The first three sections in this course focused on the general principles underlying personalisation and self-directed support , including co-production and a focus on outcomes . We looked at some contentious sides to personalisation in Section 4 when we considered questions of risk in personalisation. This section looks at the workforce that delivers health, social care and other services. Offering more choice and control to citizens by supporting self-directed care through personalisation can only be a positive development. We can expect to see the emergence of new ways of working and new roles for service providers. But any change can provoke fear of loss – of jobs and of the experience and expertise of practitioners and managers.
As you will see, there are some thorny issues that will have to be grasped as the workforce responds to change in a time of economic restraint. There are also other policy changes afoot in Scotland, such as increasing integration of adult health and social care (see Section 6 ), and tricky questions about the 'fit' of self-directed support with existing legislation and policy. This section explores these issues in relation to the current and emerging workforce. The main focus is on social care, but, because the groundswell of personalisation is having an impact on other public services, such as health and education, we will also be indicating other possible areas of change.