1. In Control Cymru: Provider Network ‘Making the change’

2. Background Not a new concept – seeds were sown 15 years ago Southwark Service Brokerage established in 1992 Choice Support has whole heartedly embraced the agenda and is applying all of its endeavours to make it happen Engaged with ‘in Control’ in 2004 and decided to become first large provider to attempt total transformation

3. The Choice Support group at a glance Current turnover circa £37 million Support 800 people Employ 1500 staff Operates in …………………. Wakefield Nottinghamshire Stockport Oldham Mansfield Leicestershire Bedfordshire Milton Keynes Buckinghamshire Hackney Haringey Greenwich Lewisham Southwark Lambeth Bromley Sutton Merton Hampshire Southampton Portsmouth

4. Preparation 2004 - 2008 7 presentations by ‘in Control’, Paradigm managers (40+) 9 Managers attend Paradigm Brokerage for Change course CEO joins ‘in Control’ CEO group Management restructure and creation of Development Department New bespoke individual accounting system developed and installed

5. Formula for identifying support

6. Dealing with resistance “There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things. Because the innovator has for enemies all those who have done well under the old conditions, and lukewarm defenders in those who may do well under the new”. Machiavelli

7. First steps in individualising services and reducing costs Lincolnshire – RAS 4 Individual services for people who present significant challenge A case study……………………… Self Directed Support Two examples…………………….

8. What’s happening now? Direct Payments Support Finance Personnel Free Service Brokerage Total transformation of a £7 million contract The story so far………………………….

9. Challenges Managing traditional services alongside new Ability to change organisational culture Ability to change systems and structures Ability to make desired savings Loss of control Loss of business Serving many masters - responsiveness Workforce transition Marketing – looking both ways Total transformation of funding of social care required To make better use of all of the available money in the system

10. Opportunities Those organisations that are able to respond positively can expand their business. Diversification – HR; Payroll; training; etc. Move away from contracting “culture” and reliance on “good relationships” with those in power. The credit crunch The opportunity to abandon the current failing social care system for one that is fairer, more responsive and delivers what the customer wants