James De Pury In Poole

South West Development Centre

Working for positive outcomes for health and social care in the South West

CSIP South West Development Centre

Foreword

3

About CSIP South West

4

Our approach

5

1 Mental health

8

2 Social care, older people and learning disability

14

3 Children and families

17

4 Health and social care in criminal justice

20

5 Commissioning

24

Have your say / contact us

27

Our team

28

www.southwest.csip.org.uk

Foreword

Foreword Our future lies in the South West

strengthen its presence in the regions and the Office of the Strategic Health

Health and social care services in the

Authorities’ (OSHA) Review of National

South West region are faced with some

Programmes.

challenging questions. For example,

•

•

• •

How do we gear services to support

We welcome the increased involvement of

people to lead their lives fully and

the South West Strategic Health Authority

independently in ways they choose?

(SHA) to ensure our work continues to be

How can services to be more

accountable, and driven by regional

responsive to the needs of their local

priorities. We are also working more

communities?

closely with our regional Public Health,

How can we ensure everyone has equal

Government Office and Third Sector

access to high quality care?

colleagues. We look forward to building

How can services work with local

on our already strong working

communities to plan now for the

relationships in the future.

changing demands of an ageing population?

Through strong partnerships, we work where it is most needed and where it is

Given the day-to-day pressures of delivering services, it is not easy to find space to think collectively about solutions to some of these complex but urgent

making a difference to people's lives. Paddy Cooney Regional Director CSIP South West Development Centre

questions. Our role in CSIP South West is to support services to do just that and, in

We support local organisations to

the process, bring about self-sustaining

improve health and social care services to meet better the needs of:

improvement. While we have remained focused on delivering the business in hand, we have been through a process of significant

• • • • •

organisational change as part of the Department of Health’s programme to

people with mental health problems people with learning disabilities older people children and families people in the criminal justice system; and

•

the families, carers and supporters of these groups.

3

CSIP South West Development Centre

About CSIP South West Supporting the delivery of Department of Health policy priorities at a national, regional and local level to bring about improvements in health and well-being.

Care Services Improvement Partnership is

We are accountable to the Strategic

a partnership of four national improvement

Health Authority for our regionally agreed

programmes, delivered regionally.

programmes of work. We also have an accountability to the director of the CSIP

The Department of Health (DH) and the

National Support Office for discharging

Strategic Health Authorities (SHAs) have

our responsibilities for work commissioned

implemented changes to the Care

centrally, and for ensuring that we

Services Improvement Partnership’s role

contribute to nationally agreed

and way of working.

programmes.

The changes were agreed following a

We have agreed a change plan that

thorough review of CSIP’s eight regional

outlines how CSIP South West will

development centres (RDCs) and

continue to support working across the

nationally coordinated programmes that

NHS and social care, engaging with local

come under its auspices.

government and the Government Office network. CSIP South West and the South

The value of CSIP’s programmes has been

West Strategic Health Authority will keep

recognised and their role in supporting

key partners and stakeholders informed of

improvement across and beyond health

progress on a regular basis.

and social care remains pivotal to the effective delivery of an ambitious policy

Our role is to support the

agenda.

delivery of DH policy priorities

CSIP South West is commissioned by the South West Strategic Health Authority and the Department of Health.

at a national, regional and local level to bring about improvements in health and well-being.

4

Our approach

Our approach A regional partnership for regional priorities Our Regional Development Centre ensures a strong emphasis on regional priorities. We work in partnership with DH, the South West Strategic Health Authority, the Government Office for the South West and local government to promote and support the improvement and innovation of local services.

Developing shared solutions We adopt a collaborative approach, understanding the needs of our partners from the public and Third Sector and work with them to achieve shared solutions for the improvement and innovation of local services. We achieve this by:

•

developing the capacity and capability to achieve improvements in delivery

• •

supporting policy implementation, and supporting the development of policy

The diagram on page 7 illustrates this approach.

Founded on experience

improve outcomes for people who use health and social care services. Staff include practitioners and managers from health and social care, education and criminal justice services, and people with experience of working in the statutory, voluntary and independent sectors. We also employ carers and people who use services directly to help to ensure that our approach is centred on people’s real needs, and experience. The team has a valuable depth of practical, clinical and managerial acumen. Our consultants regularly provide

Here at CSIP South West we have a

facilitation to senior managers for effective

dedicated team of highly skilled

decision making, planning, and strategy

consultants offering a wide range of

development.

services to support local organisations to 5

CSIP South West Development Centre Focussed on local communities

Diverse consultancy services

The team also provides facilitation to

The diagram below illustrates the diverse

engage communities in planning more

range of consultancy services that we

appropriate and responsive services,

provide.

ensuring that local strategies and action plans reflect community needs and priorities. To achieve this, team members combine their experience of working with local communities and understanding of policy issues with the knowledge of how local services work, in order to develop clear and focused analysis of often complex situations.

Committed to integration and partnerships We continue to model and promote

network teamwork support development capacity planning

service redesign

leadership strategy development development

workforce planning and development

facilitate peer group support training tools and evaluation guidance learning events policy project design implementation and management

integrated ways of working across health, social care and the wider public and Third Sector; an approach that is focused on, and responsive to the practical and organisational challenges of driving whole

Core work programmes

system change.

Our activity is focused on five core work programmes:

Supporting effective leadership

1. Mental health

and teamwork development

2. Social care

We provide effective leadership and

3. Children and families

teamwork development support for local

4. Health and social care in

organisations. Our support helps to mobilise teams to define and achieve shared goals. It also helps people to understand and identify how to improve the experience of and outcomes for people from diverse communities who use local services. This work is led by Professor Steve Onyett.

criminal justice programme 5. Commissioning This brochure provides a flavour of some the shared solutions we have successfully delivered in order to meet our local partners’ priorities. 6

Our approach Examples include:

•

reducing delayed transfers from hospital for older people through improved data collection, analysis and mapping the journey of people who use services

•

working closely with service providers and people who use services, using evidence-based tools and technology to deliver high impact changes in mental health

•

working closely with many local authorities to develop sustainable efficiency improvements in adult social care.

Developing the capacity and capability locally to achieve improvements in delivery

IMPROVED OUTCOMES

Supporting the

Supporting

development

policy

of policy

implementation

Supporting system change Examples include:

•

•

Examples include:

supporting the development of the strategic framework for improving health

•

supporting the regional implementation of the National Dementia Strategy

in the South West following the Darzi

•

supporting services to implement

review

improvements identified in the HealthCare

leading the Department of Health

Commission’s audit of inpatient mental health

consultation on the Commissioning

services

Framework for Health and Wellbeing

•

People Now

with input from regional partners, and

•

developing national demonstration sites

•

ensuring dignity is at the heart of all care and support, particularly for older people

through the Improving Access to Psychological Therapies programme.

supporting the implementation of Valuing

•

supporting implementation of the amended Mental Health Act 2007

7

CSIP South West Development Centre

1

Mental health Working to improve the quality of life of people of all ages who experience mental distress

Our mental health programme is led by the National Institute of Mental Health in

Improving Access to Psychological

England (NIMHE). NIMHE was formed in

Therapies (IAPT)

2002 to help the mental health system

This is a three year national programme of

implement the Mental Health National Service Framework and the NHS Plan. We aim to implement national policies for local benefit taking a whole system approach across health and social care. Our strategic objectives are:

• •

improving health and well being supporting service and performance improvement

•

promoting equality, access, choice and independence, and

•

supporting system change.

Led by Kate Schneider, Deputy Regional

investment of £173 million in England to give greater access to people suffering from anxiety and depression to psychological therapies. This will help people to better manage their mental health conditions to remain or get back into work. Over the next three years the South West Strategic Health Authority Authority is committed to ensuring that:

•

depression and anxiety

•

•

Improving Access to Psychological Therapies

• • • • •

Effective Commissioning Wellbeing and inclusion Specialist Mental Health services

45,000 of them moving to recovery (in line with National Institute for Health

Director, the CSIP SW mental health programme has 6 workstreams:

90,000 more people are treated for

and Clinical Excellence guidelines)

•

2,500 fewer people with mental health problems are on sick pay and benefits

•

360 more newly trained psychological therapists are offering evidence-based treatment.

Equalities Legislation

Programme lead: Kate Schneider

8

Mental health To support this we are working closely

we have actively supported local

with Strategic Health Authority.

implementation networks in the commissioning of the new advocacy

Between 2008-2011 we will support the

service required under the Mental

delivery of:

Capacity Act 2005.

• • • •

•

a phased roll-out of IAPT services across the region

We help local organisations with legal

a regional training plan delivered

responsibilities under the legislation to

against national standards

develop local implementation networks

supervision for trainees whilst

and delivery programmes, ensuring that

delivering care

stakeholders have opportunities to

employment opportunities for

influence the implementation process

graduating trainees, linked to the roll-

locally. For example, we have played a key

out of IAPT sites, and

role in promoting the development of a

a partnership approach with

network of advocacy provider

employment and training services.

organisations. A key element our work is to provide focused training and awareness

From October 2008, 100 extra

raising for key staff and other

psychological therapy workers will be

stakeholders.

receiving training in the South West and by 2010 a minimum of 386 will be undertaking training or have

"a very big 'thankyou' for your continued

completed it.

support and commitment, in assisting with the seminars across the Trust with the implementation of the Mental Capacity Act. The feedback has been extremely positive and the seminars well received"

Legislation We are delivering an extensive programme of work to support services to implement the Mental Health Act 2007, the Mental Capacity Act 2005 and the related Deprivation of Liberty Safeguards, which require significant changes to practice. We work to inform all relevant organisations about the legislation, helping them to understand the impact that the changes will have on service commissioning and delivery. For example,

We respond to queries about challenges that organisations face, offering expertise, advice and guidance, and encouraging them to share information about what works and what does not. This includes promoting joint working in the delivery of training plans. We also provide local 9

CSIP South West Development Centre

organisations with information about

DRE can bring about positive outcomes

national policy, guidance and other

for BME service users and carers, and

initiatives to support local service

provide an opportunity for frontline staff

improvement.

to consider ways in which they can better meet the needs of increasingly

Equalities

diverse communities.

Delivering Race Equality (DRE) in Mental Health is a five year action plan introduced

Eight Community Engagement

by the Department of Health in 2005 to

Projects - supported by the University

tackle inequalities for Black and Minority

of Lancashire - have enabled local

Ethnic (BME) people including those of

people to get more involved in the health

Irish or Mediterranean origin and Eastern

and social care needs of targeted

European migrants. It forms an integral

community groups whilst at the same

part of the CSIP equalities portfolio.

time acquiring research skills. Recommendations from these projects

Evidence shows that BME people who

are being translated into Statements of

come into contact with mental health

Intent.

services fair less well than their White counterparts in terms of access to services, experience and outcomes. The DRE programme aims to:

•

support more appropriate and responsive services

•

engage communities in the planning and development of services, and

•

gather and provide information on people who use services.

In the South West, we are working to realise these aims in a number of innovative ways. Four Focused Implementation Sites covering Somerset, Bournemouth and Poole, Dorset and Plymouth have demonstrated that the implementation of

Forty Community Development Workers (CDWs) have been employed to work strategically across the South West region with a range of stakeholders. As access facilitators; capacity builders; change agents, and

10

Mental health service developers, CDWs are already

an effective approach in helping people

proving to be an effective workforce.

who have mental health problems to find or remain in employment. CSIP South

At a recent workshop for the

West regularly holds events to look at

Gloucestershire Primary Mental Health

the evidence for IPS and give examples

Development Team West, which included

of clients and services who have used it.

local CDWs, participants rated the

Delegates can share information and

outcome of the day and the ideas

current practice and consider how to

generated at 8.5 / 10, and the agenda

develop an IPS-based vocational service.

and facilitation of the event at 9 / 10. The “one word that described the day” for

Suicide prevention

participants were

CSIP South West is working to raise awareness and promote the sharing and

encouraged refreshing invigorating motivated ,

,

energised

spread of positive practice in suicide ,

,

prevention and reducing the number of deliberate self harm incidents across the region. We aim to ensure that prevention of suicide is seen as everybody’s

, and

successful

business and not just the responsibility of professionals. Our work includes supporting a wide

The HealthCare Commission’s Report ‘The Pathway to Recovery’ and the annual ‘Count Me In’ Census, suggest that the unmet needs of BME service users and carers remain a cause for concern. As

range of agencies to

•

improve suicide prevention planning and data gathering

•

reduce suicide and self harm amongst vulnerable groups and those who do

such, CSIP South West will build on the

not engage with services and who are

successes, disseminate the learning and

difficult to reach

continue to work with stakeholders in order to realise the DRE programme

•

issues about patient safety, risk

objectives.

Promoting social inclusion through employment The Individual Placement and Support

address clinical and professional management, and clinical governance

•

deliver targeted action on suicide hotspots

•

identify current research and work to put the research into practice

(IPS) model is widely recognised as being 11

Mental health •

challenge the often negative media

LINks

reporting of suicide

As part of implementing the recent ‘Local Government and Public

We held a special network event on 10th

Involvement in Health Act’ (2007) we are

September 2008 to mark ‘World Suicide

supporting the developments of Local

Prevention Day’ and focus regional

Involvement Networks (LINks) in

attention on how we tackle these issues

conjunction with the Department of

together in the South West.

Health and the NHS Centre for Involvement.

Devon Partnership Trust has led the way in ‘putting the research into practice’

There will be a LINk in every Local

publishing the Guidance on Action to be

Authority area that has social services

taken on suicide hotspots and the

responsibility. LINks will encourage and

application of new technologies to reduce

support local people to get involved in

the incidence of self harm amongst young

how local care services are planned and

people. This has been well received

run. They will listen to local people about

nationally and is being used locally to

their needs and about their experiences

make a real difference. For example, new

of services.

safety features have been incorporated into the design of a new bridge being

CSIP South West is facilitating a

constructed over the River Taw as part of

development and support network for

the Barnstaple Western Bypass scheme.

local authority LINk leads, as well as

More recently Devon Partnership Trust has

network for host organisations. We help

facilitating a development and support

been developing and piloting the use of

health and social care commissioners

text messaging as a means of delivering

and providers to connect with LINks

psychological support to individuals who engage in self harm, and exploring the potential of social software and on line communities to foster engagement. It is hoped that this research will make a major contribution to help those who self-harm, and also inform the way in which we educate people about it

locally and to use them effectively. Working in partnership with the NHS Centre for Involvement to design and develop a syllabus of knowledge and expertise. We use this to offer specific support and guidance for LINks leaders/ governors. We also provide a range of leadership support to community and Third Sector organisations to support capacity building and effective involvement. 12

Mental health Mental Health Reference Groups

scheme to offer guidance for people who

We facilitate local area-based Mental

are in receipt of benefits but who wish to

Health Reference Groups that provide a

become involved in CSIP South West’s

forum for discussions about the strategic

work. We are currently planning a

direction and local priorities for mental

regional event about involvement and

health and social care services. The

benefits and reimbursement issues.

groups consider and advise on the mental health service improvement work across

Specialist mental health services

the region. They also advise on how the

We support local Trusts and their

mental health programme could work

partners to ensure that admissions to

more effectively, for example through who

acute inpatient care are appropriate,

is involved and the values observed.

purposeful, therapeutic and safe. Following the publication of the results of

The Reference Groups ensure that there

the HealthCare Commission acute adult

are opportunities for representation from

mental health service improvement

diverse perspectives. Membership

review we have adopted the HealthCare

includes people who use services, carers,

Commission’s inpatient assessment

voluntary sector representatives and front

framework to inform desired local

line practitioners, who all feed into and are

outcomes and priorities for service

part of other networks and groups across

improvement.

the region. Working in partnership with local Trusts

Making A Real Difference CSIP South West has worked with our

we aim to ensure that:

•

place re admissions and discharges

partner development centres across the country to develop a range of useful

an effective acute care pathway is in

•

there is individualised whole person

resources to support participation of

care that promotes recovery and

people who use mental health services

inclusion

and their families and friends. This

•

service user and carers are involved

includes the South West-led initiative to

in care planning, how the ward is run,

develop an ‘Involvement Passport’.

and in operational and strategic

Download the resources at

planning, evaluation and

www.mard.csip.org.uk

development, and

•

safe and therapeutic systems,

As part of our work to implement this in

processes and facilities are in place

the South West, in conjunction with the

on the ward for service users, staff

Citizens Advice Bureaux we are piloting a

and visitors. 13

CSIP South West Development Centre

2

Social care, older people and learning disability

Helping to transform care services for adults, particularly older people, those with long term conditions and people with learning disabilities, to enhance their quality of life with greater choice and control, wellbeing and personal dignity. CSIP’s Social Care Programme relates to the wider social context of people’s lives including their independence and wellbeing, and their housing, for example, as well as their health and immediate care needs. We are committed to the vision of health and social care services that are personalised and meet the needs of individuals. Our programme provides consultancy,

Better health and social care for

support and delivery services focussed on

older people

the policy priorities from the Department

CSIP South West has an established track

of Health’s Social Care, Local Government and Care Partnerships Directorate and in conjunction with the South West Strategic Health Authority. The programme is coordinated by Nye Harries, Regional Change Agent. Our insight into the everyday issues faced by health and social care services enables us to deliver real results to benefit health and social care professionals and the services they provide. We engage with managers, clinicians and practitioners to redesign pathways, improve skills and motivate the workforce.

record of working with whole systems partners in individual communities across the South West, working with local partners to improve care pathways for older people, support local implementation of the national agenda for older people’s health and social care services that covers physical and mental health, and strengthen partnership working between local agencies. We are working on the following themes in 2008/9:

•

Dementia: supporting local implementation projects and regional development activities, including

Programme lead: Nye Harries

14

Social care sponsoring and sharing innovative practice, for the new National Dementia Strategy . This covers the full range of

care settings, including home support

"we have found CSIP support extremely helpful, it has helped us to move forward with partnership working and also provided constructive challenge."

from NHS and social care community

PCT Director of Nursing

services, care homes, general acute care and specialist mental health care.

•

Dignity in Care: providing regional support for local projects as part of the national Dignity in Care campaign.

•

Older People’s System Reform: undertaking whole systems reviews of care pathways in and out of hospital, with a particular focus on delayed discharges, and working to support NHS falls services

•

Early Intervention and

"CSIP have been helpful in both pointing out options and opportunities and in direct facilitation of sometimes difficult discussions and situations. ….progress that has been achieved has been significantly supported by CSIP…as an honest broker, and has I believe the respect of all parties, challenging and supporting individuals and organizations as appropriate." Acute Trust Director of Operations

Prevention: supporting the six regional Partnership for Older People’ Project (POPP) prevention pilots and development work to improve local work on wellbeing for older people and people

•

Social care services and policy

with long term conditions.

implementation support

No Secrets: developing and

CSIP South West works with individual

implementing the national policy review

communities and across the region on key

in this area.

adult social care priorities including:

There is also an active Housing Learning and Improvement Network in the South West run by CSIP to support local implementation of the new national housing strategy for an ageing population.

•

Personalisation and self directed support

•

Delivery of the Joint Improvement Programme (JIP) for Adult Social Care

•

Negotiating and supporting delivery of the adult social care and older people’s sections of Local Area Agreements, on

15

Social care

• •

behalf of the Government Office for the

support people with learning disabilities

South West

into 16+ hours employment.

Supporting performance improvement

•

We are developing a joint post with the

within priority councils

Health and social care in criminal

Delivery of the Care Services Efficiency

justice programme to identify and

Delivery programme

disseminate good practice in terms of working with people with learning

Valuing People

disabilities in contact with the criminal

We are working to support the

justice system.

implementation of Valuing People Now . The programme is led by Sue Turner,

Carers

Regional Advisor for the Valuing People

We are supporting the implementation of

Support Team, who can offer specific

the revised Prime Minister's Strategy for

support to areas, based on their local

Carers and the work of the Standing

needs. The Valuing People programme

Commission on Carers.

also supports a number of networks and events which address the five key

We enrolled three carer co-ordinators to

priorities set out in Valuing People Now:

develop networks of family carers. The

• • •

Personalisation

networks provide family carers with

Health

opportunities to have time together to

What people do in the day and

discuss issues and share information.

employment

• •

Housing Making it happen

Examples of support include:

•

A family led jobs project for families who want to support their sons or daughters into work. The project provides practical tools and support for families, their allies and local support providers to enable people with learning disabilities jobs. There is also an employment network for the South West. The aim of the network is to

15

CSIP South West Development Centre

3

Children and families Working to support real change and better outcomes for children, young people and their families.

Our children and families programme aims to enhance, at a regional level, cross-government activity to support the delivery of Every Child Matters (2003) and the National Service Framework for Children, Young People and Maternity Services (2004). At CSIP South West our team is led by

•

Early years and child health

Linda Parker, the Regional Change Agent.

promotion – we are supporting areas

We work with all agencies and sectors

to implement the Child Health

involved with children and families and can

Promotion Programme and to develop

offer specific support to individual areas,

a wide range of services in Children’s

based on their local needs.

Centres and Extended Schools

•

Emotional health and wellbeing –we

Our programme for this year includes work

offer information, advice and support to

on:

enable Partnerships to continue to

•

support the multi-agency

•

Maternity services – we are helping

implementation of Aiming High for

areas to implement their Maternity

Disabled Children which includes

Matters action plans

improvements in the provision of short

•

improve their services

Children with disability – we will

•

Safeguarding – we work with the

breaks, transition planning and services

South West Strategic Health Authority

to those children with life-limiting

to support those professionals working

illnesses

in this field as they implement the Child

Commissioning – we work with local

Death Review process

areas to develop World Class Commissioning competencies within

The following page provides examples of

the Children’s Trust arrangements

our work in these areas.

Programme lead: Linda Parker

17

Children and families Children with disability

•

Supported one area to work as a multi-agency team and complete the national disability audit tool. This self assessment allowed the area to gauge its progress towards the implementation of Aiming High for Disabled Children and to identify its priorities for the next year

•

Worked in several areas to support the redesign across all agencies of services for disabled children, including therapy services

•

Facilitated workshops to encourage local teams to consider how to develop and implement protocols for transition

Commissioning

•

Working with commissioners and providers of palliative care services to implement Better care: Better Lives

•

Member of the Regional Improvement

promotion

•

Working with several PCTs as they

and Efficiency Partnership Governance

redesign their Health Visiting Services

Group. Leading projects on teenage

to meet “Facing the Future” and the

pregnancy and young people with

Child Health Promotion Programme

emotional and behavioural disorder

•

Early years and child health

•

Working alongside regional colleagues

Support to local areas as they

to support health services to become

undertake re-commissioning and re-

an integral part of Children’s Centres’

procurement exercises

service delivery

•

Working with regional colleagues to roll out the Extended Schools and fully include NHS colleagues in the services offered

18

CSIP South West Development Centre

Emotional health and wellbeing

•

•

Working with the Targeted Mental

Safeguarding

•

Sharing information about good

Health in Schools pilots to set the

practice and promoting the use of the

programmes up and share the early

Safeguarding network website

learning across the rest of the South

(www.safeguardingnetwork.org.uk) and

West

the secure discussion forum (https://

Re-launching the Primary Mental Health

saif.csip.org.uk) for named and

Worker Network to support the

designated health professionals

clinicians and enable them to develop a consistent service offer to commissioners

•

Working with several areas to review their CAMHS Partnership arrangements and tackle specific service improvements in line with the CAMHS review

Maternity services

•

Worked with Maternity Services Liaison Committees to develop new terms of reference and workplans for the year that will support the implementation of Maternity Matters

•

Working with one area to implement a perinatal mental health care pathway, that sees midwives and children’s centre staff working closely together

19

CSIP South West Development Centre

4

Health and social care in criminal justice Working to support better health and social care for offenders and their families.

The main focus for the Health and Social Care in Criminal Justice Programme (HSCCJP) is on supporting positive changes in the well-being of people with health and social care needs in all areas of the criminal justice system. The Offender Health and Well-being Partnership in the South West builds on

Our main objectives are to:

•

lead efforts to improve access to health

the work of the Department of Health

services for offenders with mental

(DH), the Home Office (HO) and more

health, physical health or substance

recently Ministry of Justice (MoJ) to

misuse needs through partnership

modernise and mainstream prison health

working with local organisations and

care into the wider NHS and the

communities

developments highlighted in the

•

support the implementation of National

consultation on ’Improving Health,

Service Frameworks, the NHS Plan, the

Supporting Justice’. As changes in

Social Exclusion Unit report and other

structures within the MoJ and DH regional

related policy guidance within the

presence proceed, we will continue to

context of the criminal justice system

work in partnership to “improve health,

•

address health inequalities and reduce crime by maximising the opportunities

reoffending across the South West

•

provided by better integration of health, social care and criminal justice systems”.

contribute to the reduction of improve the quality of commissioning processes for offenders

•

enable service developments to be informed by local experience and

Our main aim is to support the delivery and implementation of Improving Health, Supporting Justice.

stakeholder participation

•

monitor and review progress in service development, targets and milestones and assist local partnerships to achieve these

Programme lead: Lynn Emslie

20

Health and social care in criminal justice •

•

develop the use of the Prison Health

South West Strategic Health Authority are

Performance Indicators (PHPIs) and

key partners in delivery of this agenda.

support service improvement issues

The South West Reducing Re-offending

arising from these, and

Board attaches high priority to addressing

support research and development

diversity issues and to the promotion of

activities, encouraging the South West

equality in the delivery of the Reducing

to lead national practice in key

Re-offending Strategy. Working through

developmental areas.

its constituent members and partners, the Board is committed to ensuring that:

Reducing reoffending

•

the development of services relevant to

The South West Reducing Reoffending

each pathway takes account of, and

(RRO) Delivery Board has identified eight

responds to, the diverse characteristics

strategic pathways as a framework for the

of the target group

management of its work:

• • • • • • • •

•

there is equality of access to delivery

Accommodation.

and benefits of service provision for

Children and Families of Offenders.

each pathway, and

Drugs.

•

services are delivered by organisations

Alcohol.

that can demonstrate that they have

Education, Training and Employment.

proper policies and procedures in place

Attitudes and Behaviour.

to support and promote diversity –

Finance, Benefits and Debt.

both in terms of service delivery and in

Mental and Physical Health.

terms of employment.

The South West Offender Health and Well-

Here in the South West Lynn Emslie leads

being Partnership will contribute as

a well-established team who are working

appropriate to the work of all these

with key partners in order to improve

pathways and will lead on delivery of the

access to healthcare for offenders and

Health pathway on behalf of the RRO

reduce re-offending through leadership of

Delivery Board. It will also oversee the

the Mental and Physical Health Pathway of

offender section of the regional delivery

the South West Reducing Re-offending

plan for health and well being, and the

Strategy.

Department of Health service level agreement between CSIP and Social Care, Local Government and Care Partnerships Directorate. The National Treatment Agency for substance misuse and the 21

CSIP South West Development Centre Network support

have their cases heard by the courts

Lynn has established a HSCCJ Network

faster.”

for all stakeholders across the South West.

Better care for women offenders In December 2007 the government set out

Court pilot project

their response to the Corston review and

We are working with Her Majesty’s Courts

in May 2008 a National Service Framework

Service (HMCS) to improve the service

for Women Offenders was published that

available to defendants appearing in court

clearly lays out the government's strategy

who are presenting as having mental

for addressing the needs of women

health difficulties.

offenders.

The pilot started in Bath and Bristol

Interrupting the Spiral – Women in Contact

magistrate’s courts and Bristol crown

with the Criminal Justice System

court on 1 April 2008. It was officially

(Birmingham 24th April 2008), was a

launched by Courts Minister Maria Eagle

significant national event which brought

on 5 June 2008 who welcomed the

together service users, carers and

introduction of the pilot:

professionals from health, social care and criminal justice agencies, the third and

“The South West Courts Mental Health

private sector. The attendance of Maria

Assessment and Advice Pilot is an

Eagle MP, Parliamentary Under-Secretary

important step in ensuring that court

of State, Ministry of Justice, reinforced the

users with mental health problems 22

Health and social care in criminal justice interministerial interest and support for

through to reintegration within the

this work by confirming the Government’s

community.

response to the Corston report: a review of women with particular vulnerabilities in

Older prisoners

the criminal justice system.

The Development of ‘A Pathway to Care for Older Offenders: A Toolkit for Good

The voice of experience was prominent

Practice’. The South West has completed

through out the day. Key themes from the

a substantial piece of work which resulted

event identified the need for:

in the publication of the ensuing

• • • •

effective partnership working across all

Department of Health guidance. The

agencies, including the Third Sector

purpose of this publication is to inform

early interventions

and assist the delivery of individually

effective information exchange, and

planned care for older prisoners whilst in

the sharing of best practice.

prison, followed by successful resettlement back into the community,

Better health care for prisoners

receiving the necessary support to sustain

Examples of work in this area includes

an optimum quality of life and reduce re-

supporting:

offending. This work is currently being rolled out nationally.

Mental health

•

•

• •

the implementation of the extension of

General prison health

the Offender Care Pathway in prisons,

The implementation of a new system of

especially in local prisons

Prison Health Performance Indicators

the development of comprehensive

(PHPIs) has ensured ownership of the

mental health services across all South

prison health agenda by the NHS and

West prisons, especially primary mental

provides a bench mark for improvements

health care

in standards.

a network for prison in-reach teams a pilot for the delivery of Increased Access to Psychological Therapies for offenders in Dorset prisons

•

local services to address the health and social care needs of offenders in the community from first point of contact with the criminal justice system

23

CSIP South West Development Centre

5

Commissioning Supporting the development of world class commissioning across the South West region

The development and improvement of

Activities have included joint planning and

commissioning as a mechanism to

delivery of events on:

drive system reform in order to

• Joint Strategic Needs Assessments

achieve better outcomes for

• Commissioning and LINks, and

individuals and communities is a

• Social Enterprises for health and social

priority for health and social care.

care.

Extensive policy initiatives and

Effective commissioning for

considerable guidance provide a range of

mental health

frameworks within ambitious visions

This year’s programme builds on an

projecting both World Class Commissioning for organisations and the potential for highly personalised and localised responses through Personalisation (Putting People First January 2008) and Practice Based Commissioning. We are working with colleagues across regional organisations to bring together partners to harness the potential for coherent and coordinated approaches to support the development of; • commissioning systems for communities

approach and style which commissioners have valued and found effective in developing their knowledge, skill and confidence. What has worked for them?

“Quality discussion on complex issues” “Flexibility in responding to need and new agendas” “Examples of good practice and innovation across the region”

• commissioning teams across agencies and disciplines, and • commissioning capability in individuals.

Programme lead: Carrie Morgan

24

Commissioning The aims for the programme are to:

•

•

support the development of effective commissioning and system reform within current and emerging national &

developing, supporting and sustaining joint commissioning

• •

personalisation and choice, and social inclusion and recovery.

regional priorities

•

enable commissioners to take account

And, how is it for participants? In a word

of and integrate the wide range of

or phrase

policy imperatives impacting on mental health and well- being

•

promote the development of WHOLE LIFE commissioning through connecting to other relevant health and social care policies and CSIP programmes

•

be grounded in the needs and of

focussed,

encouraged ,

reassured , fun , an oasis of calm , positive ,

empowering , informative

communities in the South West as set out in Indications of Public Health in the English Regions (South West Public Health Observatory 2007)

•

encourage health and well-being improvement as expressed in Improving Health, Ambitions for the South West (NHS South West Strategic Priorities 2008/09 to 2010/11)

•

relate commissioning to system development and reform at regional and local levels, and

•

recognise and underpin the role of confident leadership in enabling and sustaining system change and service improvement.

The key themes for this year are:

•

moving on to commissioning for health and wellbeing

Enhancing commissioning capacity in the third sector Working across CSIP SW’s programmes, the Third Sector Programme encourages partnership working between the public and third sector to provide better outcomes for all. It does this by providing information, policy support and capacity building activities for Third Sector organisations and commissioners. We have been working over the last three years to develop opportunities for the Third Sector to become more involved in commissioning to improve outcomes for local communities. For example last year we developed the successful “Commissioning for NonCommissioners Pub Quiz”. This year we 25

Commissioning have worked in partnership to design a

Participants valued the opportunity to

short course offering health and social

learn from others, applying their learning

care Third Sector organisations an

to their own organisation, the clear

opportunity to develop their understanding

presentations and guidance, useful

of commissioning as a whole and to

examples and group participation. Some

develop “readiness” to being

organisations felt that the course enabled

commissioned in the future.

them to really push ahead with developing their plans to become world class

Evaluation shows that we have been

providers.

successful in helping people to understand better the health and social

The course is being written up to provide

care reform agenda, and in becoming

a workbook for the wider voluntary and

more familiar with the concepts, policy

community sector to use to improve and

and language to do with commissioning.

develop their understanding of

People also have a better understanding

commissioning.

of what commissioning for outcomes means, and the implications for their

Workstream lead: Rebecca Hardwick

organisations.

26

CSIP South West Development Centre

Have your say We have developed an ambitious programme of work based on what our commissioners have said are the most

Talk to one of our team

important things we should do.

Get in contact with one of our team to share your views in person. Use the

Findings from last years IPSOS MORI

contact list on the next page to identify

survey show that the majority of our

the most relevant team member.

stakeholders say that we support positive outcomes in health and social care

Complete our stakeholder survey

services in the South West. But what you

Our online stakeholder survey will take you

think? Your views are important to us and

less than 2 minutes to complete.

there are a number of ways that you can

www.southwest.csip.org.uk/stakeholder-

have your say. We will do our best to listen

survey

to what you say and implement any improvement suggestions where

Write an email

appropriate.

You can provide your feedback by email to [email protected].

Contact us Tel: 01278 432 002 Fax: 01278 432003 Email: [email protected]. Web: www.southwest.csip.org.uk

Regional Director: Paddy Cooney 07957 153139 [email protected] Deputy Director and mental health lead: Kate Schneider 07973 732766 [email protected] 27

Our team

Our team Staff team contact details grouped under our core work programme headings and listed alphabetically by surname. Click on a staff members name to read their biography on our website.

Mental health Diane Bardsley Participation Lead and LINKs Co-ordinator 07785 511807 [email protected] Sarah Joy Boldison Development Consultant Mental Health Workforce 07775 684776 [email protected] Francine Bradshaw Development Consultant Race Equality 07775 684785 [email protected] Leeanne Caldwell Programme Support Officer Mental Health 01278 432002 [email protected] James De Pury Project Manager Mental Health Act Implementation 07908 098036 Alan Howard Development Consultant Acute Care 07876 453407 [email protected] Miriam Morgan Race Equality Lead 07920 213901 [email protected] Mark Norman Service Improvement Lead and Dual Diagnosis Lead, 07990 528836 [email protected] David Pennington Development Consultant MH Legislation/IAPT 07799 627244 [email protected] Kate Schneider Deputy Director and Mental Health Lead 07973 732766 [email protected] Louise Sheasby Temporary Programme Support officer, Mental Health and IAPT, 01278 432002 [email protected] Alex Stirzaker Developmment Consultant IAPT & Personality Disorders 07920 502250 [email protected] Trish Stokoe Development Consultant Social Inclusion and Wellbeing 07768 421669 [email protected] Amanda Williams Project Manager Mental Capacity Act 07825 843356 [email protected]

Commissioning Rebecca Hardwick Development Consultant Third Sector Programme and Commissioning 07768 612736 [email protected] Carrie Morgan Senior Development Consultant Commissioning 07900 905487 [email protected]

28

Our team Jane Rawlinson Programme Support Officer, Children and Families and Commissioning 01278 432002 [email protected]

Social care, older people and learning disability Emma Bullen Temporary Programme Support Officer 01278 432002 [email protected] Sandy Clarke Physical and Sensory Impairment Lead 07889 209083 [email protected] Amanda Cheesley Regional Change Agent Older People 07810 658284 [email protected] Nye Harries Regional Change Agent Older People’s Services 07775 897428 [email protected] Kay Russell Regional Change Agent Older People 07776 453489 [email protected] Sue Turner Regional Advisor VPST 07866 715742 [email protected]

Children and families David Goodban Regional Development Worker, CAMHS 07787 510232 [email protected] Shoba Manro Service Improvement Lead, CAMHS 07748 656939 [email protected] Linda Parker Regional Change Agent Children and Families 07920 711007 [email protected] Jane Rawlinson Programme Support Officer, Children and Families and Commissioning 01278 432002 [email protected]

Health and social care in criminal justice programme Faye Brazier Programme Support Officer HSCCJ 01278 432002 [email protected] Lynn Emslie Lead, HSCCJ 07899 968190 [email protected] Sue Staddon Project Manager Court Pilot Project 07917 593470 [email protected]

Other leads Richard Byng GP Advisor Steve Onyett Senior Development Consultant Leadership 07771 908812 [email protected]

Support team Jean Alger-Green Business Manager 01278 432002 [email protected] Julie Armstrong-Butler Business Support Officer 01278 432002 [email protected] Carol Prescott Information Officer 01278 432002 [email protected]

29

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