for whom?
• What can I do?
• What can my group
do?
• Who agrees with
me/us?
• What’s the best way to
persuade those who
don’t?
Over to you!
• Thank you
• Jill.manthorpe@kcl.ac.uk