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

3.11 Summary of key points from Section 3

  • A key feature of personalisation is an emphasis on outcomes rather than on needs.
  • The implementation of the personalisation agenda in Scotland reflects policies that emphasise choice and control. This is a move away from a focus on needs that are defined by professionals and the traditional service-led approach.
  • The citizenship model of care, which places the individual, their family and their community at the centre of service provision, offers an alternative to a ' gift model ', which situates the service user as a dependent recipient of services.
  • There is evidence of a steady shift towards outcomes-based thinking in Scotland, especially in relation to children and families. Moving from thinking about needs and services to outcomes-based thinking requires a cultural shift in thinking about how services and professionals work with citizens of all ages.
  • The emphasis on needs as a means of establishing eligibility for services remains a core aspect of the planning and provision of care services, despite the shift to an outcomes-focused delivery of services.
  • Outcomes-based thinking is central to self-directed support. But it will not lead to personalisation unless there is also a shift in the ways in which professionals work with citizens to co-design and co-produce their support services.

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