Foundations for self-directed support in Scotland
Foundations for self-directed support in Scotland

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Foundations for self-directed support in Scotland

5.14 Summary of key points

  • Changes in demography and the demand for increasing personalisation of services are bringing about change in the roles and nature of the health and social care workforce, and in how support services are delivered.
  • Social services staff and organisations have expressed concerns about changing roles and employment practices, and there are continuing debates about the costs and quality of self-directed support . Nevertheless, there appears to be broad support for the principles of personalisation and self-directed support in Scotland.
  • Social workers and other members of the care workforce have values, knowledge and skills that make their expertise important to the success of personalisation , but there are also tensions between empowering people and responding to concerns about risk of harm.
  • Personalisation involves drawing on existing professional skills, values and knowledge, but there will have to be changes in how these professional capabilities are used; in relationships between citizens and professionals; workforce composition; services design, commissioning and management.
  • Personal assistants (PAs) are becoming an increasingly significant part of the social services workforce. There is evidence of benefits to both the supported person and the PA, but also continuing questions about employment, training and regulation of the PA workforce.
  • Personalisation is closely linked with increasing community capacity through social networks. Citizens, families and communities have assets that support personalised services. Brokerage and advocacy services can be important elements of personalisation through self-directed support.
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