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 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.