Author: Simon Duffy
The process of transformation is complex and multi-layered, however it is possible to identify an underlying logic and phasing.
In 2006 there was intense debate about whether individual budgets and self-directed support were the way to reform adult social care in England. In Control developed the concept of Total Transformation, which provided a framework for a minority of motivated local authorities to begin the process of redesigning their whole service systems around the ideas of citizenship and personalisation. Ultimately this movement helped bring about the publication of Putting People First and the idea of wider system transformation became absorbed into central government rhetoric and guidance.
The process of Total Transformation was built around early experiences of the key building blocks for wider systemic change.
At the most abstract level these were:
It remains to be seen how far current government policy is capable of bringing about total transformation in adult social care and in other parts of the welfare state.
The publisher is the Centre for Welfare Reform.
Total Transformation © Simon Duffy 2010.
All Rights Reserved. No part of this paper may be reproduced in any form without permission from the publisher except for the quotation of brief passages in reviews.
Don Derrett developed this to help local authorities plan all the necessary system changes as they move towards creating support systems that people can control for themselves.
The process of shifting local systems over to a more personalised approach is complex and multi-layered.
Don Derrett tells the story of self direct - how it developed, what it achieved and why finally, it closed.
Members of self direct met together in York to listen to invited speakers and to put questions to an expert panel. This paper sets out the ideas they gathered throughout the day.