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

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?

Examples of real innovation so far

• 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

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?

Examples of real innovation so far

• 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

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?

Examples of real innovation so far

• 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

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?

Examples of real innovation so far

• Social Workers - new roles

• Service Providers - ISF

• Supporters - PAs

• CPNs and the CPA

• Community Matrons

• General Practitioners

Key Challenge: Add value to professionals

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?

Examples of real innovation so far

• 6 control systems

• Pooled & integrated funding

• Shop4Support

• Contractual mechanisms

• DH: real, managed, virtual

Key Challenge: Focus on unlockable resources

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?

Examples of real innovation so far

• 6 pathways

• Total flexibility rules - new forms of support

• Improved social capital

• Increase innovation

Key Challenge: Spot positive leadership

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?

Examples of real innovation so far

• 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