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Future of Social Work with Adults Lyn Romeo Chief Social Worker for Adults Twitter: @LynRomeo_CSW [email protected] 1 As Chief Social Worker for Adults my role is to: 2 • Provide an expert voice for social work in government through influencing national policy and legislation. • Continue the reform of social work education, training and practice. • Improve the wider public’s perceptions and understanding of the role and value of social work in improving people’s lives. Enter the presentation's title using the menu option View > Header and Footer Changing landscape in health and social care Policy Drivers – Integration, Personalisation, Outcomes-focused Care Act 2014 Mental Capacity Act / DOLS Mental Health Act - Code of Practice Dementia strategy, Autism strategy, Transitions to adulthood Winterbourne view Service DE – approaches to local authority commissioning Integrated health and social care providers (Better Care Fund) Integrated Mental Health Services Social enterprises / community interest companies (CICs) Integrated responses with primary care Standards and Regulation Chief Social Workers for Children & Adults, education reform, AYSE, CPD 3 Future of Social Work with Adults Refreshed employer standards for social workers HCPC regulations The Care Act is built around people Ensures that people’s well-being and the outcomes which matter to them, will be at the heart of every decision that is made. Creates a new focus Puts carers on the same footing as those they care for. Puts personal budgets on a legislative footing for the first time, which people will be able to receive as direct payments if they wish. 4 Future of Social Work with Adults on preventing and delaying needs for care and support, rather than only intervening at crisis point. Regulations, Guidance and Good Practice Produced in partnership with a wide range of stakeholders – in much the same collaborative approach use to Final publication of produce the Act Regulations and Guidance in Good practice October 2014 guidance and implementation tools Act implementation April 2015/2016 5 Future of Social Work with Adults Repositioning of social work in adult social care Promote social workers as the lead professional responsible for personalised, integrated care and supports – especially: • Prevention – promoting independence and resilience • Assessment or review of an individual or carer with complex social care needs • Supervising safeguarding enquiries • Transition to adulthood Social workers have the qualifications, knowledge and skills to work: - with complexity, risk and conflict - Operate within a legal framework - therapeutically and in the community - with capacity and mental health needs - to shape the social care market 6 Future of Social Work with Adults Opportunities for innovative social work practice Task-centred/problem-solving Making safeguarding personal approach Family systemic approaches Micro-providers/ innovative use of personal budgets Attachment based strategies with adults Strengths and community-based approaches Motivational approaches Client-centred interventions which make a real difference to people’s lives 7 Future of Social Work with Adults Ability to make a difference Social Worker “Working with a man living in squalor, eating out of bins and very unkempt and neglecting all personal and nutritional care....the work done with this man has made a vast difference to his life. He was shunned and discriminated against by neighbours, schoolchildren and others in the community. It seems he has lost all self-respect, however this is gradually coming back in very small stages...” “It was the social worker who was the greatest professional support and put me in touch with a wonderful independent carer who helped to look after mum at home for the last few months before she needed residential care. Of all the professionals, she had the most hands-on understanding” 8 Future of Social Work with Adults Carer Implications for Social Work Practice Renewed focus on Away from • Maximising independence and choice • • • • Strong legal literacy Will mean Positive risk-taking • Working with other professionals Professional responsibility for continuous professional development • Common values, ethics and models of interventions across adults’ and children’s services • Leadership at all levels Procedure and process-driven approaches to assessment and care planning Social work must deepen its knowledge and skills if it is to respond to the transformation of health and social care • Changing expectations of care and support – user of services as equal partner; strengths/asset-based approaches • Responding to meet the challenges arising from demographic changes – aging population, dementia, long-term conditions, mental health, financial constraints Requires: Workforce planning, organisational commitment to social work and access to quality assured CPD 9 Future of Social Work with Adults