Posted by: rickwilsontg | September 10, 2009

Time Together – very first draft

This is the first potential action research experiment that could come out of the Sustainable Lives process.

Julies birthday

Building community relationships - Julies birthday

This document called Time Together Gorseinon is a proposal to collaboratively remodel services in a local community.

It will bring commissioners, provider and citizens together in a close partnership to build mutually supportive relationships and to put people at the centre of setting priorities and developing services.

Time Together has 3 aims:

  • To create a collaborative Time Together Alliance of social care and support provider organisations, commissioners, and community leisure groups to work together to coordinate and develop person centred support to people living in the Gorseinon area.
  • To develop in partnership with the citizens of Gorseinon a membership based Time Together Network within which members can contribute to the work of the project and the social care and support of each other and are rewarded by time credits through which they can access community activities and events and eventually support provided by other network members.
  • To use the Swansea People social networking website to support equal and open communication between agencies, citizens and community groups to support the work of the Alliance and the Network.

At the moment this idea is really up for discussion, but it would be a practical way forward to creating empowering citizen led social care while building social capital within our communities.

You can download Time Together Gorseinon here

Here is a belated update from our July meeting.

In this meeting we worked on our shared principles of Citizen Directed Support. This was particularly important in preparation for a workshop Swansea Social Services was organising to look at the transformation of Social Services in Swansea in the light of the personalisation agenda.

We put together these 5 principles, which are still evolving with continuing discussion.

  • Personal Control – People are supported to maximise their control of the assistance and services that they use to live their lives in the community.
  • Mutual Support – People are supported and encouraged to develop, and be part of, communities around them within which they are inter-dependent and mutually supportive of each other’s needs and abilities.
  • Shared Communication – People are supported to communicate with each other, interest groups, and with agencies in an equal and open fashion, this communication supports collaboration and coordination.
  • Valuing Relationships – Individuals who use, support and deliver services are trusted and valued as builders and contributors.
  • Shared Outcomes – Outcomes for services and support are agreed and reviewed by people who use, support and deliver services. These outcomes support successful lives, and sustainable services & communities.

We also went on to discuss the action research experiments that we want to develop to explore these themes of sustainable social care. We will publish the detail of these experiments as they form.

The programme for this meeting can be downloaded here Meeting of the 21st July 2009

Please give us you views and comments

Posted by: rickwilsontg | July 23, 2009

Mutual Advantage – Cooperative Dom Care agencies

I met up with a Mick Taylor of Mutual Advantage on Tuesday, a really interesting man. He is running a project entitled Collaborative Self Managed Care Project, the essence of this is supporting people who have Direct Payment’s or any other source of Individual Budget to work together to set up clusters of little co-operatives to provide very local mutually owned domiciliary care agencies, these cooperatives involve people delivering and receiving services in an active partnership.

This project has a wealth of practical delivery experience, and what interested me was that because the agencies were very small (150 to 200 hours per week), the delivery processes were very simple. The clusters then shared processes and resources that required more scale.

I think user led services will be a useful part of sustainable, adaptable, citizen directed services, and this looks a very practical useful way of achieving this.

There was a Guardian article about one of the projects  ‘Caring Support’ you can find the article by following the link to Quality Ingredients.

Posted by: rickwilsontg | July 23, 2009

Choice is back in fashion.

I am meeting with Geoff Thomas of Timebanking Wales to look at a co-productive approach to Locality Building that we could explore explore in Swansea. As part of our preparations he sent me this and I thought it was great, so I am including it as a post.

Timebanking Wales

Timebanking Wales

The old word choice is back in fashion. But what are its new followers failing to say? The answer is obvious. “Don’t mention competition” is the unspoken imperative. The promise to give citizens choice carries with it the promise that services are likely to improve as a result. Many politicians believe this. Their reasoning is thus. Choice for citizens means insecurity for providers. Insecurity keeps providers on their toes.  When providers must compete with rival providers and face closure if they fail, then they will work harder and strive more assiduously to find out what citizens want. The citizen’s “choice” thus becomes a means to an end; a state of competition whose inherent insecurity will push service providers into raising their game.

But when people say they “want choice” what they usually mean is they want to see improvements in services. “Give me a choice” is often a polite way of saying “listen to my voice”.  The prospect that social care agencies should battle with rivals for survival not only alarms people, it is a nonsense. Collaborative working where agencies and citizens pool resources for strategic ends will yield much better results.

We simply need to remind ourselves of Bevan’s maxim that

  • “for us (people and agencies working together) empowerment meant the use of collective action to transform society and so lift all of us together”.

The key words are “collective action” not “competitive action”. Competition not only carries with it fragmentation of supply, it ultimately blinds providers to what should be their primary goal : the public good. It can also distort the citizen’s view that being ‘IN CONTROL’ simply means being empowered as a consumer in the market place.

In the past service delivery has frequently been AGENCY DIRECTED and rightly has been criticised for wielding this unequal weight of power within a relationship. Clearly there needs to be a new conversation that has mutual benefit; primarily harnessing and nurturing the growth and development of people in communities.

The BIG post war mistake was to airbrush mutuality from the operating structure of public services, replacing it with a state model of “AGENCIES IN CONTROL” that came to provide goods and services ‘for’ or ‘to’ people. By disengaging citizens as active agents of change, the agencies as designers and deliverers failed to engage the creative input of service receivers. The citizen was relegated to consumer, a watchdog barking at the heels of the service provider.  So how should this issue be addressed?

As stated previously, one political answer is to risk turning down another cul-de-sac by introducing choice and competition into public services, assuming that competition between drivers will improve service delivery.  But a change of driver is not a fundamental change of direction. If we are heading in the wrong direction then changing drivers will not get us very far, apart from bitter arguments about who is best qualified to drive the rickety train. A better answer entails creating in the 21st century a modern version of mutualism in a renewed civil society, This means multilateral co-operative methods of working and the re-introduction of co-production into the operating structure of third and public sector agencies: citizens and agencies in MUTUAL CONTROL actively working together to collectively CO-PRODUCE mutually agreed outcomes.

Co-production goes well beyond the idea of ‘citizen engagement, or ‘service user involvement’ to foster the principle of equal partnership. Co-production dissolves the distinction between providers and consumers of services. It offers to transform the dynamic between citizens and public service workers, putting an end to ‘them and us’. Instead people pool different kinds of resources, knowledge and talents, capabilities ideas and relationships to co-produce well being for all.  Co-production is about making the best use of all resources – building locality by helping the core economy to grow; moving from a welfare state to a civic state of well being.

Professor Michael Sandel in the recent Reith lectures reminds us that agencies must prioritise working with citizens to rebuild the architecture of civic life, suggesting that the virtues of democratic life – community, solidarity, trust, civic friendship – are not like commodities that are depleted with use. They are rather like muscles that develop and grow stronger with exercise.

As William Beveridge said more than 60 years ago, now is ‘a time for revolution, not for patching’.

Posted by: rickwilsontg | July 16, 2009

State of loneliness

Thanks to Adrian Roper and Chris Geake of Cartrefi Cymru for suggesting this great article written by Charles Leadbeater and published in the Guardian on the 1st July.

State of Loneliness

State of Loneliness

In the State of Loneliness Charles Leadbeater argues that supportive relationships are key to tackling social ills. He says:

  • ‘The fiscal crisis has fully exposed the current model of public service reform – invest, modernise, set targets, review performance, eliminate failure – as having run out of steam. Public services may be more efficient, but all too often they are not joined up, leaving the people on the receiving end bewildered by what one elderly woman, who was being visited by four occupational therapists, described to me as a blizzard of services’.

He sees the personalisation agenda as a step forward but not sufficient to address the growing deficits of ownership and control faced by many vulnerable people living in the community. The necessary public service reform must come from a very different starting point:

  • ‘The key will be to redesign services to enable more mutual self-help, so that people can create and sustain their own solutions. The best way to do more with less is to enable people to do more for themselves and not need an expensive, professionalised public service’.

Relationships are at the heart of what makes for a good life, and ‘people grow up and age well if they have supportive relationships’.

He echo’s much of what we have said in the Sustainable Lives dialogue by saying:

  • ‘The challenge of the future is how public services can support relationships, at scale, without being heavy-handed. This is where some of the most exciting radical innovation in public services is emerging’.

You can find the complete article by following this link State of loneliness.

Charles Leadbeater is a founding partner of Participle, which works with communities to devise solutions to intractable social challenges.

As a postscript to this post Charles Leadbeater has written a really useful pamphlet called Personalisation through Participation (2004) you can get hold of this document on Google Reader by following the link.

Posted by: rickwilsontg | July 15, 2009

Life on Mars – Radical social work is back!

BBCs Life on Mars

BBC's Life on Mars

I was reading Nick Andrew’s really interesting paper on the All Together Now project and I was struck by the suggestion from Gannon and Lawson (2008) that although Co-production has become one of the most trendy concepts of the time, it is not new. As a concept it dates from the 70′s

  • ‘…. a time when movements to challenge professional power and increase citizen participation in community affairs coincided with efforts to reduce public spending’.

Well how about that, where are we now, a time marked by a radical mistrust of professional power and a significant imperitive to reduce public spending.

Well what else could we bring back from our practice in the days of the Cortina, flares, growing unemployment and bubbling racism?

  • How about the Seebohm reorganisation – generic and community development focused
    ‘Social Services directed to the well-being of the whole community, and seeing the community it serves as the basis of its authority, resources and effectiveness’ Seebohm P147.
  • Or, Egan’s The Skilled Helper – Relationship orientated and focused on personal empowerment.
  • The ‘effective use of self’ -now somebody is going to tell me this was not from the 70′s but it was drummed into me by my social work tutor, and he was!
  • And of course, Radical Social Work – with it’s emphasis on class and the wider social and political context of our work, (when I first met my partner she was wearing a badge which read ‘Social Work – Soft police’ – I really should have made a run for it then).

So if you have a sense of deja vu at our current practice world,  I don’t think we should be surprised. Just put on a Tom Robinson album and remember it wasn’t all bad.

‘I’m a middle class kiddie but I know where I stand!’

Posted by: rickwilsontg | July 15, 2009

All Together Now June Newsletter 2009

It is great to see that the City and County of Swansea / SSIA project All Together Now is developing so well.

Here is it’s latest newsletter All Together Now Newsletter June 2009

Posted by: rickwilsontg | July 6, 2009

Towards a new politics of the common good

This year’s BBC Reith Lectures have been fascinating Professor Michael Sandel the ‘Anne T and Robert M Bass’ Professor of Government at Harvard has delivered a series of 4 lectures on the subject of ‘A New Citizenship’.

Professor Michael Sandel

In the final lecture entitled ‘A new politics of the common good’ he made a case for a moral and civic renewal in democratic politics.

What I felt was particularly relevant to our work was his comments on the problems caused by the increasing inequality of wealth in our society.

This inequality often gets presented as one of a disparity in economic opportunity, however Professor Sandel suggested that the true corrosive nature of this inequality was it’s impact on civil society and the common good.

  • ‘Too great a gap between rich and poor undermines the solidarity that democratic citizenship requires. As inequality deepens, rich and poor live increasingly separate lives.’

His argument was both common sense and accurately reflected the world we increasingly live in. As we use separate social and recreational facilities, housing, and transport, the rich have less investment in the provision that the poor and vulnerable rely on. Alongside this different group of citizens become less and less tolerant of each other due to their declining level of contact with each other.

He argues that national and local government must prioritise working with Citizens to rebuild the architecture of civic life. This work must be cooperative, it must take common effort and exertion, he concluded by saying:

  • ‘I’ve tried to suggest that the virtues of democratic life – community, solidarity, trust, civic friendship – these virtues are not like commodities that are depleted with use. They are rather like muscles that develop and grow stronger with exercise’.

I feel it is this work that we are embarking on through our work on community sustainability.

If you want to listen to the whole lecture, you can listen to it by following the link to the BBC site BBC Reith Lecture 2009.

Or by listening through the player below.

Posted by: rickwilsontg | June 18, 2009

From In Control to Citizen Directed Support

Further to the post about Personalisation and citizen focused services there is interesting news about the development of In Control Cymru.

In Control Cymru has been working with 7 local authorities and 17 provider organisations to explore and develop how people in Wales who require social care support can get control over their lives as active citizens. In Wrexham where there has been the most significant development in this area 65 people are now using individual budgets.

However the steering group of In Control Cymru recognise that it is imperative that this agenda is set within the Welsh context and unique political environment and they have come to recognise that personalisation and In Control have become synonymous with the English agenda change. They have decided to rebrand as, The Welsh Alliance of Citizen Directed Support to place greater emphasis on establishing a Welsh model of social care and to find a new way to express this which is appropriate to the context of Wales.

In light of the rebranding, The Welsh Alliance of Citizen Directed Support is seeking to work with all its stakeholder groups, ADSS Cymru, AWASH, SSIA and WAG to develop a model of social care appropriate for Wales.

The first step in this journey will be to define what Citizen Directed Support means to us in Wales.

Speaking personally, (although I need to acknowledge an interest as of last week I became chair of the Alliance Provider Network and are thus part of the Alliance Steering Group) I think this is a great opportunity and a potential threat. We have the opportunity to influence and shape a national practice agenda focused on Citizen Directed Services, many people wanted to create a genuinely Welsh model and now it is there to be created. However if we sit back, there is now a significant risk that the energy transforming services in person centered ways across the UK will pass us by and the inevitable budget pressures that we are facing will erode the quality of people lives in a slow but sure fashion.

So I think we should all take some time to answer the question
What Citizen Directed Support means to us?
– possibly in 100 words or less

Well here goes here is mine (although I am sure it will change)?

  • Citizen Directed Support means that individuals are supported to have control over the services that they use through a range of methods such as individual budgets or user led services. However they are equally supported to become part of mutually supportive communities who they have investment in and influence over. Agencies deliver services to individuals acheiving explicitly agreed individual outcomes; however they also actively support communities to build their capacity for collaboration and mutual assistance. Explicit shared systems for communication exist between individuals, community groups and agencies to support collaborative decision-making and local adaptation. (94 words – I should have said 150 or less)

Somebody else have a go!

Posted by: rickwilsontg | June 11, 2009

Community development lessons from the Marshall Plan!

I was listening to a lecture by Paul Collier about his book The Bottom Billion: Why the Poorest Countries are Failing and What Can Be Done About It. He was talking about times when he felt that the developed countries were really serious about international development.

He suggested the last time was the US Marshall Plan for the reconstruction of Europe after World War two.

He felt that the US was motivated primarily about fear of something worse happening if they did not engage through re-construction. Paul Collier identified 4 components to the Marshall plan:

  • Aid
  • Trade
  • Security
  • Governance

His argument goes on to suggest that we in the developed world need to engage with the vigor and focus that was required by the Marshall plan and for a similar reason that if we don’t something worse will happen.

I having been thinking about this especially in the context of the results of the European election results, and the growth of the BNP vote in Wales.

I feel that there are close connections between this argument and the work we need to commit to in re-building our communities as vibrant, diverse, safe, mutually supportive and ‘self controlled’.

The 4 components offer an interesting perspective on this work.

Aid – We need to build structures that meet people’s needs for care, support and inclusion

Trade – However these approaches must avoid dependency by helping people collaborate together in equal relationships of exchange, thus building a web of relationships, inter-dependence and competence.

Security – These cross cutting structures will help our communities to become safer and more stable in changing and challenging conditions.

Governance – We will only be successful in doing this if the processes of decision making are shared with members of the community that they are embedded within. We need to find ways of amplifying the voice of people who have the greatest social investment rather than the greatest resources.

We need to do this, it will be very hard work but if we don’t, just like the Marshall Plan, something much worse could happen.

Rick

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