Alex Fox
@alexfoxshared.bsky.social
500 followers 210 following 160 posts
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.
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alexfoxshared.bsky.social
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
winn-on-health.bsky.social
"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...
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
alexfoxshared.bsky.social
Always looks like the #SocialCareFuture Gathering is being raided by the police, but I think the venue is just next to the police station…
alexfoxshared.bsky.social
The final group has been making recommendations on improving commissioning and finding areas which have moved away from rigid buying systems towards creative partnerships
alexfoxshared.bsky.social
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
alexfoxshared.bsky.social
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.
alexfoxshared.bsky.social
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)
alexfoxshared.bsky.social
At #socialcarefuture gathering Andy McCabe introduces the session on Fixing Adult Social Care’s plumbing and wiring
alexfoxshared.bsky.social
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
alexfoxshared.bsky.social
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
alexfoxshared.bsky.social
Casey Commission has ‘building a national conversation’ as key goal. We have to build public push for change to get politicians on board.
alexfoxshared.bsky.social
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
alexfoxshared.bsky.social
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
alexfoxshared.bsky.social
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
Reposted by Alex Fox
tlap.bsky.social
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
alexfoxshared.bsky.social
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.
alexfoxshared.bsky.social
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.
alexfoxshared.bsky.social
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
alexfoxshared.bsky.social
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
ageingbetter.bsky.social
"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.
"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 Stirling University.
Reposted by Alex Fox
jessmcp.bsky.social
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
tlap.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
Reposted by Alex Fox
impadultcare.bsky.social
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...
LinkedIn
This link will take you to a page that’s not on LinkedIn
lnkd.in
Reposted by Alex Fox
jamestplunkett.bsky.social
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
Seven ways to make big institutions less sclerotic
medium.com