Derby Children & Young People’s Partnership

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Presentation transcript:

Derby Children & Young People’s Partnership Derby City Council CYPD Derby City Council CYP Department

Derby City Council CYPD workshop About IDCS @ the Light house Lessons from IDCS integration Consultation findings Derby City Council CYPD Derby City Council CYP Department

The Integrated Disabled Children’s Service (IDCS) What a partnership! Derby City Council CYPD Derby City Council CYP Department

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 Derby City Council CYP Department

What the Light House provides 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 Derby City Council CYP Department

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 Derby City Council CYP Department

Integrating myths & issues Cultural barriers / differences Diminution of professional role Information & file sharing CAF’s & referrals cross border links & operational management Derby City Council CYPD Derby City Council CYP Department

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 Derby City Council CYP Department

Management complexities Clinical S.V. Prof. Agency Management Int. Operational management O.T. Derby City Council CYPD Nurse Social Worker Derby City Council CYP Department

Integrated Management Integrated services need a different type of management structure & style Professionals & governance Professionals & supervision / management Professional Registration & CPD SSD command & control management style Matrix supervision…… flatter hierarchy Derby City Council CYPD Derby City Council CYP Department

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 Derby City Council CYP Department

Management of change “Your integration is my fragmentation” Leutz 2000. 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 Derby City Council CYP Department

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 Derby City Council CYP Department

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 Derby City Council CYP Department

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 Derby City Council CYP Department

Derby City Council CYPD Current consultation I'll tell you!! Children & Young People: n=27 ACA affective communication assessment Structured Observation Parent Carers n= 25/27 Semi Structured interview Practitioners: n = 8 Action Learning Sets Derby City Council CYPD Derby City Council CYP Department

Professional Culture: assistance or barrier? “you are not a unique and beautiful snowflake” Fight Club. Find a large important document to write together Retain professional links Eventually you realise: we have become more than the sum of our parts Derby City Council CYPD Derby City Council CYP Department

In case you need a shine…. Derby City Council CYPD Derby City Council CYP Department