Helena Grace is an occupational therapist with over 20 years of experience working in local authorities and the NHS. She currently works as a CQC Special Advisor and runs her own consultancy, Grace and Associates Ltd. Her career has included roles as a commissioner, manager, and therapist. She has strong skills in areas such as project management, service reviews, training, and the use of equipment and adaptations.
Sharing the Learning from Innovation in Mental Health PracticeNHSScotlandEvent
Mental health practice has a long history of person‐centred care approaches and recent initiatives and material have further developed this focus. This session will highlight what impact these initiatives have had..
Learning Disabilities: Share and Learn Webinar – 27 April 2017NHS England
Creating a Dynamic Approach to Risk Stratification (including dynamic risk registers)
This webinar aims to share learning to help TCPs in developing a dynamic approach to risk stratification (which includes a developing dynamic risk register). The webinar provides the latest guidance from the national Transforming Care Programme and a real life example of how a TCP has approached the problem on the ground.
This webinar covers some of the same material as one run previously for North region TCPs on dynamic risk registers but also builds on that material with the latest guidance.
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
Sharing the Learning from Innovation in Mental Health PracticeNHSScotlandEvent
Mental health practice has a long history of person‐centred care approaches and recent initiatives and material have further developed this focus. This session will highlight what impact these initiatives have had..
Learning Disabilities: Share and Learn Webinar – 27 April 2017NHS England
Creating a Dynamic Approach to Risk Stratification (including dynamic risk registers)
This webinar aims to share learning to help TCPs in developing a dynamic approach to risk stratification (which includes a developing dynamic risk register). The webinar provides the latest guidance from the national Transforming Care Programme and a real life example of how a TCP has approached the problem on the ground.
This webinar covers some of the same material as one run previously for North region TCPs on dynamic risk registers but also builds on that material with the latest guidance.
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
Learning Disabilities: Share and Learn Webinar for Transforming Care Partners...NHS England
This webinar is relevant to all Transforming Care Partnerships, with a focus on a whole system approach to shaping the market. The session was commissioned by Jane Alltimes of the LGA and led by Sarah Broadhurst from the Institute of Public Care on behalf of the Local Government Association. The session:
• Explores market shaping activities that take a whole system, lifespan approach to commissioning for people with a learning disability and/or autism, enabling them to live good lives in the community;
• Considers research undertaken by IPC on market shaping and the development of learning disability market position statements;
• Works through some of the key challenges to shaping the market and identify solutions and approaches to overcoming these;
• Looks at the quality of the market and provision as part of the development of market position statements;
• Sign-post to useful resources and tools on market shaping activity
Learning Disabilities: Share and Learn Webinar – 11 May 2017NHS England
This webinar focuses on the Model Service Specification for Enhanced/Intensive support and aims to explain the core functions that need to be in place in the community in order to support people with a learning disability, autism or both who display behaviours that challenge which place themselves or others at risk of serious harm; or for whom the nature or degree of risk might otherwise lead to exclusion, placement breakdown, and admission to inpatient services.
The webinar includes real life examples of how some Transforming Care Partnerships have approached the development of these functions.
Learning Disabilities: Share and Learn Webinar – 18 May 2017NHS England
This webinar focuses on the Model Service Specification for Community Based Forensic Support and aims to explain core functions that need to be in place locally in order to provide effective specialist Community-based Forensic Support to meet the needs of adults with a learning disability, autism or both who display behaviours that challenge which have led to contact with the criminal justice system, or where there is risk of this.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
How will Sustainability and Transformation Plans (STPs) help deliver the Five Year Forward View?
Matthew Swindells and Simon Enright, NHS England, and Julia Ross, North West Surrey CCG
Day One, Pop-up University 7, 10.00
Transforming Care: Share and Learn Webinar – 28 September 2017NHS England
Guest Speaker: Fraser Battye, NHS Midlands and Lancashire CSU
NHSE has commissioned an independent evaluation of Building the Right Support which is being provided by The Strategy Unit (Midlands and Lancashire CSU), University of Birmingham, ICF and BILD. The evaluation aims to provide evidence to help improve the programme as it is being implemented. This means taking a supportive and learning-oriented approach, working with Transforming Care Partnerships (TCP) and others to understand what is working, what isn’t and what can be learnt to improve services. The method involves TCPs in several ways – including as case studies and through a programme-wide survey. This webinar provides an opportunity to hear from the evaluation team and understand how you can get involved.
Topic Two: How we can Transform Care for children and young people – learning from experience
Guest Speakers: Maureen Banda – Children and Young People’s Regional Strategic Case Manager for London, Isabelle - M's Mother and Pasquale Brammer - Local Children's Commissioner
This webinar features a real story of a young person (M) being admitted inappropriately to a psychiatric intensive care unit. Their experience of care and services was not good, which led to deterioration in M’s health. M is now thriving in an appropriate setting, and the webinar explores how we can learn from experience and provide the right care at the right time, in the right setting. M’s mother also joins the session.
Learning Disabilities: Share and Learn Webinar – 27 July 2017NHS England
Topic One: Transforming care for children and young people with autism
Guest speakers: Sarah Jackson and David Gill, NHS England and Pat Smith, Autism East Midlands
This webinar looks at some of the challenges seen, such as gaps in provision for children and young people with autism, and will discuss some of the work that is taking place to address these issues.
Topic Two: “The assuring transformation data system” - how to upload data and run reports
Guest speakers: Andy Tookey, NHS England and Judith Ellison and Sarah Freeman, NHS Digital
This webinar is aimed at people who are new to reporting assuring transformation (AT) data or who are unsure how to run reports.
Older and Better: Living Well at Home or in the CommunityNHSScotlandEvent
Every healthcare contact is a health improvement opportunity but how well do we embed lifestyle advice in our day‐to‐day encounters? Gain a greater awareness and understanding of the Health Promoting Health Service and how we can implement this activity in your workplace.
Learning Disabilities: Share and Learn Webinar – 26 January 2017NHS England
Topic One: Developing a cross system workforce plan for the learning disabilities workforce
Guest speakers: Lisa Proctor, Workforce Specialist, Midlands and East and Marie Lancett, Workforce Specialist South, Health Education England, Christiana Evans, Locality Manager (South West), Skills for Care and Marc Lyall, Regional Director – West of England, Skills for Health
This session is designed to help Transforming Care Partnerships who are developing a workforce plan for the learning disabilities workforce in their locality. It gives an overview of workforce planning methodology and describes how you can use pen pictures to think about the workforce needs in relation to the requirements of the individuals that you serve. It also explains how planning your workforce should work alongside your service planning and service redesign. There are also signposts to sources of information that may be useful in developing a TCP workforce plan.
Topic Two: Employing expert by experience in commissioning
Guest speakers: Catherine Keay (Transforming Care Manager) and Jo Minchin (Autism Expert by Experience), South West Lincolnshire CCG
This topic covers the role of experts by experience when they are directly employed by a Clinical Commissioning Group. It outlines a dual role in relation to Care and Treatment Reviews with the CCG and involvement of people with lived experience and their carers through the Lincolnshire Autism Partnership Board and working groups, specifically the Involvement and Collaboration Group (the A Team Network). The session also covers progress with CTRs for people with autism from a CCG and EbE perspective, including local CCG CTRs, reasonable adjustments and accessibility, barriers and areas for development and achievements to date.
Learning Disabilities: Share and Learn WebinarNHS England
Topic One: Enhanced Care Service (ECS)
Guest speakers: Caroline Kirby - Interim Lead Complex Needs Commissioner, Angie Simmons - Team Leader, Enhanced Care Service (ECS), Ted Page - Behavioural Nurse Specialist (ECS)
and Rachel Barrett – Expert by Experience, Speakeasy Now
The presentation reflects on good practice around avoiding hospital admission in Worcestershire who have developed an enhanced care service working proactively in the community.
Topic Two: Strategic resettlement, personalisation at scale and pace
Guest speaker: Pól Toner, Head of Improvement, NHS England
The presentation considers Strategic Resettlement, which is part of the Improvement and Enablement function of the Learning Disability Programme. It is being put in place to support the delivery of a transformational change to close inpatient services and develop the appropriate scale of personalised community care for people with a learning disability and/or autism who display behaviour that challenges, as set out in Building the Right Support. The function provides additional support to local systems to accelerate discharges where appropriate, focusing specifically on patients with the most complex needs and a long length of stay (over 5 years).
Learning Disabilities: Share and Learn Webinar for Transforming Care Partners...NHS England
This webinar is relevant to all Transforming Care Partnerships, with a focus on a whole system approach to shaping the market. The session was commissioned by Jane Alltimes of the LGA and led by Sarah Broadhurst from the Institute of Public Care on behalf of the Local Government Association. The session:
• Explores market shaping activities that take a whole system, lifespan approach to commissioning for people with a learning disability and/or autism, enabling them to live good lives in the community;
• Considers research undertaken by IPC on market shaping and the development of learning disability market position statements;
• Works through some of the key challenges to shaping the market and identify solutions and approaches to overcoming these;
• Looks at the quality of the market and provision as part of the development of market position statements;
• Sign-post to useful resources and tools on market shaping activity
Learning Disabilities: Share and Learn Webinar – 11 May 2017NHS England
This webinar focuses on the Model Service Specification for Enhanced/Intensive support and aims to explain the core functions that need to be in place in the community in order to support people with a learning disability, autism or both who display behaviours that challenge which place themselves or others at risk of serious harm; or for whom the nature or degree of risk might otherwise lead to exclusion, placement breakdown, and admission to inpatient services.
The webinar includes real life examples of how some Transforming Care Partnerships have approached the development of these functions.
Learning Disabilities: Share and Learn Webinar – 18 May 2017NHS England
This webinar focuses on the Model Service Specification for Community Based Forensic Support and aims to explain core functions that need to be in place locally in order to provide effective specialist Community-based Forensic Support to meet the needs of adults with a learning disability, autism or both who display behaviours that challenge which have led to contact with the criminal justice system, or where there is risk of this.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
How will Sustainability and Transformation Plans (STPs) help deliver the Five Year Forward View?
Matthew Swindells and Simon Enright, NHS England, and Julia Ross, North West Surrey CCG
Day One, Pop-up University 7, 10.00
Transforming Care: Share and Learn Webinar – 28 September 2017NHS England
Guest Speaker: Fraser Battye, NHS Midlands and Lancashire CSU
NHSE has commissioned an independent evaluation of Building the Right Support which is being provided by The Strategy Unit (Midlands and Lancashire CSU), University of Birmingham, ICF and BILD. The evaluation aims to provide evidence to help improve the programme as it is being implemented. This means taking a supportive and learning-oriented approach, working with Transforming Care Partnerships (TCP) and others to understand what is working, what isn’t and what can be learnt to improve services. The method involves TCPs in several ways – including as case studies and through a programme-wide survey. This webinar provides an opportunity to hear from the evaluation team and understand how you can get involved.
Topic Two: How we can Transform Care for children and young people – learning from experience
Guest Speakers: Maureen Banda – Children and Young People’s Regional Strategic Case Manager for London, Isabelle - M's Mother and Pasquale Brammer - Local Children's Commissioner
This webinar features a real story of a young person (M) being admitted inappropriately to a psychiatric intensive care unit. Their experience of care and services was not good, which led to deterioration in M’s health. M is now thriving in an appropriate setting, and the webinar explores how we can learn from experience and provide the right care at the right time, in the right setting. M’s mother also joins the session.
Learning Disabilities: Share and Learn Webinar – 27 July 2017NHS England
Topic One: Transforming care for children and young people with autism
Guest speakers: Sarah Jackson and David Gill, NHS England and Pat Smith, Autism East Midlands
This webinar looks at some of the challenges seen, such as gaps in provision for children and young people with autism, and will discuss some of the work that is taking place to address these issues.
Topic Two: “The assuring transformation data system” - how to upload data and run reports
Guest speakers: Andy Tookey, NHS England and Judith Ellison and Sarah Freeman, NHS Digital
This webinar is aimed at people who are new to reporting assuring transformation (AT) data or who are unsure how to run reports.
Older and Better: Living Well at Home or in the CommunityNHSScotlandEvent
Every healthcare contact is a health improvement opportunity but how well do we embed lifestyle advice in our day‐to‐day encounters? Gain a greater awareness and understanding of the Health Promoting Health Service and how we can implement this activity in your workplace.
Learning Disabilities: Share and Learn Webinar – 26 January 2017NHS England
Topic One: Developing a cross system workforce plan for the learning disabilities workforce
Guest speakers: Lisa Proctor, Workforce Specialist, Midlands and East and Marie Lancett, Workforce Specialist South, Health Education England, Christiana Evans, Locality Manager (South West), Skills for Care and Marc Lyall, Regional Director – West of England, Skills for Health
This session is designed to help Transforming Care Partnerships who are developing a workforce plan for the learning disabilities workforce in their locality. It gives an overview of workforce planning methodology and describes how you can use pen pictures to think about the workforce needs in relation to the requirements of the individuals that you serve. It also explains how planning your workforce should work alongside your service planning and service redesign. There are also signposts to sources of information that may be useful in developing a TCP workforce plan.
Topic Two: Employing expert by experience in commissioning
Guest speakers: Catherine Keay (Transforming Care Manager) and Jo Minchin (Autism Expert by Experience), South West Lincolnshire CCG
This topic covers the role of experts by experience when they are directly employed by a Clinical Commissioning Group. It outlines a dual role in relation to Care and Treatment Reviews with the CCG and involvement of people with lived experience and their carers through the Lincolnshire Autism Partnership Board and working groups, specifically the Involvement and Collaboration Group (the A Team Network). The session also covers progress with CTRs for people with autism from a CCG and EbE perspective, including local CCG CTRs, reasonable adjustments and accessibility, barriers and areas for development and achievements to date.
Learning Disabilities: Share and Learn WebinarNHS England
Topic One: Enhanced Care Service (ECS)
Guest speakers: Caroline Kirby - Interim Lead Complex Needs Commissioner, Angie Simmons - Team Leader, Enhanced Care Service (ECS), Ted Page - Behavioural Nurse Specialist (ECS)
and Rachel Barrett – Expert by Experience, Speakeasy Now
The presentation reflects on good practice around avoiding hospital admission in Worcestershire who have developed an enhanced care service working proactively in the community.
Topic Two: Strategic resettlement, personalisation at scale and pace
Guest speaker: Pól Toner, Head of Improvement, NHS England
The presentation considers Strategic Resettlement, which is part of the Improvement and Enablement function of the Learning Disability Programme. It is being put in place to support the delivery of a transformational change to close inpatient services and develop the appropriate scale of personalised community care for people with a learning disability and/or autism who display behaviour that challenges, as set out in Building the Right Support. The function provides additional support to local systems to accelerate discharges where appropriate, focusing specifically on patients with the most complex needs and a long length of stay (over 5 years).
Anticipatory Care Planning: Time To Make It Happen - Early Intervention Using The Life curve Dr Sarah Mitchell (Programme Manager - AHP National Delivery Plan)
Joint Strategic Commissioning is at the heart of the Public Bodies (Joint Working) Bill. JIT has recently issued guidance on what Partnerships need to do in order to develop Strategic Plans that incorporate a Financial Plan, relating to all integrated resources, by April 2015. This session provides an opportunity to further explore the scale and scope of what partnerships are required to do to deliver on the opportunities and ambitions of integrated health and social care. Contributed by: Joint Improvement Team
1. HGCV2015 Page 1
HELENA GRACE
15 Southdown Road, Brighton, East Sussex BN1 6FH
Mobile 07824722097
Email Helena.grace@graceandassociates.co.uk
HCPC registration number OT 25162
KEY ATTRIBUTES
Motivated self starter with excellent organisational skills
Advanced written and verbal communication skills
Creative and analytical thinker with a track record of resolving complex
issues
Ability to manage complex projects and work effectively with a range of
stakeholders
Sound knowledge of local authority and National Health Service operations
and commissioning
Strong Occupational Therapy clinical reasoning skills
Good knowledge of local authority legislation, national policies and best
practice guidance.
CAREER PROGRESSION
CQC Special Advisor February 2015 – present
Providing specialist advice and input into the Care Quality Commission’s
regulatory inspection and investigation activity.
Director of Grace and Associates Ltd January 2012- present
Consultancy work for local authorities and CCGs including: Service reviews,
reprocurement of county wide Children and Adults wheelchair and specialist
seating service, project management of service transition, training
consultancy, clinical and strategic input into Falls and Fractures Prevention
Pathway, review of funding mechanisms for major adaptations
.
Design and delivery of a range of courses to ASC staff including: DLE entry
level assessor, reabling approaches to assessment
Coaching/supportive enquiry: Design and delivery of innovative Skills for Care
coaching project to ASC staff to increase prescription of Telecare
2. HGCV2015 Page 2
Commissioner Integrated Community Equipment Services, Minor adaptations
and Assistive technology October 2010-November 2011
Joint commissioner on behalf of Adult Social Care and PCT for Integrated
Community Equipment Services (ICES) : Reviewed existing section 75
arrangements, wrote policy for provision of equipment for nursing and
residential homes, wrote service specification, initiated and produced
Continuing HealthCare guidance for funding and delivery of equipment,
drafting and agreeing service level agreement and operational procedures,
initiated equipment scrutiny panel.
Commissioner for minor adaptations: Rationalisation of budgets, review of
eligibility criteria and provision, design of service specification, , evaluation
and remodelling of sensory minors service to produce cost savings.
Commissioner for assistive technology: Reviewed existing Telecare
arrangements, commissioned and secured funding for pilot ‘Just Checking’
invest- to -save project for Learning Disability residential homes, co-author of
draft Telecare strategy
Worked collaboratively with Southern England OT managers to devise a draft
shared criteria for Adult Social care top ups for major adaptations
ASC lead for joint ASC and NHS equipment exceptions scrutiny panel
Attended MSC module on Commissioning for the Public Sector at Brighton
University
Acting Team Manager Occupational Therapy Assessment team January 2010-
October 2010 Brighton and Hove Council, Adult Social Care Division
Oversaw transfer of provision of major adaptations to Housing Occupational
Therapy department including staff consultation, equalities impact
assessment, process mapping, budget setting, designing and agreeing
service specification.
Designed and implemented strategies to reduce the OT waiting list for
assessment from 700 to 80 over a 9 month period.
Integrated existing separate Health and Adult Social Care clinical scrutiny
panels into a joint virtual equipment panel and introduced teleconferencing
Established equipment brokerage post to support the procurement process
and ensure best value for equipment
Founder and chair of working group advising BHCC on legal position re self
and charitable funding of Daily Living Equipment
3. HGCV2015 Page 3
Supervised senior OTs and Hearing Impairment Officer
Service Development Occupational Manager May 2006- January 2010 Brighton
and Hove Council, Adult Social Care Division
Established Service Development Manager Post
Lead role in briefing and advising senior managers and clinical staff across
the Assessment, Housing and Children and Families Occupational Therapy
teams on national developments and ensuring that procedures, protocols and
policies were in place so that the government and departmental performance
indicators and the requirements of the professional body could be met.
Lead role in research across local authorities and Health nationwide to ensure
a consistency of approach and the implementation of best practice.
Main projects:
Reablement
Co author of the vision informing the Transformation model for BHCC,
involving the establishment of Access point, Community Solutions, SIT and
the reviewing team.
Worked with project team on shaping the reablement model for BHCC
Joint project manager for launch of internal homecare reablement scheme
Designed city wide reablement training programme including identifying
training requirements and demand, co authoring training modules, identifiying
competencies.
Designed service user feedback questionnaire for reablement service
Direct payments Daily Living Equipment and Minor adaptations
Author of direct payments for Daily Living Equipment policy - one of the first
nationally. Delivered City wide training.
Author of draft direct payments for minor adaptations policy
Operational instructions major and minor
Author of city wide OT guidance around procedures and eligibility for minor
and major adaptations across all tenures
4. HGCV2015 Page 4
City wide OT training coordinator
Budget holder and commissioner for city wide OT training including adults and
children
Fair Access To Care (FACS) Guidance
Reviewed current FACS eligibility for OT and sensory services
Competency Framework for Occupational Therapists
Designed and implemented competency based system for OT career
progression city wide
Adult Social Care Occupational Therapy representative
Service User Engagement forum
Senior practitioner OT clinical and service development forum
Equipment providers forum for ICES
Member of panel of Brighton and Hove Integrated Special Equipment Panel
Early career
June 2003-January 2004 Brighton and Hove Council, Adult Social Care
Division
Acting Resource Manager City Wide OT team
Development and running of the duty system
Personnel issues
Training
Allocation of cases and management of the waiting list
Supervision of 10 OTs and Office Manager
Service development projects
January 2003-June 2003 Brighton and Hove Council, Adult Social Care
Division
Duty occupational therapist
Telephone referrals and risk ranking.
Design and provision of operational guidelines.
November 2001-January 2003 Brighton and Hove Council, Adult Social Care
Division (return from maternity leave)
5. HGCV2015 Page 5
Community occupational therapist
Complex Occupational Therapy casework and assessment
July 1997- November 2000 Brighton and Hove Council, Adult Social Care
Division (inc 1 year maternity leave)
Occupational therapist HIV Services
Sole occupational therapist in a multidisciplinary team
Initiated working in partnership with health services to provide a more holistic
OT service looking at social and mental health needs.
Initiated, designed and ran a range of therapy groups, including anxiety
management and vocational advice.
Assessment and recommendation a range of equipment and adaptations.
Screening and allocating work
Supervision of Occupational Therapy Assistant.
February 1996- July 1997 Brighton and Hove Council, Adult Social Care
Division
Community Occupational Therapist
Complex assessments of need
Prescription of simple and complex daily living equipment and minor and
major adaptations in the community for children and adults
Supervision of Occupational Therapy Assistant
October 1995-February 1996 Waltham Forest Social Services, Hatch Lane,
Chingford
Community Occupational Therapist
Simple home visit assessments of need
Recommendation and oversight of daily living equipment and simple major
adaptations
Qualifications:
PTTLS adult education training 2013 MKLC training
Post Graduate Diploma OT 1995 School of Occupational Therapy, Royal
London Hospital Medical College, Whitechapel, London
MA English 1987 University of Sussex, Brighton
BA (hons) 2:1 English 1985 University of Sussex, Brighton