Alex Fox
alexfoxshared.bsky.social
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.
The final group has been making recommendations on improving commissioning and finding areas which have moved away from rigid buying systems towards creative partnerships
September 25, 2025 at 1:22 PM
The Plumbing and Wiring group is talking with Care Quality Commission about what good looks like for councils to support Direct Payment uptake and use to give people more choices
September 25, 2025 at 1:01 PM
An overview of the practical problems and solutions uncovered by the Plumbing and Wiring work so far. Next up @martinwalkersds.bsky.social of @tlap.bsky.social is looking at how Direct Payment uptake can be improved and provide better alternatives in ways that people can manage.
September 25, 2025 at 1:00 PM
Sessions starts with us gathering thoughts on a future approach to understanding what good looks like and measuring the outcomes of care and support. Loads of great ideas to add to our group’s initial recommendations (pictured)
September 25, 2025 at 12:57 PM
Some emotional contributions from people who draw on care and support, reminding us all of the importance, urgency and sometimes fear which changes in adult social care can bring. Including fears for changes in welfare benefit system and frustration with lack of mental health support
September 25, 2025 at 11:28 AM
Casey Commission has ‘building a national conversation’ as key goal. We have to build public push for change to get politicians on board.
September 25, 2025 at 11:16 AM
Ah thanks!
September 25, 2025 at 11:15 AM
Radical suggestion to abolish commissioning and replace with support to individuals to use Direct Payments and their own money to purchase support + investment in community capacity from Karyn Kirkpatrick at @keyringliving.bsky.social
September 25, 2025 at 11:14 AM
Call for national programme to test and demonstrate the early action interventions which are key to long term change in adult social care but not scaled and taken seriously enough, says @ewandking.bsky.social of @sharedlivesplus.bsky.social
September 25, 2025 at 11:04 AM
There is a huge difference between individual invited into committee vs groups and networks of disabled and older people contributing to and leading decision-making discussions says @rickburgess.bsky.social of Greater Manchester Social Care Commission
September 25, 2025 at 11:02 AM
Call for more formal positions in DHSC and Casey commission for disabled and older people from Rich Amos.
@coproisaac.bsky.social: stop seeing us as passive recipients & people you buy care for. We are the solution when we have the opportunity to lead.
Casey commission commits to coproduction.
September 25, 2025 at 10:56 AM
President of @adass.bsky.social @jessmcp.bsky.social days: Good commissioning is gardening not buying. Sowing the seeds and growing all kinds of support.
Also: decision making including commissioning is a very white space which doesn’t reflect diverse communities. Needs to change.
September 25, 2025 at 10:53 AM