Alex Fox
@alexfoxshared.bsky.social
Delivery Director at IMPOWER, Trustee AFG, NHS Assembly Member.
Author: Escaping the Invisible Asylum (Policy Press). AlexFoxBlog.wordpress.com
Former: CEO, Shared Lives Plus; Vice chair, Think Local Act Personal.
Author: Escaping the Invisible Asylum (Policy Press). AlexFoxBlog.wordpress.com
Former: CEO, Shared Lives Plus; Vice chair, Think Local Act Personal.
Pinned
Alex Fox
@alexfoxshared.bsky.social
· Nov 13
The Motivational State: from productivity to ‘co-productivity’
Download The Motivational State: re-thinking public service productivity from DemosPoor UK productivity has been a significant…
https://alexfoxblog.wordpress.com/2024/11/13/the-motivational-state-from-productivity-to-co-productivity/
Download The Motivational State: re-thinking public service productivity from DemosPoor UK productivity has been a significant…
https://alexfoxblog.wordpress.com/2024/11/13/the-motivational-state-from-productivity-to-co-productivity/
Reposted by Alex Fox
Neighbourhood health puts care closer to home, but what does it really mean in practice? 🤔 Read our new 15-min explainer: https://www.kingsfund.org.uk/insight-and-analysis/long-reads/what-is-neighbourhood-health?utm_term=thekingsfund&utm_source=bluesky&utm_medium=social
What Is Neighbourhood Health? | The King's Fund
The government has put a 'neighbourhood health service' at the heart of its vision for the NHS – but what does that actually mean for staff and patients? And how might it be implemented in different c...
www.kingsfund.org.uk
October 29, 2025 at 2:42 PM
Neighbourhood health puts care closer to home, but what does it really mean in practice? 🤔 Read our new 15-min explainer: https://www.kingsfund.org.uk/insight-and-analysis/long-reads/what-is-neighbourhood-health?utm_term=thekingsfund&utm_source=bluesky&utm_medium=social
Why we need to move beyond strengths-based practice
Strengths-based practice is needed, and the shift towards it has been significant: there can’t be many councils or social care provider organisations that don’t at least claim their approach is strengths-based. But that shift hasn’t resulted in…
Strengths-based practice is needed, and the shift towards it has been significant: there can’t be many councils or social care provider organisations that don’t at least claim their approach is strengths-based. But that shift hasn’t resulted in…
Why we need to move beyond strengths-based practice
Strengths-based practice is needed, and the shift towards it has been significant: there can’t be many councils or social care provider organisations that don’t at least claim their approach is strengths-based. But that shift hasn’t resulted in social care systems which are consistently enabling greater independence and becoming more sustainable. In many areas, reliance on the most restrictive forms of social care for working age adults is increasing, including for young people where care packages involving very high staff ratios are becoming more rather than less common.
alexfoxblog.wordpress.com
October 29, 2025 at 12:09 PM
Why we need to move beyond strengths-based practice
Strengths-based practice is needed, and the shift towards it has been significant: there can’t be many councils or social care provider organisations that don’t at least claim their approach is strengths-based. But that shift hasn’t resulted in…
Strengths-based practice is needed, and the shift towards it has been significant: there can’t be many councils or social care provider organisations that don’t at least claim their approach is strengths-based. But that shift hasn’t resulted in…
Why aren’t strengths-based approaches working?
www.linkedin.com/posts/alexfo...
www.linkedin.com/posts/alexfo...
Why strengths-based practice isn't working in social care | Alex Fox OBE posted on the topic | LinkedIn
Why isn't strengths-based practice working?
Strengths-based practice is needed, but that shift hasn’t resulted in social care systems which are consistently enabling greater independence and becoming ...
www.linkedin.com
October 10, 2025 at 1:59 PM
Why aren’t strengths-based approaches working?
www.linkedin.com/posts/alexfo...
www.linkedin.com/posts/alexfo...
Reposted by Alex Fox
Strengths-based approaches often miss the mark. Systems focus too much on what people already do, not what they could achieve.
@alexfoxshared.bsky.social explores the cultural shift needed to enable independence & build sustainable support systems. 👉 bit.ly/4nSInAo
@alexfoxshared.bsky.social explores the cultural shift needed to enable independence & build sustainable support systems. 👉 bit.ly/4nSInAo
October 2, 2025 at 11:46 AM
Strengths-based approaches often miss the mark. Systems focus too much on what people already do, not what they could achieve.
@alexfoxshared.bsky.social explores the cultural shift needed to enable independence & build sustainable support systems. 👉 bit.ly/4nSInAo
@alexfoxshared.bsky.social explores the cultural shift needed to enable independence & build sustainable support systems. 👉 bit.ly/4nSInAo
Reposted by Alex Fox
"Key to the neighbourhood health service is the Notts Care Record, which launched in summer 2025, a shared care record that consolidates data from GPs, hospitals, mental health, community services, and social care"
#RealistEvaluation
@neilchadborn.bsky.social
www.digitalhealth.net/2025/09/nott...
#RealistEvaluation
@neilchadborn.bsky.social
www.digitalhealth.net/2025/09/nott...
Nottingham rolls out 'digital-enabled' Neighbourhood Health Service
Nottingham City aims to "set a blueprint for digital-enabled neighbourhood health", says Alexis Farrow, programme director at Digital Notts.
www.digitalhealth.net
September 25, 2025 at 3:06 PM
"Key to the neighbourhood health service is the Notts Care Record, which launched in summer 2025, a shared care record that consolidates data from GPs, hospitals, mental health, community services, and social care"
#RealistEvaluation
@neilchadborn.bsky.social
www.digitalhealth.net/2025/09/nott...
#RealistEvaluation
@neilchadborn.bsky.social
www.digitalhealth.net/2025/09/nott...
Always looks like the #SocialCareFuture Gathering is being raided by the police, but I think the venue is just next to the police station…
September 25, 2025 at 3:13 PM
Always looks like the #SocialCareFuture Gathering is being raided by the police, but I think the venue is just next to the police station…
At #socialcarefuture gathering Andy McCabe introduces the session on Fixing Adult Social Care’s plumbing and wiring
September 25, 2025 at 12:33 PM
At #socialcarefuture gathering Andy McCabe introduces the session on Fixing Adult Social Care’s plumbing and wiring
Every time I come to the social care future gathering at the friends meeting house in Manchester, I walked past this quote and can’t resist taking a picture of it
September 25, 2025 at 11:54 AM
Every time I come to the social care future gathering at the friends meeting house in Manchester, I walked past this quote and can’t resist taking a picture of it
Reposted by Alex Fox
Are person-centred thinking tools the missing link in creative support planning? 🧠
Join us on Tuesday 30 July to hear how a manager in Sheffield is helping her team explore these powerful tools to improve Direct Payments.
📅 Sign up: thinklocalactpersonal.org.uk/DirectPaymentEvents
Join us on Tuesday 30 July to hear how a manager in Sheffield is helping her team explore these powerful tools to improve Direct Payments.
📅 Sign up: thinklocalactpersonal.org.uk/DirectPaymentEvents
September 22, 2025 at 10:46 AM
Are person-centred thinking tools the missing link in creative support planning? 🧠
Join us on Tuesday 30 July to hear how a manager in Sheffield is helping her team explore these powerful tools to improve Direct Payments.
📅 Sign up: thinklocalactpersonal.org.uk/DirectPaymentEvents
Join us on Tuesday 30 July to hear how a manager in Sheffield is helping her team explore these powerful tools to improve Direct Payments.
📅 Sign up: thinklocalactpersonal.org.uk/DirectPaymentEvents
At #socialcarefuture gathering there is call for radical commissioning reform.
@coproisaac.bsky.social says people can feel ‘sold to the lowest bidder’ for support. Says we can’t fixate on (real) lack of money when things like approach to coproduction and equality can be changed now
@coproisaac.bsky.social says people can feel ‘sold to the lowest bidder’ for support. Says we can’t fixate on (real) lack of money when things like approach to coproduction and equality can be changed now
September 25, 2025 at 10:49 AM
At #socialcarefuture gathering there is call for radical commissioning reform.
@coproisaac.bsky.social says people can feel ‘sold to the lowest bidder’ for support. Says we can’t fixate on (real) lack of money when things like approach to coproduction and equality can be changed now
@coproisaac.bsky.social says people can feel ‘sold to the lowest bidder’ for support. Says we can’t fixate on (real) lack of money when things like approach to coproduction and equality can be changed now
Salford’s Support and Action Women’s Network choir getting #SocialCareFuture gathering off to an uplifting musical start in Manchester. Anna Severwright sets out the vision for a good life and the practical focus of SCF’s work. At @impower.bsky.social we are supporting on meaningful outcomes
September 25, 2025 at 9:56 AM
Salford’s Support and Action Women’s Network choir getting #SocialCareFuture gathering off to an uplifting musical start in Manchester. Anna Severwright sets out the vision for a good life and the practical focus of SCF’s work. At @impower.bsky.social we are supporting on meaningful outcomes
Reposted by Alex Fox
"We have to remember, it isn't a house, it's a home. And when we're making changes into people's homes, they have to feel empowered and in control." says Professor Vikki McCall, researcher at @stir.ac.uk.
September 25, 2025 at 9:16 AM
"We have to remember, it isn't a house, it's a home. And when we're making changes into people's homes, they have to feel empowered and in control." says Professor Vikki McCall, researcher at @stir.ac.uk.
Reposted by Alex Fox
We don’t always hear enough from people with dementia. This is a fantastic reminder that the things that matter to us all are unifying.
I loved the emphasis on reciprocity. Of course we all want to feel recognised & have opportunities to be helpful.
@tlap.bsky.social @neilmcrowther.bsky.social
I loved the emphasis on reciprocity. Of course we all want to feel recognised & have opportunities to be helpful.
@tlap.bsky.social @neilmcrowther.bsky.social
📢 New dementia report: 'I just want to be able to dance'
We’re proud to share a hopeful vision for care and support that promotes the wellbeing of people living with dementia through community development, social innovation, and personalised support. buff.ly/H4lKhFE
We’re proud to share a hopeful vision for care and support that promotes the wellbeing of people living with dementia through community development, social innovation, and personalised support. buff.ly/H4lKhFE
July 16, 2025 at 7:40 PM
We don’t always hear enough from people with dementia. This is a fantastic reminder that the things that matter to us all are unifying.
I loved the emphasis on reciprocity. Of course we all want to feel recognised & have opportunities to be helpful.
@tlap.bsky.social @neilmcrowther.bsky.social
I loved the emphasis on reciprocity. Of course we all want to feel recognised & have opportunities to be helpful.
@tlap.bsky.social @neilmcrowther.bsky.social
Reposted by Alex Fox
We have EIGHT vacancies on the IMPACT website right now - they are all super exciting opportunities to join our growing team and help support our aim of improving adult social care across the UK.
Find out more and apply: impact.bham.ac.uk/our-people/v...
Find out more and apply: impact.bham.ac.uk/our-people/v...
LinkedIn
This link will take you to a page that’s not on LinkedIn
lnkd.in
July 15, 2025 at 10:35 AM
We have EIGHT vacancies on the IMPACT website right now - they are all super exciting opportunities to join our growing team and help support our aim of improving adult social care across the UK.
Find out more and apply: impact.bham.ac.uk/our-people/v...
Find out more and apply: impact.bham.ac.uk/our-people/v...
Reposted by Alex Fox
It’s telling how much this post has resonated. I’m getting lots of messages from senior folk in govts (not just UK). I do think something has tipped - recognition of the brokenness and appetite for the craft of helping systems adapt.
How to save bureaucracy from itself: medium.com/@jamestplunk...
How to save bureaucracy from itself: medium.com/@jamestplunk...
How to save bureaucracy from itself
Seven ways to make big institutions less sclerotic
medium.com
July 16, 2025 at 5:58 AM
It’s telling how much this post has resonated. I’m getting lots of messages from senior folk in govts (not just UK). I do think something has tipped - recognition of the brokenness and appetite for the craft of helping systems adapt.
How to save bureaucracy from itself: medium.com/@jamestplunk...
How to save bureaucracy from itself: medium.com/@jamestplunk...
As much as we say we do
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help…
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help…
As much as we say we do
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help into close, often intimate, relationships. Those relationships aim to achieve dignity, wellbeing and a fulfilling life.
alexfoxblog.wordpress.com
July 16, 2025 at 7:13 AM
As much as we say we do
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help…
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help…
As much as we say we do
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help into close, often intimate, relationships. Those relationships aim to achieve dignity, wellbeing and a fulfilling life.
alexfoxblog.wordpress.com
July 15, 2025 at 8:52 AM
As much as we say we do
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help…
If there are two things you can get everyone in social care to agree on, it’s that coproduction is a good thing in theory, and that it’s hard in practice. The first part of that seems self-evident: social care involves putting people who seek help and people who offer help…
Reposted by Alex Fox
Nicole Samuel reflects on the European Healthcare Design Congress, where @alexfoxshared.bsky.social joined a panel on embedding #transformation in capital programmes.
IMPOWER’s 4-stage framework helps close the ‘transformation gap’: impower.co.uk/2025/06/23/b...
#healthtransformation #IMPOWER
IMPOWER’s 4-stage framework helps close the ‘transformation gap’: impower.co.uk/2025/06/23/b...
#healthtransformation #IMPOWER
June 23, 2025 at 11:49 AM
Nicole Samuel reflects on the European Healthcare Design Congress, where @alexfoxshared.bsky.social joined a panel on embedding #transformation in capital programmes.
IMPOWER’s 4-stage framework helps close the ‘transformation gap’: impower.co.uk/2025/06/23/b...
#healthtransformation #IMPOWER
IMPOWER’s 4-stage framework helps close the ‘transformation gap’: impower.co.uk/2025/06/23/b...
#healthtransformation #IMPOWER
Community care magazine has featured our analysis of councils spending, outcomes and CQC assurance results in adult social care:
www.linkedin.com/posts/alexfo...
www.linkedin.com/posts/alexfo...
Community Care have featured our analysis of council adult social care spending, productivity, and CQC assurance results in an article here: https://lnkd.in/epRSDvsh | Alex Fox OBE
Community Care have featured our analysis of council adult social care spending, productivity, and CQC assurance results in an article here: https://lnkd.in/epRSDvsh
In response to the findings, a CQC...
www.linkedin.com
June 25, 2025 at 11:18 AM
Community care magazine has featured our analysis of councils spending, outcomes and CQC assurance results in adult social care:
www.linkedin.com/posts/alexfo...
www.linkedin.com/posts/alexfo...
Getting a strong reaction to this analysis of CQC council inspection results and whether they correlate to outcomes, costs or something else….
www.linkedin.com/posts/alexfo...
www.linkedin.com/posts/alexfo...
One of the most interesting, and perhaps controversial findings from our… | Alex Fox OBE | 16 comments
One of the most interesting, and perhaps controversial findings from our recent analysis of our IMPOWER INDEX (which takes all the publicly-available data from each public service area to benchmark ea...
www.linkedin.com
June 3, 2025 at 10:46 AM
Getting a strong reaction to this analysis of CQC council inspection results and whether they correlate to outcomes, costs or something else….
www.linkedin.com/posts/alexfo...
www.linkedin.com/posts/alexfo...
Becoming strengths-based means changing systems not just practice
Strengths-based practice is an important starting point, but on its own it doesn’t create high enough consistent gains in individual independence, or the kind of step change that we need across our complex systems. As the pressures…
Strengths-based practice is an important starting point, but on its own it doesn’t create high enough consistent gains in individual independence, or the kind of step change that we need across our complex systems. As the pressures…
Becoming strengths-based means changing systems not just practice
Strengths-based practice is an important starting point, but on its own it doesn’t create high enough consistent gains in individual independence, or the kind of step change that we need across our complex systems. As the pressures on social care mount, it’s time to raise our level of ambition and embed enabling, empowering and connecting into every aspect of our services, systems and communities.
alexfoxblog.wordpress.com
May 19, 2025 at 7:45 AM
Becoming strengths-based means changing systems not just practice
Strengths-based practice is an important starting point, but on its own it doesn’t create high enough consistent gains in individual independence, or the kind of step change that we need across our complex systems. As the pressures…
Strengths-based practice is an important starting point, but on its own it doesn’t create high enough consistent gains in individual independence, or the kind of step change that we need across our complex systems. As the pressures…
The Essex Caring Communities Commission report from Essex County Council sets out a raft of community capacity building initiatives aimed at inclusion and prevention: www.essex.gov.uk/adult-social... and includes our Valuing Good Lives and Valuing Care approach, and @sharedlivesplus.bsky.social
Essex Caring Communities Commission: Overview | Essex County Council
In May 2024 the Leader of Essex County Council, Kevin Bentley, announced the Council’s intention to sponsor a Caring Communities Commission. The Commission is an independent group of experts and elect...
www.essex.gov.uk
May 7, 2025 at 9:12 AM
The Essex Caring Communities Commission report from Essex County Council sets out a raft of community capacity building initiatives aimed at inclusion and prevention: www.essex.gov.uk/adult-social... and includes our Valuing Good Lives and Valuing Care approach, and @sharedlivesplus.bsky.social
Reposted by Alex Fox
Care Can't Wait - new campaign from @adass.bsky.social shining light on the importance and impact of good adult social care #therightsupport
Learning Disability England members agree social care at its best, contributes to community and #GoodLives
Find out more: www.adass.org.uk/care-cant-wait
Learning Disability England members agree social care at its best, contributes to community and #GoodLives
Find out more: www.adass.org.uk/care-cant-wait
Care Can't Wait - ADASS
Realising the potential of social care so that everyone can live a good life
www.adass.org.uk
May 7, 2025 at 8:33 AM
Care Can't Wait - new campaign from @adass.bsky.social shining light on the importance and impact of good adult social care #therightsupport
Learning Disability England members agree social care at its best, contributes to community and #GoodLives
Find out more: www.adass.org.uk/care-cant-wait
Learning Disability England members agree social care at its best, contributes to community and #GoodLives
Find out more: www.adass.org.uk/care-cant-wait
Reposted by Alex Fox
Gonna get lost under the news avalanche that is the local election results, but here are the 'Term of Reference' for Baroness Louise Casey's commission on adult social care. Bit of a cloudy soup I thought www.gov.uk/government/p...
Independent commission into adult social care: terms of reference
www.gov.uk
May 2, 2025 at 6:53 AM
Gonna get lost under the news avalanche that is the local election results, but here are the 'Term of Reference' for Baroness Louise Casey's commission on adult social care. Bit of a cloudy soup I thought www.gov.uk/government/p...
The ADASS spring seminar closes with Cabinet Office Minister @georgiagould.bsky.social: we need to draw on the strengths of communities for better public services and the power of listening to people. Successful reform builds from the ground up.
April 30, 2025 at 11:48 AM
The ADASS spring seminar closes with Cabinet Office Minister @georgiagould.bsky.social: we need to draw on the strengths of communities for better public services and the power of listening to people. Successful reform builds from the ground up.