Developing a SLT justice service from scratch; an account and learning from our journey so far Kim Hartley BSc (Hons), MBA, Cert. RCSLT RCSLT Scotland Officer kim.hartley@rcslt.org Share our experience Walking through the history describe the challenges and how overcome Share our learning Tell you about resources and products we have produced and / or used - Even before we have the money In discussion: Reflect on our experience, learn from you and think as a group about resources, tools etc. we could perhaps develop collectively to make bids “from scratch” generally more successful. SEE HANDOUT: Contacts  

Who are “we”? Ayrshire and Arran NHS Board South West Scotland Community Justice Authority (CJA) HMP Kilmarnock (Serco) Queen Margaret University Royal college of Speech and Language Therapists Project is a multi-agency, multi-disciplinary collaboration Different insights, orgs. way of working, policy, evidence.

What are we trying to do? GROWTH! ... to improve community reintegration outcomes for offenders, with identified speech, language and communication needs (SLCN), leaving HMP Kilmarnock and returning to Ayrshire and Arran Health Board area. Growth versus Protect Campaigns

Objectives Provide innovative in-reach and community reintegration SLCN services Establish permanent, self sustaining SLCN resources of benefit locally and across Scotland Generate evidence of impact of SLCN services and a SLCN service model for Scotland’s CJAs Inform a costed SLC Development Strategy for Scotland’s CJAs and partners SERVICE / PROJECT OBJECTIVES: SEE HANDOUT BACK PAGE

The journey on paper... ID Need / opportunity Get together with others Agree a way forward with others Find money and resources Run services Evaluate and improve services

Identifying need / opportunity in the real world What we have done: Gathered evidence from everywhere, ongoing Scoping exercise Products – developed and / or used Brief Questionnaire Article Challenges: Response Rate Comparing apples and pears Overcoming challenges: Hall test, phone survey, backing up e-survey Dedicated help WAVE Brief WAVE Article SEE HAND OUT for LINKS

Getting together with others in the real world What we have done: Conferences, Meetings, Presentations Found friends, Formed coalition of supporters Create the context: Policy Submissions, Debate, PQs, WOM, articles, SP Inquiry Products – developed and / or used Reports; Dossier of evidence, list of friends and supporters; PowerPoint present. Conferences / Presentations– national, local / CJA; different sectors and stakeholders , Meetings- Scottish Govt. Found friends – targeted and organic Formed coalition of supporters – CJC; SIG Create the context: Policy Submissions – EOC Report; Women’s Commission; Vulnerable Witnesses ... NDP Debate – SP, SP Inquiry PQs (CJC members too), Articles, Products: WAVE Dossier WAVE Reports   Submission to Women’s Commission PowerPoint for friends to use

Getting together with others in the real world Challenges: Competing for ground, funds, leadership, some threatened Personal agendas, understanding, power Initial partner pulling out SLCN versus Literacy Our UNIQUE selling point Overcoming challenge Reassure: Emphasising we fit in with what is already happening Ensure role, keep informed Work with those we can, keep friends, ask friends to influence for us Address misunderstandings directly Evidence, evidence, evidence WAVE LU LO Report: Locked up, Locked Out Conference, 2010: 100% of participants agree “Speech, language and communication needs are a problem in the criminal justice system which need to be addressed somehow”? 93% of participants agree “I and / or my organisation would like to be involved in any future development of speech, language and communication services in the justice system” 100% of participants agreed with the statement “I think speech and language therapy has something to offer my organisations area of practice”    Barriers to progress:  Knowing and agreeing the best approach to tackling the problem “How would this work in short sentence situation” “What do you tackle first – impairment or environment – very different groups” “Raising awareness across entire justice system is imperative. (Question is) how best to help all involved – at an appropriate level”   Securing cross sector ownership and therefore the funding and time resources in a hard pressed organisations trying to dealing with a number of competing priorities and demands. Communication difficulties are not recognised. Offender programmes “require” completion. Targets etc. “Other than work – other significant activity is not mandatory (for prisoners).” “It’s someone else’s problem ...If schools do what they are meant to do...” “SLT is a health issue but re-offending is not” The complexity of integrated partnership work on SLCN across a wide range of services and sectors including offender education and other language and communication related projects. Concerns regarding supply of SLT services. Ability and interest of individuals with communication difficulties to engage in services. Rights of prisoners “Nose out of joint” Perceived criticism... Changed title – “Communicating Justice”

Agreeing a way forward with others in the real world What we have done Meetings, tasks and redrafting Bid built around: Stakeholder outcomes; funders requirements; experts views / other SLT services / RCSLT resources; known gaps in service; evidence Products – developed and / or used Version 12 of Bid including design of Service Evaluation / Impact Research WAVE Bid Doc

Agreeing a way forward with others in the real world Challenges Time commitment Time for the “new” when threatened by the “now” “Never done before” “Sure it will be fine” Understanding modern SLT Need for information we don’t have yet Risk taking Interpretation of employment law; NHS responsibility. R and D requirements – different among partners Time commitment – 70 hours? Just me Time for the “new” when threatened by the “now” “Never done before” – Skills, confidence, risk taking “Sure it will be fine” – assuming okay – then not / assuming problem – then not Understanding modern SLT Need for information we don’t have yet Risk taking Interpretation of employment law; NHS responsibility- CURRENT BIGGEST BARRIER R and D requirements – different among partners Reality of Barriers identified in 2010: Securing cross sector ownership, funding and time resources in organisations dealing with a number of competing priorities and demands. The complexity of integrated partnership work on SLCN across a wide range of services and sectors  

Agreeing a way forward with others in the real world Overcoming challenges: Expect a long journey and agree deadlines Share skills, knowledge, strengths, tasks Dedicated time and lead role “chasing up” Build on positive messages from challengers; ask friends to influence for us For example: Interpretation of employment law; NHS responsibility- CURRENT BIGGEST BARRIER Addressing via: Meetings, case studies, creating environment / cutting edge; Impact information (outcomes); challenge head on with authority(letter to SG)

Lessons learned Growth feels positive Time commitment - expect a long journey and agree deadlines Dedicated lead and / or time ...Need to “carry” sometimes Brief, explain, clarify, evidence, brief, explain, clarify, evidence Distinguish project from “now” but get “fit with now” Knowledge of partners, environment Pursue “I’m sure it will be fine” Skills, confidence, risk - Share skills, knowledge, strengths, tasks Work with supporters, ask friends to influence, Power / Interest Persist - address barriers

Products and Resources developed and /or used Our recipe Motivation Time Skills project design; project management; promotion; winning friends and influencing people; negotiation; networking; writing a good brief, articles, report; presentation desk and active research; Products and Resources developed and /or used Dossiers of evidence, questionnaire / survey, briefs, glossy reports, lists and contacts of stakeholders , bid document, evaluation/ impact research design, presentations and hand outs, articles Recipe for progress so far

Using our learning Recipe and lessons What can you use? What products, resources or other support activities could SLTs / RCSLT develop to help you grow or protect SLCN services? Discussion: Does this reflect your experience of services from scratch? Which of the resources etc. we have developed can you use? What products, resources or other support activities could SLTs as a collective / RCSLT develop to help you grow or protect SLCN services? Thank you