Total Transformation was an In Control programme for local
authority adult social care departments which ran as a 'network for
social innovation' between 2007 and 2009. The programme was
established with the intent of providing learning about the
measures needed to transform the 'total system'.
The programme supported local authorities across the country to
personalise and transform adult social care. It was designed for
the local authorities that wished to make the move beyond pilot
activity to introduce a whole-system model of self-directed support
across adult social care.
Local authorities were able to use Total Transformation as a
means to achieve major improvements in self-directed support by
promoting a strong and determined focus on change. A number of
authorities joined the programme and others left over its two-year
life: more than 20 authorities were members at some point.
These pages provide a record of the work, and in particular of
the learning from 10 projects which the Total Transformation
members worked on in the second year of the programme.
The Two Phases of the Programme
Throughout the two-year programme, we provided members with
dedicated support, technical assistance and the opportunity to
participate in national and regional events. We also provided
support and advice in areas including project planning and
implementation, individual data collection, and whole system impact
modelling. With some members we also agreed a package specifically
tailored to meet identified priority needs.
Phase One
The first year of work saw us support 10 English local
authorities to make significant advances, particularly in terms of
the 'four corner pieces' of the transformation jigsaw: leadership,
legitimacy/understanding, support and entitlements (see above). At
the end of year one, 3,500 people in the 10 authorities had control
of their own budgets. Work was also undertaken to inspire providers
and professionals and to begin to create best practices tools.
Total Transformation: Phase Two provides a
more detailed review of the phase one outcomes. The
paper is available to download below.
The Total Transformation programme centred on both the
transformation of social care services as such and on the systems
that support these services. Work was done to develop IT solutions,
personalised commissioning, resource allocation and brokerage. A
lot of the learning has now become standard 'best practice' and was
influential in shaping our subsequent work on adult social care,
children's services and health.
Phase Two
In the second year of the programme, we worked with 20 local
authorities who wanted support with rapid system change. To do this
we identified with the authorities their top ten challenges, and
agreed a programme of project work to address these.
The ten projects together made up what In Control called the
Network for Social Innovation. They were carried out by key local
authority staff and led by an In Control core team member. A key
output of this work was materials that would be helpful for all
local authority members and their partners.
The strength of the projects lay in the network of collaboration
and sharing of knowledge and ideas to develop and test the process
of whole-system transformation.
The projects were:
- The brokerage support system
- Conversion of in-house services
- Stakeholder engagement - Elected Members
- Redesign of Care Management and Social Work Systems
- Community development
- The external provider market
- Corporate/back office systems
- Workforce development
- Helping people stay safe
- Outcomes for citizens
More detailed summaries of each of the projects, including their
key products can be found on the sub-pages.
Programme outcomes
The collaboration and interaction between different authorities
helped develop a shared and deeper understanding of the challenges
and opportunities within self-directed support. Workshops and
network events enabled people to share experiences and provided
opportunities for those involved to begin to involve many people
outside of social care to join together and to explore the wider
implications of personalisation. The programme learning was highly
influential in shaping what was then the emerging Putting
People First agenda, led by the Department of Health.
Members were given a license to use and adapt all of the
resources developed, and the network shared its learning initially
with the Total Transformation community and then beyond. This model
of supporting practical innovation through co-production and open
source development was the key to the success of the Total
Transformation programmes.
The pages in this part of the website provide more detail about
membership and the project work and contain downloads of many of
the tools and documents produced.
Last Updated : 21 January 2011. Page Author: Laura Bimpson.
