Delivering Better Outcomes through Staff- and Service User-led Change in Culture & Practice

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by Sarah Dillon

by Sarah Dillon

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  • Developed out of the end of the Personalisation implementation work with a desire to change the culture of service delivery further Needed to look at new and innovative ways to continue the cultural change started with Personalisation Listening to practitioners and user feedback
  • Visited two young women in one week with similar needs. Invited both to Peer Support Group Both not allocated PB as yet but …. Are working together to look at needs – More holistically Not just about money
  • Visited two young women in one week with similar needs. Invited both to Peer Support Group Both not allocated PB as yet but …. Are working together to look at needs – More holistically Not just about money
  • Visited two young women in one week with similar needs. Invited both to Peer Support Group Both not allocated PB as yet but …. Are working together to look at needs – More holistically Not just about money
  • Majority of staff currently seconded

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  • 1. Delivering Better Outcomes through Staff- and Service User-led Change in Culture & Practice @LiveLifeYourWay1
  • 2. Background • DoH Pilot to develop an independent social work practice as an alternative to traditional models. @LiveLifeYourWay 2 • Being evaluated by Kings College and Bristol University • One of 6 across England
  • 3. What we wanted to achieve • Test new and innovative ways to deliver social work • Reduce dependence upon statutory adult social care • Encourage the use of local voluntary and community resources @LiveLifeYourWay 3
  • 4. What we wanted to achieve • Reduce the dependence upon statutory funding via adult social care •Improve performance and outcomes for service users •Increase and improve involvement of staff and users throughout •Encourage the use of local voluntary and community resources • Reduce the overall expenditure/cost per case @LiveLifeYourWay4
  • 5. Board of Directors People in the local community Advisory Group Peer Support Service Task Group / Projects Practice Staff Structure of People2People @LiveLifeYourWay 5
  • 6. Transformational Change • Involving users at every level - and enabling this to influence practice development • Shift practice focus so that practitioners are accountable to users/carers on the Board and Advisory Groups •Empowering local management and self-managing teams as far as possible to increase ownership and responsibility •Reducing bureaucracy and increasing time with individual service users to improve outcomes @LiveLifeYourWay 6
  • 7. Achieving Cultural Change • Involving users at every level - and enabling this to influence practice development • Shift practice focus so that practitioners are accountable to users/carers on the Board and Advisory Groups @LiveLifeYourWay 7
  • 8. Having a different conversation • Starting with strengths not just needs •Seeing a person’s whole life not just care needs as part of their community •Focussing on community and voluntary support first •Using peer support as a credible option/alternative •Not seeing funded support as the only answer •Not starting with intense support then reducing this down - for most @LiveLifeYourWay 8
  • 9. How we are making a difference • Person with dementia diagnosis – eligible for Adult Social Care •Referred via GP, already in contact with secondary mental health service •Referral to P2P due to safety issues and need for carer break •Named worker completes assessment – focussing on individual’s strengths, community and support around them •Person agrees to take part in Peer Support session @LiveLifeYourWay 9
  • 10. How we are making a difference cont’d •Peer volunteer and worker discuss options •Connection with others via Peer Group for user •Support Plan included social contact and loss of male camaraderie (due to friendships and networks changing), carer breaks and keeping safe. •GPs used to help manage safety concerns. Links for carer to carer support services. •Connected via peer supporter to local community member who accompanied to walking group on a regular basis. •Carer attends Carers Assessment Groups – sustainable peer contact. @LiveLifeYourWay 10
  • 11. Staff engagement • Involved from the start, given responsibility, on the Board alongside those that use the service •Can see the impact they are having straightaway •Freedom to innovate e.g. carers assessment groups •Based in the local community in a shop – different relationship with the public, not seen as ‘The Council’ @LiveLifeYourWay 11
  • 12. “This is not just a job….” “I am learning so much from the peer supporters who have live experience” “I feel we give people a voice…” “We believe in what we do and work together to get there” “We want this to continue and grow” Feedback from staff @LiveLifeYourWay 12
  • 13. People2People activity to date Total referrals over 9 month period = 954 Number resulting in Community Care assessment = 842 540 users 302 carers seen in groups Total number of on-going funded Personal Budgets = 119 equivalent to 22.03% Average amount of on-going Personal Budget = £110 pw @LiveLifeYourWay 13
  • 14. Social Enterprise Aspects – CIC, staff and user ownership Can attract external funding e.g. Cabinet Office Formed set of principles that anyone in the pilot can work to (like “I” statements in Making it Real) Move away from hierarchical structures to a focus on practitioner responsibility and ownership Moving Forward @LiveLifeYourWay 14
  • 15. First 12 months very positive – met objectives, spent less, but … May 1st extended project to an extra third of the county – rural location, across whole pathway long+short term support Different focus Only 2 months in, but evaluation continues to inform future decision making @LiveLifeYourWay 15 … could be that urban location had more voluntary & community capacity … staff chose to move over to P2P … focussed only on short-term work - much larger staff team - rurality means focussing on “hubs” as opposed to having 1 or 2 community-facing buildings - staff chose to remove short and long term focus and one single pathway
  • 16. See attached link: People2People Shropshire - YouTube.mht (right click , then Open hyperlink) http://www.youtube.com/watch?v=RR9- Qo804Xs&feature=youtu.be @LiveLifeYourWay16