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Promoting Self Directed Support

This document explores the transformative work of “in Control,” a pioneering initiative aimed at revolutionizing social care through Self-Directed Support. ​ Authored by John O’Brien and David Towell, it reflects on in Control’s innovative approach to empowering individuals who rely on social care by promoting their full citizenship. ​ The report highlights key principles such as self-determination, personalized budgets, and flexible funding, enabling people to take control of their lives and resources. ​ It emphasizes the moral foundation of social care, advocating for systems that maximize autonomy and treat individuals as equal citizens with unique contributions. ​

The document likens in Control’s strategy to “social acupuncture,” targeting critical points in perception, power, and organization to drive deep systemic change. ​ It showcases practical successes, such as helping individuals transition from institutionalized settings to active community participation, and outlines a seven-step process for implementing individual budgets. ​ Additionally, it discusses challenges in scaling these efforts, including resistance from entrenched systems and the need for adaptive leadership.

Readers will learn about in Control’s distinctive structure, which fosters collaboration among local authorities, consultants, and national policymakers, while maintaining a commitment to open-source learning and shared innovation. The report also delves into the broader implications of self-directed support, including its alignment with national policies like “Putting People First” and its potential to reshape public services. This engaging overview provides insights into how in Control is redefining social care by focusing on citizenship, autonomy, and co-production. ​ It’s a must-read for anyone interested in

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