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We talk about being person-centred in social care, but what does this mean in the context of supporting people with learning disabilities or autistic people to leave a long-stay hospital or assessment and treatment unit?
When we talk to leaders in adult social care they openly admit “we can do better for people” with regards to community support and getting a good life.

So how can we do better?

One national project, Small Supports, is providing some answers and raising some questions about how we support people and commission services differently.
Personalisation and being person-centred is at the heart of this project, with twelve sites nationally supporting the growth of small providers. Amanda (from the Team at Imagineer) is involved in developing the Lancashire and South Cumbria Small Supports project.

What are Small Supports?

Small Supports are small, local organisations who work with people with learning disabilities and/or autism, who have experienced difficult or traumatic life events and who need a different approach to support them to leave hospital.

These new providers will focus on putting the person in the driving seat by building strong relationships with them and their family and circle of support. Fundamental to this is their willingness and ability to listen deeply to the person, their aspirations and hopes
for their future and then to help them choose and plan what a great life looks like for them. Conversations about support and risk follow that.

Why small?

The belief is that remaining small enables the leaders of the organisation to keep in touch with everyone, the people being supported, their families and those providing the support. Small is also very much about quality. Building strong relationships of trust with the individuals they support and their families, the commissioners and the community teams is vital to ensuring quality continuous support. Being able to ‘touch the sides’ of the organisation means that when challenges arise and changes are needed they can be spotted early and acted upon quickly.

Being small and local also means the leaders and paid supporters in the organisation are rooted and engaged in their community. They are able to build links with the person to their community based on their assets and strengths.

People are therefore able to contribute to society and build relationships outside of their family and paid support, something Small Supports strongly advocates. Focusing on individual’s aspirations and building intentional relational networks with and for the
person means that anything becomes possible, including friendships, finding love, getting a job, being a good neighbour and regaining health and happiness. Whilst these things may not seem like a great ask for most people, for many people who have lived for years in locked environments these important life experiences may feel out of reach. Small Supports is aspiring to change this by putting the person at the centre of the decision making in their life including focusing on what a good life looks like for them.

How does Support Brokerage fit in?

This is where quality Support Brokerage fits in. Being able to use a personal budget in the form of a direct payment, third party health budget or individual service fund offers a way to use creative and strengths based approaches to build a support plan directed by the person and their family. Every person has unique strengths, assets, gifts and skills and these are the starting point for building a dynamic support plan with the person in the driving seat. Looking at the person’s aspirations first, instead of a ‘one size fits all’ approach to buying support services; a personal budget enables the person to be directing their plan and how they want to spend their money so that the support wraps around them. The provider is there to support the individual and broker services as directed by the person. This will look very different for each person. Support Brokerage enables this bespoke and highly creative approach to designing a support plan which makes sense to the person; and drawing on all of the other strengths, connections and resources available to the person which can help to make their plan a reality..

Why Personal Budgets?

What Small Supports organisations learnt was that compromising on control and aspirations is when things start to go wrong. Using an individual service fund or a personal health budget enables the person to be in control, supported by their family and the provider. This type of personal budget offers flexibility like a direct payment.
Recognising that daily life is not on a schedule, is not predictable and is not the same every day. The person, their family and network supported by their provider can flex the support around the person’s choices and changing needs and if something unexpected comes up, they can adapt. This is not necessarily the case with a commissioned or managed budget (sometimes referred to as a ‘notional’ budget), where they might have to ask for a social care review to change the support plan, which may not happen immediately.

An individual service fund (ISF) is where the person and their family might like the idea of directing their support and being in control but don’t want the responsibility of managing the finances, staff and payroll. The provider or a third party helps them work out how to spend their budget and create their support plan and is accountable for it on their behalf; while the person remains in control of their support.

How can you get involved?

People who have successfully established their new Small Supports organisation tend to be people who have a background in providing or commissioning services.
Some are people with lived experience and family members, some are learning disability nurses, commissioners or social workers. However, they are bold and compassionate leaders committed to human rights, who understand the value of their community, aspire to provide high quality, local support and plan to remain small but sustainable- not supporting more than 5 people in their first year.

All Small Supports sites are actively looking for brave values-driven people who want to explore with them how to set up their own dynamic citizen-focused great Small Supports organisation. They will need to be tenacious, pro-active, flexible, good at problem-solving and passionate about making a difference and supporting people to live a great life.

Find out more

The Lancashire and South Cumbria Small Supports team are looking for passionate people to help us do this. Get involved or find out more .

Find out more about joining the Small Supports programme and other Small Supports sites in England.

 

Amanda Topps is an Associate Consultant at Imagineer. You can read her full bio here.

Say hello to the flexible shape of Self Directed Support

The majority of commissioning for Adult Health and Social Care is still focused on fixed and outdated service models which are determined and designed by profit-making service providers; squeezing individual and often complex needs into a broken system which is no longer fit for purpose. The result is that people experiencing a complex range of challenges in their lives often fall into a cycle of crisis, knee-jerk commissioning responses, placement breakdown, trauma and further crisis. Is the person being supported in the system complex? Or does the current system propagate complexities?

These linear commissioning processes are still the norm. Yet we all know the world of Health and Social Care changes quickly. Let’s say goodbye to traditional commissioning processes and embrace a more flexible and individualised approach. It’s called Self Directed Support.

A world that should no longer exist

Traditional commissioning for Adult Social Care and Health started at a time when the world of Health and Social Care was more stable and financially predictable than today. It made sense to those holding the budgets to have a model which used universal needs analysis of geographic areas (‘misery maps’) as a starting point, and then went to the Provider market place to seek solutions for meeting those needs. Provider organisations jumped to attention. Commissioning budgets quickly got tied up in framework and block contract arrangements agreed via European tendering processes and costly procurement systems which were designated by service label, and need. Lots of ‘specialist’ provider services sprung up- ranging from small Learning Disability homes to private Mental Health ‘Assessment and Treatment’ facilities and blocks of flats for people with Dementia. Lots of little ‘Care Ghettos’ were created around the UK.

There was profit to be made. It attracted the Venture Capitalists. Their cost and volume discounts stifled the small locally-based, community provider organisations, charities and social good organisations (who existed to help people to live well, learn to self-advocate and uphold their rights, enjoy citizenship in their local communities and experience a good life). The Health and Social Care market became a place for the giant corporates. The individual receiving support was forgotten- buried under the swathes of corporate governance, regulation and cost efficiency measures.

Because of this system the very need for Self-Advocacy exists, and we see an ongoing advance of legal challenges such as Judicial Reviews for people within the system who are fighting for their rights.

But this model of commissioning and market-shaping is outdated and provides a perfect breeding ground for the deprivation and abuse of human rights of the very people it should be there to protect and serve. Ultimately, it is costly, damaging and just plain wrong.


Flexible commissioning and flexible budgets

Instead of a narrow linear path to services, support by hours and tasks; we argue for flexible budgets—based on genuine person-centred and strengths-based assessment. Rooted in the intrinsic motivation and aspirations of the person and reflecting the need for flexibility which comes with the very natural and human process of changing & evolving interests, changing needs and ageing; and we argue to support the development of community connections and cohesion. Effectively the same level of connection, choice, control and flexibility which other citizens are able to access and enjoy when they are not reliant on statutory funding and provision to lead a normal life.

We argue for a recognition that Support Plans which are designed primarily around the person’s strengths, passions and motivations; rather than need, deficits and risks are more likely to achieve outcomes long-term, keep the person safe and ultimately reduce their dependency on the public purse or the repeated cycles of crisis which result in the need for high-cost emergency interventions.

We argue for more flexibility and less standardisation. For more variety and opportunity to use budgets more flexibly in order to build good personalised support which is tailored to the individual, and fewer blue-printed service models from large provider organisations. (Who wants to live in a care ghetto??) We argue for people to hold and control their own budgets, with good support to manage them if needed. We argue for ordinary homes in ordinary neighbourhoods. Good support. More courage, kindness and respect for human rights. More value for people as citizens and fellow humans. More focus on the strength and opportunity of connected communities, neighbourhoods and localities as the starting place for finding solutions. We argue for local democracy and decision-making power for communities to develop and build what makes sense for them on a local level, rather than what is determined by decision-makers who live far away, hold the purse strings and don’t have any understanding or experience of what it is like to live in those communities.

We’re thinking of the brave ones out there who challenge the current system and embrace new ways of working and stewarding the public purse. We’re thinking about a world where everyone matters and everyone has a voice.

The future of commissioning

(Based on an image concept by @waitbutwhy)

We have a way forward

It’s called Self Directed Support. It’s actually been around for years. It’s embedded within current Health and Social Care legislation. It’s a right in law (Care Act 2014) for people to have it. Self Directed Support is where the person entitled to receive support is given clear information about their options, and a choice to use the financial resource allocated for their support (by their Local Authority and/or CCG) in a flexible way which makes most sense for them. Effectively, the person can design their own support plan. So why is it not the obvious first option?

It’s because we are still stuck with the old traditional systems for commissioning and contracting for support. We have very expensive Local Authority & Health departments and systems which are inefficient and not fit for purpose. We spend a lot of time and money on trouble-shooting poor commissioning and support arrangements which have not met people’s needs and have triggered the cycle of crisis. We have a pool of social workers entrenched in a focus on crisis intervention and budget cuts. There is no room for proactive or preventative approaches. Everybody is fire-fighting.

Let’s stop trying to re-invent a buckled wheel, calling it by a different name and expecting it to change things. Let’s be radically different.

Where are the some of the good solutions happening already?

Self Directed Support makes absolute sense- it connects naturally to all of these Strengths-based approaches. Let’s learn how to make life work well for everyone.

For more information about Self Directed Support, visit our website: www.imagineer.org.uk

To keep up to date with Imagineer & Support Brokerage Network, sign up for our mailing list.

Meet Angie- an OT with a passion for Person Centred approaches!

Meet Angie….she’s been an Occupational Therapist (OT) for 30 years, working in NHS and (more recently), independent OT roles to support people with developing and maintaining their independence and well-being.

Angie Carter is a registered Occupational Therapist; and also an Accredited Support Broker with the Support Brokerage Network

The introduction of Personalisation within the Health and Social Care sector made absolute sense for Angie and resonated with her value base and skill set as an Occupational Therapist.

Angie’s journey of discovery led her to Support Brokerage

Angie began to explore ways of helping people to take control of their own lives within her work as an OT; and her exploration led her to reading about the concept of Independent Support Brokerage. She began to recognise that her formal OT approach fitted more with the ‘Professional Gift model’, than the ‘Citizenship model’ (which was the approach followed within Independent Support Brokerage). Angie completed her training with Imagineer as an Independent Support Broker, and she joined the Support Brokerage Network (formerly known as National Brokerage Network), which is a community of practice for Independent Support Brokers and organisations who implement the values and approaches of Independent Support Brokerage within their work.

“….here were people doing things that my OT profession has also been trying to do for years. But these people weren’t OT’s;  they were just listening and putting people at the centre of their own lives. Here I learned not to be precious about my profession. I was humbled by the skills of those around me and inspired by the passion of everyone present”….

 

Angie is now part of the Support Brokerage Network, and has written a detailed article about her own individual journey in becoming a Support Broker; in particular- the story of one young man whom she has worked alongside to Self Direct his own support. Angie now uses her professional skill set as an OT combined with the skills and approaches of Independent Support Brokerage to offer personalised, bespoke and enabling solutions and ideas for people to lead their lives in a way that truly makes sense for them:

“Having a life plan that was now owned by this young man….. provided everyone involved including social workers, health professionals and all his Provider services with one single focus – how he wanted his life to be, the challenges that needed to be overcome and knowledge about what worked well.”

You can read Angie’s full article here.

You can view Angie’s Support Broker profile here.

You can read more about Support Brokerage here.

If you’re interested in the work of Imagineer; and would like more information about what we do and how to get involved, you can sign up for our mailing list & monthly newsletter here.

Leah’s story

Here, Leah shares some of her story about caring for her three sons under the age of 18 who are all diagnosed with Autism and a range of other needs.

Tell us about the people who you care for. How old are they? What sort of things do they need help/care with?

I have 3 children all of which have Autism, some learning disabilities and possible genetic syndrome. The boys are twins (age 15) and my younger son (age 6). They’re all amazing and despite having the same diagnosis and being twins they present in very different ways and have different needs. All 3 need to be kept safe due to a lack of understanding regarding dangers. All 3 require support to meet daily care needs and this varies from prompts to full assistance. All 3 boys attend special schools, (two out of area). This makes me feel very lucky as it means that their provision has all the adaptations and adjustments required to support them successfully. I stated that this makes me feel lucky and I say that as I witness other parents and carers having a daily fight to secure such a placement. I myself had a long battle too originally, and although it almost cost me my mental health I’m so glad I persevered.

How much of your time each day/week do you spend caring for your family member/s?

For the time the boys are not at school, then they need support and I’m caring for them physically and directly- be that: sorting medication, clothing, cooking, personal needs, dealing with emotional difficulties…. there’s also tasks and appointments during the school day that need to be dealt with such as preparing for changes to routine, dealing with care plans, EHC plans, genetics, orthotics, OT, SALT, surgery, continence nurse, short breaks and the list goes on. Having said this, again- I’m lucky as I have all this professional input and undoubtedly it takes up so much time; but I know the benefits are immense and some other carers are left to struggle without this level of input. It’s hard to put any actual timings on my caring activities but needless to say that I had to leave my career 6 years ago due to the level of need so that I could become a full time carer to the boys.

 

Do you ever get a break from caring? If so, what sort of things do you like to do when you have a break?

All 3 boys are in receipt of Short Breaks and this provides a personal assistant for 3 hours each per week (term time) and 6 hours during school holidays. We also have an amazing family support network that allows us some overnight respite. When not caring, I like to walk and read. I also like to increase my skill set with training and courses (usually SEND related) to better stock my armoury in preparation for the next battle! I also volunteer within community protects and support 2 local SEND charities.

 

If you could have better support as a family carer, what sort of things would make life easier for you and your family?

Recognition that having multiple children with SEND increases need. Not having to battle and fight for everything which is constantly the case due to such a lack of funding (so you’re either fighting to get a service or fighting to keep it). Better SEND (Special Educational Needs and Disabilities) guidance that is not open to interpretation; a more inclusive society, and for person-centred approaches to be used across all services. My children’s needs are not the issue. They’re different, not broken but what is the actual issue is a general lack of acceptance and understanding. Being a carer for my disabled children has been so difficult at times, taking its toll on my own health and wellbeing. However, the one thing I’m sure of is that it’s made me a better version of myself and for that (and so much more) I’m extremely grateful.

The reality is hard, the worry for now and for the future can be all-consuming. The constant needs and demands can be draining but each day arrives with some joys (be that a milestone or just a positive day generally). It also arrives with the hope that today is the day that paves the way for true acceptance and inclusion.

Sometimes I feel completely exhausted and out of my depth. Sometimes I feel like I’ve completely lost myself. I feel selfish because I want to take a long bath, wash my hair, wear unpractical clothes, see friends, take a road trip, have a conversation of my choosing; but then sometimes this makes me feel more upset as its a glimpse into another world. I never resent my children and that’s the truth. As I said earlier, they’ve made me a better person; but sometimes I feel tired and overwhelmed especially after a long period of no sleep and when big transitions are approaching as then the worry of the future seems all-consuming. Sometimes I just need a crystal ball to show me how they’ll manage when I’m not around; or if I become ill; or if services are cut any further; or if some parts of society become even less tolerant and more ignorant. Performing any physical and practical needs can be tiring but trying to constantly plan and pre-empt for me is the part that really wears me out- my mind feels to be in constant overdrive.

How Imagineer are involved with supporting Leah:

At Imagineer, we work alongside unpaid family carers in many different ways; but one of the key ways that we can assist is by providing Support Brokerage.

If you are interested in receiving assistance from one of our Support Brokers, please contact us: info@imagineer.org.uk to request a call-back for an informal discussion, or a referral form.

For more information about Carers Week 2021, visit: Carersweek.org

 

In acknowledgement of Deaf Awareness Week 2021; we wanted to share the story of a lady called Emma who is registered as Deaf, that we’ve worked alongside to provide Support Brokerage with.

How we work with Emma

Emma is registered as Deaf; and she uses British Sign Language and an Alternative & Augmentative Communication (AAC) Device to communicate. We have been working alongside her, enabling her to Self-Direct her own support, using Support Brokerage approaches. To make sure that Emma is in the driving seat for planning and designing her support, we worked out the best way to communicate to organise meetings; which included times, places and who to invite. Emma communicated about this via email as she is able to access this independently and she can reply using the technology available to her.
When we meet in person, Emma has a BSL interpreter available to her which means that she can understand what has been shared or spoken about. To make sure the meeting and the discussion remains focused on and about her, we check any ideas and suggestions put forward with her and await her response or her decision before documenting anything.
We take paper and pens with us whenever we’re meeting with her so we can document ideas and information that will form her plan. This ensures that she can see what is being recorded and can make sure it is correct- we are continuously double-checking with her all the time.
We have also learned certain communication through body language and gestures so that we can develop a mutual understanding without fully relying on the spoken word. All of these approaches have been agreed and developed with Emma as her preferred way of working and communicating with us.

How does Support Brokerage work with Deaf people, and those with hearing impairments?

Support Brokerage can be used as a range of approaches to enable people in a very individual and personalised way to take control and remain in the driving seat with making plans for their own care and support.
At Imagineer, we work alongside many different people who approach us with their individual support requirements; and we tailor our approach to them, according to what their preference for our involvement is:
-Tailored communication support
-Visual information gathering and planning techniques
-Flexible arrangements around meetings
-Involvement of Family, Friends and/or Circle of Support

If you would like to know more about Support Brokerage, please visit our website.

 

At Imagineer, our day-to-day team consists of the three of us: Liz, Mollie & Sarah.

Imagineer team image- Mollie-Liz-Sarah

Although we didn’t deliberately set out to be a female-only team (as we do have male board members, and have had male staff working in the organisation previously); we have landed here for now, and we are a formidable trio!

We wanted to take the opportunity to celebrate our little team on International Women’s Day 2021, and also to recognise and honour some wonderful women who have influenced us and continue having an impact on our work.

Imagineer started 12 years ago with Liz, who was heavily impacted by the work of many other female visionaries working for a better world- one where everyone could be equal, recognised first and foremost as citizens with gifts and skills, rights and responsibilities. Liz’s early work in person-centred planning shaped the future direction and vision of Imagineer.

Mollie and Sarah joined the team at later points (both inspired by Liz’s work)- Mollie bringing her wonderful graphic skills, and Sarah bringing her writing skills as well as many years of collective experience in the Health and Social Care sector.

Much of the work which influenced the development of Imagineer and Independent Support Brokerage in the UK came from women such as Beth Mount, who wrote many wonderful books and developed beautiful person-centred planning approaches using creative and visual techniques. One of the approaches she is well known for is the creation of beautiful quilts which help to tell a person’s story. You can read more about Beth Mount’s work and the different resources she has developed here.

Beth Mount

                                                                                                 Beth Mount: Photo Credit to www.bethmount.org

Another key influencer of our work was the wonderful Judith Snow, who was an advocate for inclusion and one of the early pioneers of Individual Budgets and Circles of Support. You can read more about Judith’s life and work here.

 

Judith Snow2

                                                                                                      Judith Snow: Photo Credit to www.inclusion.com

Connie Lyle O’Brien (and her husband John) have taken a lead in thinking and creating new ways of relating to and supporting disabled people over the past 40 years, on a global basis. In addition to developing many of the person-centred planning systems used internationally, training thousands of facilitators and health & social care workers; they have also been authors of numerous inspirational publications and resources.

Connie Lyle O'Brien

                                                                                             Connie Lyle O’Brien: Photo Credit www.inclusion.com

Marsha Forest (& her husband Jack Pearpoint) founded the Centre for Integrated Education and Inclusion Press International. Marsha Forest was a remarkable leader, advocate and champion of inclusion for all.

Marsha Forest

                                                                                                  Marsha Forest: Photo Credit www.inclusion.com

Finally, we couldn’t let this day pass without honouring and remembering our wonderful Beth Fields who was part of our team for a number of years and who is sadly no longer with us. Beth worked hard to develop and grow our ‘Beat It’ music project which started a number of years ago as a result of the people we worked alongside expressing an interest in (and a love for) music. The people who Beth worked alongside and the musicians she supported are continuing to use their gifts and skills to bring music, life, energy and fun to the world- this is an enduring legacy which will continue to have an impact in the lives of people and communities she was involved with.

One of our core team values at Imagineer is fun, and we highly value every element of our work (past and present) which enables us to continue holding this as a value. The featured photo is a screenshot of our 2020 (lockdown) Christmas party, which we had over zoom. We had takeaway & wine, played silly games together and exchanged gifts. Mollie had made beautiful personalised hand-designed team mugs for each of the three us, which you can see in the picture!

Women over the years have been responsible for many breakthroughs in societal values, equality and inclusion. They have tirelessly promoted well-being and welfare for those who often don’t have a voice. We have much to thank women for and celebrate; and we continue to honour their legacy by building on it with our own work. Today, we want to celebrate, recognise and value all of the wonderful women we are connected with through partnering in shared vision, values and activities which help to make the world a better place. There are too many of you to mention; but we see you and we are grateful for you.

We’d love to hear about women who have influenced you and your work in relation to Health and Social Care, Community Development, Well-being and Welfare. Please do get in touch with us to share your thoughts with us at info@imagineer.org.uk

What do we mean, when we talk about ‘Community’?

The word ‘community’ can mean different things to different people. We can talk about community as a group of people with a shared interest or set of beliefs such as a sports club or a faith community. We can describe community as a geographic area in which people live, work and socialise. We can also use the word ‘community’ to describe a people group with a common ethnic or diversity label, a common ideology or political leaning.

For the purposes of this blog, we’re going to think of ‘community’ in three different layers:

  1. Individual level: A citizen living within their local neighbourhood and with a network of place-based and relational connections unique and specific to that person (“My Community”)
  2. Neighbourhood level: A larger group of people sharing a common geographic base, relational connections, facilities, resources and spaces; with a shared sense of ownership which is connected to that hyper-local geographic area (“Our community”)
  3. Society level: A population based on the more complex systems and values embedded within law and citizen life. (“THE community”)

Bumping Spaces- the places where community happens

Geographic communities (or neighbourhoods) are made up of a series of ‘bumping spaces’ where people congregate regularly on certain days or times of the week; and for certain events or activities. Bumping Spaces are unique to each individual community and are often the beating heart of where relational connections take place. These may be formal spaces such as community centres, libraries or GP surgeries. They may be hospitality-based spaces such as cafes, coffee shops or pubs, or they may be informal bumping spaces which take place around a particular community activity. Have you ever taken a moment to consider where the primary ‘bumping spaces’ are in your own neighbourhood? Sometimes it is surprising to discover where people congregate and where those relational connections are occurring. For example- if you ever walk past a primary school at the beginning or the end of the school day, you are likely to see a group of parents congregating- chatting, sharing stories, laughing together, commiserating each other over a poor nights sleep, and taking their children to the park to play together after school. If you ever walk in a park or countryside area, you are likely to pass many dog-walkers who stop and chat to each other, whilst their dogs play together. If you walk down a nearby canal towpath or riverbank you are likely to see barge-dwellers, boat owners and local fishermen who pass the time of day together. Community develops where natural connections occur.

How does Independent Support Brokerage assist with Community development?

In the practice of Independent Support Brokerage we often have conversations with people who are isolated and may have only paid workers and professionals in their lives. They don’t often use the phrase ‘My community’ because they don’t recognise or feel a sense of belonging to a particular community. One of the key ingredients in developing independence, resilience and wellbeing is community. Whilst we can’t prescribe community for people as such; we can provide assistance and ‘scaffolding’ to enable people to begin to develop their own natural connections and relationships- based on accessibility, interest, availability and encouragement. Often, people are held back from developing these connections, because they hold limiting beliefs about what is possible, whether they will be able to access anything, whether anybody will be interested in getting to know them, and how much things might cost.

The functions of Support Brokerage open up the conversation with the person by first understanding the essence of them- what makes them tick, what they’re passionate about, what’s important to them. What really brings them to life, what makes them smile and what they’re really good at. These early ‘discovery’ conversations  provide the seeds for discovering opportunities (often at the ‘neighbourhood’ level)- for thinking about what might be possible and how we might go about achieving it. That’s the starting point for helping people to connect to their community.

The fuel for driving these types of conversations is resourcefulness.

People who access social care or health funding for their care & support needs are often restricted to a blinkered ‘service’ based view of what is possible. Often their understanding of a good life and good support is limited to a narrow understanding of ‘time and task’ based support- such as domiciliary care visits for Personal Care or meal preparation; or perhaps attending a designated day service or activity group for people with a similar diagnosis or disability. The Care Act actually intended the conversation to move away from traditional service-based solutions, and to actually start with the person and their ‘assets’ (their home, their relationship connections, their skills and other resources available to the person- in other words, the things which are ‘strong’ and available in a person’s life); in order to develop a plan which really supports the person to have a good life, and promotes and upholds their wellbeing- helping them to be really integrated into their local community and part of the diverse group of citizens who reside there. Most of the solutions to having a ‘good life’ reside within Communities in the first place.

Find out more

About us:

Liz Leach Murphy is the Founder of Imagineer Development UK CIC, Chair of the National Brokerage Network and a Freelance Consultant working on personalisation within the Health and Social Care sector/community space.

Liz Leach-Murphy Founder of Imagineer Development CiC

Sarah Holmes is a Freelance Consultant working on personalisation within the Health and Social Care sector/community space; and a Director of Imagineer Development UK CIC

Both Liz and Sarah are practitioners, trainers and coaches in Independent Support Brokerage and consultancy for Strengths-Based Approaches with collectively over 40 years of experience in the Health and Social care and community sectors.

Imagineer Development UK CIC is a social enterprise based in the North of England with a national reach; originally set up as a test bed for Independent Support Brokerage in the UK. Imagineer is the hosting organisation for the National Brokerage Network, which is a community of practice for Independent Support Brokers. Imagineer provides a range of training & consultancy services in Support Brokerage, Person-Centred and Strengths-Based Approaches.

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National Brokerage Network

What does Support Brokerage look like in practice?

When we’re delivering training or webinars about Support Brokerage we often explain it using the analogy of a car and a journey.

The car

The car represents a person’s life. The person is the driver of their own car. This represents the core principle of Support Brokerage, which is that the person is in the driving seat.

In other words, as Support Brokers- in all of our practice and interactions we are continuously revisiting the principle that the person we are working alongside is taking the lead in making decisions about their life- where they want to be going, what they want to be doing, how they want to be supported and who will be involved. This is a core principle of Self-Directed Support.

Now to continue with our analogy, all cars need fuel for the journey.

The fuel & the Support Broker

 

Some people need assistance with putting ‘fuel’ in their car. This is where the Support Broker can become involved. Support Brokers are multi-skilled individuals who come from a range of different backgrounds. They have knowledge and experience which they can bring to assist the person they work alongside. Support Brokers can be people with lived experience, people who have worked in the Social care sector, Health professionals, Housing professionals or Community/Third sector workers. The Support Broker brings their range of skills, experience and knowledge, and uses this to assist the person with adding ‘fuel’ into their car. The ‘fuel’ we see in the image is referencing a range of different ‘strengths-based’ approaches which a Support Broker can lean into as they are working alongside the person to assist them with achieving their objectives.

The term ‘Support Broker’ is neither a job title, nor a job description, because the tasks which a Support Broker carries out will vary with each person they work with. Remember that the person is in the driving seat, and they will determine the remit and involvement of the Support Broker.

Now that the fuel has been added to the car, it is ready for the journey.

The journey

Remember, the person is in the driving seat. Once they have fuel in their car, they may decide that they need no further assistance from the Support Broker and decide to continue the rest of their journey independently. However, they may require some support to plan their journey and/or navigate the various destinations. In the image below, you will see that there is a passenger in the rear seat of the car. This is the Support Broker, who is holding a map and calling out directions- all the time acknowledging that the person is still in the driving seat and they are in control of the journey. At any point, the person could ask their Support Broker passenger to get out of the car!

For some people, they may have multiple ‘passengers’ in their car- these may be close family members or friends & members of their local community who are very involved in the person’s life; alongside the Support Broker who is also a passenger. We sometimes refer to this (or formalise this arrangement) as a ‘circle of support’. The principle of ‘passengers’ and the person in the driving seat still applies.

The journey of Support Brokerage may include visiting one or more destinations which help to bring the person closer to achieving their objectives. These include the ‘keys to citizenship’ of: Life, Love, Help, Purpose, Money, Home and Freedom.

The Support Broker may be tasked with carrying out specific actions as part of this journey, which could include person-centred planning, support with navigating the social care or health assessment process, identifying resources which help to achieve the person’s objectives and developing a support plan. The range of tasks is broad and should not be defined as an exhaustive list.

As with any journey, the longer we spend in the car and in the driving seat; the more confident we become and the more skilled and experienced we become at driving the car. This is also true of the input of a Support Broker. As the person becomes more confident and skilled at advocating for themselves, knowing and understanding their rights and being able to take the lead in discussions about their own support, the Support Broker is able to step back with the aim of not being needed at all in the end. For some people, it may be that they will always need some element of involvement from their Support Broker, but this should never be assumed and should regularly be revisited as a conversation with the person about how they feel things are going and how confident they feel about doing things independently.

Are you interested in finding out more?

Imagineer offers a range of training & mentoring services to support the knowledge and practice development of practitioners; and also to help people to know and understand their rights. Our next Support Brokerage course is running in February 2020.  Consider signing up for our ‘Quick bite for lunch’ webinars which explore practical ideas taken from Independent Support Brokerage. These practical approaches can be embedded within your practice. We are also planning a series of ‘Deep Dive’ webinars for the new year, which will be advertised on the ‘Webinars’ page of our website.

You can also subscribe to our mailing list if you would like to be kept up to date with what we’re doing.

If you can’t find what you’re looking for on our website, please send us an email: info@imagineer.org.uk

About us:

Liz Leach Murphy is the Founder of Imagineer Development UK CIC, Chair of the National Brokerage Network and a Freelance Consultant working on personalisation within the Health and Social Care sector/community space.

Liz Leach-Murphy Founder of Imagineer Development CiC

Sarah Holmes is a Freelance Consultant working on personalisation within the Health and Social Care sector/community space; and a Director of Imagineer Development UK CIC

Both Liz and Sarah are practitioners, trainers and coaches in Independent Support Brokerage and consultancy for Strengths-Based Approaches with collectively over 40 years of experience in the Health and Social care and community sectors.

Imagineer Development UK CIC is a social enterprise based in the North of England with a national reach; originally set up as a test bed for Independent Support Brokerage in the UK. Imagineer is the hosting organisation for the National Brokerage Network, which is a community of practice for Independent Support Brokers. Imagineer provides a range of training & consultancy services in Support Brokerage, Person-Centred and Strengths-Based Approaches.

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National Brokerage Network

How can we understand the potential and momentum of meaningful connections?

We connect with the world around us via People, Places and Opportunities. People who receive Health and Social Care service-based support often have limited networks which mainly consist of paid workers, professionals who are in their life on the basis of their label or diagnosis, and limited friend/family involvement. The potential and momentum of people’s relationship connections can really begin to unlock opportunities; which do not reside within formal statutory or service-based provision.

A key aspect of Independent Support Brokerage is exploring people’s connections. Not only does this help us to establish who the important and significant people in a person’s life are; but we can begin to identify opportunities to build further connections through which relationship ‘chains’ can be created. This approach can provide a springboard into new networks, communities and opportunities, helping to reduce dependency on statutory provision which is often very costly and exists on the basis of a financial transaction rather than a relational connection.

Supporting people to identify and develop their connections can result in an enriching experience for all involved, and can help to develop community-based resilience over time.

People-based connections:

Who we know, and who they know!

Place-based connections:

Where we go and who we might bump into or develop a connection with when we’re there!

Opportunity-based connections:

What we’re interested in, which we might have in common with other people we could then form a connection with on the basis of shared interests, skills, passions, hobbies or beliefs.

 

Community treasure chest

One particular way we can support people to identify and develop connections is through using an approach called ‘community treasure chest’.

The focus of the approach is the principle that individuals within groups of friends/neighbours, a circle of support or small community-based grass-roots organisations all hold ‘treasure’ which can be gathered to share with the group; and this ‘treasure’ provides points of connection which enable them to achieve outcomes & objectives.

As individuals within the group, you each take turns to share information about people you know who may be useful for others to connect with; your passions, obsessions & interests; your skills, training and knowledge; and something you are interested in learning about or doing. By doing this, key information is gathered which can then inform action planning, support planning or even business planning.

 

How does a Support Broker help people to build connections?

In the scenario where a Support Broker is working alongside a person to help them self-direct their own support, they can use this approach to build on the information they have already gathered about what the person is interested in; their hopes, dreams and aspirations. This helps the Support Broker to identify where connections can be made from the person’s existing network in order to grow those connections and relationships further.

Story: Rugby passion!

A gentleman used a regular bus route and the bus driver got to know him. The gentleman would always get off the bus at the same place, and while he was waiting to get off, they would always have a chat together. The gentleman’s family & friends noticed that he talked about the bus driver a lot and they explored how they could help to build on that relationship. The bus driver frequented a local pub and invited the gentleman to join him for a drink. In time, the gentleman got to know other people in the pub and became involved in many social activities which were connected to the pub community such as quiz nights, karaoke etc. It was discovered that the gentleman supported the same Rugby team as other people he spent time with at the pub, and he was invited along to go to the matches together with them. Over time, he began to make friends with other supporters who attended the same matches and he became involved in a much bigger community network on the basis of his shared love of Rugby. These connections grew from the basis of one initial relational connection in the gentleman’s local community and his day to day routine.

Working with people’s connections is a ‘Strengths-based approach’. In other words, it is focusing on things which are positive, good and strong in the person’s life and then building on those things; rather than starting from a perspective of ‘need’, risk or deficit.

What next?

We’d love to hear from you about your stories and examples of how people are being supported to build their relationships and connections. Please email us info@imagineer.org.uk if you have a story or example you’d like to share.

Imagineer offers a range of training & mentoring services to support the knowledge and practice development of practitioners; and also to help people to know and understand their rights.  Consider signing up for our ‘Quick bite for lunch’ webinars which explore practical ideas taken from Independent Support Brokerage. These practical approaches can be embedded within your practice. We are also planning a series of ‘Deep Dive’ webinars for the new year, which will be advertised on the ‘Webinars’ page of our website.

You can also subscribe to our mailing list if you would like to be kept up to date with what we’re doing.

About us:

Liz Leach Murphy is the Founder of Imagineer Development UK CIC, Chair of the National Brokerage Network and a Freelance Consultant working on personalisation within the Health and Social Care sector/community space.

Liz Leach-Murphy Founder of Imagineer Development CiC

Sarah Holmes is a Freelance Consultant working on personalisation within the Health and Social Care sector/community space; and a Director of Imagineer Development UK CIC

Both Liz and Sarah are practitioners, trainers and coaches in Independent Support Brokerage and consultancy for Strengths-Based Approaches with collectively over 40 years of experience in the Health and Social care and community sectors.

Imagineer Development UK CIC is a social enterprise based in the North of England with a national reach; originally set up as a test bed for Independent Support Brokerage in the UK. Imagineer is the hosting organisation for the National Brokerage Network, which is a community of practice for Independent Support Brokers. Imagineer provides a range of training & consultancy services in Support Brokerage, Person-Centred and Strengths-Based Approaches.

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Find us on Facebook

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National Brokerage Network

 

 

People we work with often ask ‘What supports wellbeing?’

The Care Act 2014 has an emphasis on Wellbeing and therefore it is a key aspect of all assessment and planning work in Health and Social Care.

In the practice of Independent Support Brokerage and Person-Centred Planning, we often talk about the concept of ‘purpose’.

However, it’s often missed in the health & social care process as an integral element of a person’s life- so why should we place such emphasis and importance on it?

Research study on purpose and mortality

A recent study conducted in the USA in 2019, followed 6985 adults over the age of 50 to identify a link between life purpose and all-cause mortality rate.

This is huge. This provides evidence which connects a person having a clear purpose in life; with their well-being.

How does Independent Support Brokerage link to the concept of purpose?

Stories of how Support Brokerage has enabled people to pursue their sense of purpose:

Jenny was living in a cramped home with parents as an adult, with no sense of future direction. Through accessing Independent Support brokerage, Jenny was able to move into her own home, employ her own support team using a Direct Payment, and set up her own business.

Billy was facing a future after school which was very lonely and isolated, and without any particular direction. With some Support Brokerage input, Billy  became involved in what was going on in his local community, joined local clubs and began speaking at events about inclusion.

Nicky was a lady in her mid-40s. She had been placed in a home for older people because that was the only provision ‘available’ to her, which could meet her complex support needs. The home was out of area- far away from her family and the community she knew well. With input from a Support Broker and key family members, Nicky was able to develop a plan to move into her own home back in her local community. Her family helped her to recruit & manage a team of Personal Assistants using her Direct Payment, which enabled her to be close to her family and back with her relationship networks and connections.

Are you interested in finding out more?

Imagineer offers a range of training & mentoring services to support the knowledge and practice development of practitioners; and also to help people to know and understand their rights.

Consider signing up for our ‘Quick bite for lunch’ webinars which explore practical ideas taken from Independent Support Brokerage. These practical approaches can be embedded within your practice.

Subscribe to our mailing list to be kept up to date with what we’re doing.

About us:

Liz Leach-Murphy Founder of Imagineer Development CiC

Liz Leach Murphy is the Founder of Imagineer Development UK CIC, Chair of the National Brokerage Network and a Freelance Consultant working on personalisation within the Health and Social Care sector/community space.

Sarah Holmes is a Freelance Consultant working on personalisation within the Health and Social Care sector/community space; and a Director of Imagineer Development UK CIC

Both Liz and Sarah are practitioners, trainers and coaches in Independent Support Brokerage and consultancy for Strengths-Based Approaches with collectively over 40 years of experience in the Health and Social care and community sectors.

Imagineer Development UK CIC is a social enterprise based in the North of England with a national reach; originally set up as a test bed for Independent Support Brokerage in the UK. Imagineer is the hosting organisation for the National Brokerage Network, which is a community of practice for Independent Support Brokers. Imagineer provides a range of training & consultancy services in Support Brokerage, Person-Centred and Strengths-Based Approaches.

Follow us on twitter: @imagineercic

Find us on Facebook

Find us on LinkedIn

 

It’s quite common to hear about ‘person-centred approaches, ‘choice and control’, and ‘self-directed support’ in Adult Learning Disability and Autism services; but we don’t often hear about innovations and personalised approaches in the delivery of older people’s care and support arrangements.

Imagineer has been delivering training in person-centred approaches including support brokerage for many years; and recently we were approached by a forward-thinking provider organisation in Devon- Love2care

This organisation provides home care support services mainly to older people across the Torbay area of Devon. They are rated as ‘outstanding’ by CQC and have a really unique, creative and personalised approach to the way they deliver their services.

Traditionally there are 3 main types of service model adopted for the care and support of older people:

The founder of Love2care Devon- Maddy Bird was keen to train her staff team in the principles of self-directed support and to develop their skills as Support Brokers so that they could really open up the way they supported their clients both at home beyond the traditional models of support, and also when there were any transitions into a hospital environment or a change in their care and support needs. Love2care commissioned Imagineer to deliver the full accredited Support Broker training to an initial group of staff at the organisation. Due to Covid-19 restrictions, the training was moved to online delivery, via the Zoom platform.

Maddy talks below about their experiences of doing the training and the impact it is making on their work as an organisation:

Love2care has people at the very heart of the service, and when we talk about ‘people’ we don’t just mean the person we are caring for.  We mean them –  absolutely, but their loved ones also – the carers who provide paid and unpaid support. We also value our team and employees, as people. We focus on getting to know what matters most on an individual basis – not just feeling like we are completing a set of tasks for someone; but that we are facilitators and part of a support system, as advocates, listening ears, and objective eyes.

I often say to people that Love2care is a person-centred organisation, because although we may be juggling a lot of changes or difficult situations; we are disciplined in our practice, ensuring that others don’t feel that strain. We are careful to ensure that people feel listened to, heard and valued. We then support each person to look at ways to address what it is that they want to achieve.

Our service is very much focused on building & maintaining positive relationships, and having clear boundaries.  We work hard to avoid getting caught up in bureaucracy. We truly try to work with the people we support, so that they can live the life they want to. For me, the word ‘facilitators’ is very apparent within the organisation.

My work background prior to Love2care was in a corporate organisation, and my role was ‘brokerage manager’ – working under a ‘prime provider’ framework with my local authority. I loved being able to help secure care and support for people, but what I quickly realised was just how ‘un person-centred’ the processes were. I felt that (for me) care has been a vocation, and a journey, and yet throughout my career I was starting to come further and further away from the person. I was brokering care and support for people whose names I didn’t know, as it was done via an excel spreadsheet. For me, this just wasn’t ok. 

I felt that I needed to do more.

I then established Love2care, and through my work, I have just always had a passion for changing that experience. I have been able to do that via Love2care in some areas, but I then had a vision that my team around me would have the competence and the desire to support people more, enhance their lives, and also have meaningful conversations. 

I think within our service we regularly felt like we had more to give, but less autonomy through local authority contracts. We equally wanted to support our local community – so there were definitely feelings of restriction and limitations in our role. I developed an idea using support brokerage, and using our CQC registration, which explored a new model of care offering the potential to free up social care time and resources; and work in a much more personalised way with people to self-direct their own support.  

We really enjoyed our training. There were a couple of things for me, firstly being able to invest in my team to develop them personally and professionally; giving them a skill set and knowledge base that not all front-line social care staff have the opportunity to normally receive. The training is giving them the confidence and competence to be able to have more in-depth conversations, and autonomy to look beyond a task list for people.

Secondly, what I also took away really positively was that our care and supporting planning was really person-centred already. Recognising that as a home care provider, we had the resources and we were utilising them; but through completing the training we were able to go deeper. I now have more resilience and flexibility within the service, to offer people we may not necessarily need to provide with direct support, but to offer them a brokerage service that means they are feeling heard, and that they can self-direct their own support.

My staff team have the autonomy and confidence to go beyond the norm. They understand how to look at different resources, so people remain independent for longer. Even just our conversations as a team have changed – I feel that we have given people more choice and control – allowing them to make the decisions they want for their lives.

Our local commissioners are really enthusiastic about us thinking differently. We are looking at developing Individual Service Funds (ISFs) within our local teams; however, due to the restrictions of Covid (and now heading into winter pressures), I think there is some delay – even though in one sense and in an odd way, I also feel that because of Covid – we are years ahead.

We will keep doing our thing, and hope that people see that a new model of care could really make a difference.

Surely we have to try?

Are you interested in finding out more?

Imagineer offers accredited support broker training, mentoring and other training/resources relating to self-directed support and strengths-based approaches regularly throughout the year.

Visit our explore our website for further information which can be found under the drop-down menu heading ‘What we do’’ for further details, and subscribe to our mailing list to be kept up to date with future training dates. 

To find out more about the work of Love2care- Devon, visit their website: https://love2care.uk/about-us/

About us

Liz Leach Murphy is the Founder of Imagineer Development UK CIC, Chair of the National Brokerage Network and a Freelance Consultant working on personalisation within the Health and Social Care sector/community space.

 

Sarah Holmes is a Freelance Consultant working on personalisation within the Health and Social Care sector/community space; and a Director of Imagineer Development UK CIC.

Maddy Bird has worked within Adult Social Care for 10 years, in various roles from Community Carer, Care Coordinator, Brokerage Manager in a prime provider commissioning model, and is now founder and leader of an Outstanding Rated organisation, Love2Care Devon – established in 2017.

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