Transcript Slide 1

Condition Management
Programme
Building on what we’ve got!
Neil Perris
Operational Issues
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Need to ensure mirroring provision and quality across the
whole of the district to include Liverpool & Wirral
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Build on best practice re engagement and retention of clients
on CMP
 Want to recruit multi-disciplinary team for CMP
(skills/awareness training)
 Want to ensure community/neighbourhood based delivery
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Developing linkages currently in 3 priority areas of:
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Mild to moderate mental health issues
Cardio-respiratory
Muscular- skeletal
Expand as demand requires (e.g. neurological conditions)
Customised provision requires contracting with some
providers and signposting/referral to other existing
services/programmes
Link between CMP and employment
support
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Access to other forms of JC+ support (Pathways
to Work Choices elements) by clients important
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Joint case conferences and good communication
between IBPAs, CMP case managers and realistic
employment opportunities is crucial
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Flexible delivery to reflect varying needs between
clients & of clients over time is essential
Link between CMP & wellness/lifestyle
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CMP clients may be accessing other therapies/support:
 Primary care mental health teams
 Heart/rehab Centres
 OT/physio support
 Expert Patient
 Back Pain support programmes
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Need to raise awareness of the Condition Management
Programme with primary care providers inc GPs
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Need to consider and develop:
 communication between services;
 Referrals/signposting processes to Job Centre Plus;
 Access to existing healthy living initiatives
Link between CMP and community
involvement/social capital
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Recognition of short term nature of CMP & need for clients
to get on-going support from peers and wider community
through regaining/forming social networks – not ‘tip off the
map’ when CMP completed
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Clients need to regain confidence to participate in
community as a whole, not just work
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Need to make the CMP attractive/interesting/ nonthreatening to ensure opt-ins; low drop-out and good work
of mouth social marketing by participants and partner
agencies
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Linkage to volunteering/buddying initiatives (In-work
support)
Key Partnership
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CMP Participant +
JobcentrePlus PA +
NHS CMP Practitioner
= Opportunity for work
and health.
The Condition Management
Delivery Model: Proposed
Approach
Neil Perris, Condition Management
Programme Manager
Key elements of CMP programme
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Client supported by case manager whilst on
CMP
Access to core advice modules (peer
support/group work)
Access to 1:1 support: physio/ counselling CBT /
other
Length of participation on CMP is ranges from 3
- 6 months
Joint case conferences with Incapacity Benefit
Personal Advisers (IBPAs), CMP case managers
and customer as appropriate
CMP Client Journey
Agreement made with
PA that you would
like to participate in
the
programme
You’ll be sent an
appointment letter to
meet with your case
manager. You will be
asked to repeat the
questionnaires that
you completed at the
beginning of the
programme.
You will meet with your case
manager at the jobcentre and
discuss your progress and
future plans, and you will be
offered an appointment with
the case manager & PA.
Appointment made by
PA to see case
manager at Jobcentre
Once the
modules/option
s have finished
your Course
Leader will ask
you to complete
an evaluation
form.
Optional 3-way
interview
First meeting with case
manager (at this meeting
you will be given some
questionnaires to
complete)
The Course
Leaders will
contact you
to arrange a
start date for
your course.
You may see the
case manager for
a further X
sessions (where
you will jointly
agree an action
plan)
You will then be
referred back to your
PA who will assist you
in looking for
employment.
The Proposed Local CMP Model
IBPA
Referral
to CMP
Interview
1:1
With
support
Case
Manager
2 sessions
e.g.
Physio
Or CBT/
counselling
Managing
Your way
back
to work
&
Introduction
to
Healthy
living
Pick &
Mix
Options
Social networking
GP awareness/support role & other professional support
Case manager support throughout period on CMP
Effective
Linkage
& support
into
Work
& in work
Who will deliver this?
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CMP Core Modules (x2)
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Provided by NHS and public sector
Pick & Mix provision
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Contracted out to Voluntary/Community sector &
Private Sector
CMP – 2 Core Modules (NHS delivered)
Managing your way back to work
All sessions are half day:
 Anxiety Management
 Positive pressures (stress mgt)
 Working well (work place
issues)
 Interaction works
(communication strategies
around work and health)
 SMART steps (pacing and goal
setting)
 Solving problems and
dissolving anger management
 Putting assertiveness into
action
 Money management
Total = c 4 days
Introduction to healthy living
All sessions are half day:
 Positively healthy – benefits of
a healthy lifestyle (healthy
eating and drinking)
 Women’s / Men’s health
session
 Introduction to local fitness
facilities/progs
 Relaxation techniques
Total = c 3 days
2 core modules to run alternate weeks at a range of community venueswith clients waiting no longer than 2-4 weeks to participate
Pick & Mix Option choices
• Likely to be commissioned from outside the NHS
• optional sessions to supplement core programmes
• case manager has access to a range of provision in order
to tailor CMP to participants needs
• Case manager will continue to be point of contact for
participant
• all provision will be carefully monitored and evaluated
Therapy / counselling:
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Ongoing 1:1 CBT/counselling (supplementary)
Individual sessions with Job Centre Plus Work
Psychologist
Introduction to memory aids
Additional anger/stress/anxiety management
Substance misuse support (drugs/alcohol) (signposting)
Exercise / fitness:
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Ongoing specialised support for specific conditions:
cardio/muscular-skeletal/pain-management (Expert
Patient?)
Personal trainer sessions in local leisure centre
Other exercise classes (such as yoga, pilates, )
Healthy living (eating and drinking)
Living with fatigue / sleep management
Advice / Support:
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Debt counselling and money management
Life-coaching
Managing the shift back to work in households /
relationships
Make-overs / personal grooming
Mentoring
How will this be commissioned?
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We are currently in the process of establishing our
core module provision (any elements that we are unable to
provide from within the NHS /public sector, we will commission from
outside)
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We will then draw up service specifications for all of
the provision we intend to commission. (We will send these
to all attendees of these provider events)
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We will select the most appropriate provider using a
range of criteria including evidence of effectiveness,
cost effectiveness, accessibility of provision,
geographical coverage, and so on…