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Staying in Control - Health

Staying in Control is a learning community of 25 health and local authority members. These authorities are taking part in Staying in Control's second phase of work. Together, we are exploring how personalisation models developed in social care can best be amended and tested within the NHS.

In Control's health work - Staying in Control - began early in 2008, predating Lord Darzi's Health Report, High Quality Care for All, published in the summer of 2008. This Report made the idea of piloting personal health budgets the legitimate 'business' of the NHS. Staying in Control's initial work produced the first discussion paper on self-directed support in health, Citizenship in Health.  We now need to test out in practice how self-directed support in health can work best for people directly affected, professionals and communities.  

In Control's second phase of this work has 25 members who will be working collaboratively throughout 2010 and into 2011. While complementing the Department of Health's personal health budget pilot research, our work will be distinctive in its  emphasis on six key issues:

1. The purpose of self-directed support being to enable citizenship, and people having the best quality of life they can.

Our aim is to improve the quality of:

  • the conversation between people and health professionals
  • decision-making and support/treatment planning and health outcomes through shifting power and decision making closer to the person directly affected.

2. Our focus is on the whole person in their whole social context and aimed at enhancing 'real wealth', working with people's strengths and skills as well as the needs they see as most important to them and which are most important for them.

3. Our programme will work with individuals and family members alongside professionals to put in place sustainable co-production and peer support, locally, regionally and nationally.

4. Our work will aim to make the context within which people are seeking to establish self-directed support conducive to the process - for example, by working with a community focus as well as a creative service delivery; and through working to create tools to support providers and commissioners to shift power and control closer to people.

5. We will learn through doing and evaluate developments by gathering the views of individuals, family members and professionals.

6. In Control's overall message is that we are determined to support people being seen as whole people, who may have a range of complex, interacting needs but also, crucially, have a potential to contribute and creatively engage in change in ways which amaze and confound our traditional patterns of relating.

Downloads

  • The Planning Tree - Self Direction in HealthThe Planning Tree - Self Direction in Health

    If we are to take forward a meaningful and sustainable change in the way individuals relate to the health service, it will be essential to have people on board who have experience of being patients. They can help us drive forward this evolution, as part of a small local team with all the ne...

  • Citizenship in Health Report 2010

    In Control's Citizenship in Health paper is a summary of all our learning from the first 18 months of work with our Health members.

Last Updated : 21 January 2011. Page Author: Laura Bimpson.