Transcript Document

Derby
Children &
Young People’s
Partnership
Derby City Council CYPD
workshop
About IDCS @ the Light house
Lessons from IDCS integration
Consultation findings
Derby City Council CYPD
The Integrated Disabled
Children’s Service (IDCS)
What a partnership!
Derby City Council CYPD
What is IDCS?
• Specialist Service for disabled children with
severe and complex needs.
• Health Act s.31 partnership
• The Light House built through a LIFT
partnership
• Health, Social Care
and Education staff
Derby City Council CYPD
What the Light House provides
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Residential overnights (10) beds)
Community based activities for children
Statutory social work
Behavioural support
Family support/ parenting support & assessment
Therapy in schools
OT aids, equipment and adaptations
Special Needs Toy Library & play advice
Specialist Nursery
early Intervention &
holistic care
• Single point of access: parents, colleagues &
children
• Information:
website; newsletter;
electronic resource development
Derby City Council CYPD
Arrangement of multidisciplinary teams
• Under 11 team: bringing casework & early
intervention together
• Pre-school team specialist nursery,
Parenting & family support,
• Over 11 team: casework: focus on transition,
ILF & direct payments.
• CST:
community activities
• Therapy Team: therapy support in schools & home
• Residential Team: meeting the complex clinical and
social care needs of children 8 - 18.
Derby City Council CYPD
Integrating myths
& issues
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Cultural barriers / differences
Diminution of professional role
Information & file sharing
CAF’s & referrals
cross border links & operational
management
Derby City Council CYPD
Governance & management
We are not yet a ‘whole system’
• We have integrated operational management,
systems and processes
• Fully integrated residential services
• Not all budgets are ‘pooled’ as yet – but most
are.
• Governance responsibility; tasks delegated &
self assessment and audit tools
• IDCS Partnership Management Board
Derby City Council CYPD
Management complexities
Clinical
S.V.
Prof. Agency
Management
Int. Operational
management
O.T.
Nurse
Derby City Council CYPD
Social Worker
Integrated Management
Integrated services need a different type of
management structure & style
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Professionals & governance
Professionals & supervision / management
Professional Registration & CPD
SSD command & control management style
Matrix supervision…… flatter hierarchy
Derby City Council CYPD
Leadership
“A leader’s main function is to serve as a
catalyst of change, but never a
controller of change”, Aviolo 1994
The ‘leaders’ value base… what informs
her!
Derby City Council CYPD
Management of change
“Your integration is my fragmentation”
Leutz 2000.
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Being the agent of change has a different
quality to that of ‘being changed’
• Around 1/3rd staff will struggle what ever you
do…. BUT most can make the journey
Derby City Council CYPD
Tools to help integrate
• Direct work towards a written task – in
our case a development plan.
– Reduced contention around philosophy,
culture or traditions
– Solution focussed
– Influencers/ change agents in group
– Learned ‘language’ together
– There is an achievement – a quick win
Derby City Council CYPD
Tools to help integrate
• Task by task.
– Work together in (short life) groups on
issues in common / service development.
– Ensure that staff have direction,
protection and are valued for their group
contributions
– Don’t underestimate the value of well
earned praise and reward.
Derby City Council CYPD
Outcomes
• Single Point of Access, Standardised
Risk Assessment, CAF , Integrated
systems & processes:
working well!
• Reduction family breakdown leading to
LAC in ’06 but steady CP work.
• Enhancement of professional role.
• Service improvement – residential children’s home
• High level of parent & child satisfaction
Derby City Council CYPD
Current consultation
• Children & Young People:
n=27
– ACA affective communication assessment
– Structured Observation
• Parent Carers
n= 25/27
– Semi Structured interview
• Practitioners:
– Action Learning Sets
Derby City Council CYPD
n=8
Professional Culture:
assistance or barrier?
1. “you are not a unique and beautiful
snowflake” Fight Club.
2. Find a large important document to
write together
3. Retain professional links
4. Eventually you realise: we have
become more than the sum of our
parts
Derby City Council CYPD
In case you need a shine….
Derby City Council CYPD