P Gray SAP co-ordinator Aug Single Assessment, Change Management and Leadership A Workshop for Managers and Champions Single Assessmen t In Gateshead

P Gray SAP co-ordinator Aug Introductions How do we respond to change? Think of an example in your own life of a change and how it felt.

P Gray SAP co-ordinator Aug Aims and Objectives To identify why we need to manage change To understand Single Assessment and identify the changes that this means for our teams/workplace To identify a strategy for staff development for Single Assessment within our teams/workplace

P Gray SAP co-ordinator Aug Why Change? Need to respond to political/economic/ethical/technological advances Human interaction takes place in an environment which changes Change is exciting – it means renewal and transformation Reason for change is to improve quality

P Gray SAP co-ordinator Aug Why Manage Change? Change may bring loss Change may threaten existing power or other interests Change means an end to certainty Change may threaten a system of meaning Change may imply criticism

P Gray SAP co-ordinator Aug The need to manage change Donald A Schon ‘Beyond the Stable State’1973 The loss of the stable state means that our society and all of its institutions are in continuous processes of transformation We must learn to understand, guide, influence and manage these transformations. We must become able not only to transform our institutions in response to changing situations; we must invent systems capable of bringing about their own continuing transformation.

P Gray SAP co-ordinator Aug The process of change The ending We acknowledge we need to let go We recognise we have lost something The neutral zone Old way has finished, but new way hasn’t started Everything is in flux and confusing The beginning The new way feels comfortable and right

P Gray SAP co-ordinator Aug Managing the process Help people understand the need for change – move to the ‘discomfort zone’, but prevent the ‘panic zone’ Recognise the loss Give people information about the change proposed Get people involved and give them time to experiment with new ideas Ensure that things that matter are continued Help people feel valued Ensure people know the part that they play Help people identify ‘ what’s in it for me’

P Gray SAP co-ordinator Aug Single Assessment as Change

P Gray SAP co-ordinator Aug NSF Standard 2 – Person Centred Care NHS and social care services treat older people as individuals and enable them to make choices about their own care. This is achieved through the Single Assessment Process

P Gray SAP co-ordinator Aug Respect differences including culture and religion Person Centred Care Enable to make informed choices Avoid asking same questions Listen to older people Respect privacy and dignity Provide coordinated and integrated service responses Involve and support carers

P Gray SAP co-ordinator Aug The Vision for Single Assessment STANDARDISEDAssessment is STANDARDISED OUTCOME CENTREDAssessment is OUTCOME CENTRED IN PROPORTIONAssessment is IN PROPORTION NOT REPETITIOUSAssessment is NOT REPETITIOUS RIGHT PEOPLERIGHT WAYAssessment involves the RIGHT PEOPLE in the RIGHT WAY

P Gray SAP co-ordinator Aug The National Programme for IT - NPfIT Underpinning IT structure to support the delivery of care and services For example: integrated records service, electronic appointment booking service, Single Assessment Electronic solutions facilitate and complement SAP Focus on person centred care, by improving pathways so impacting on patient experience

P Gray SAP co-ordinator Aug SO……… What’s the problem?

P Gray SAP co-ordinator Aug What’s the problem? (Turning Your Back on Us – Age Concern 2000)  “Old age hasn’t even started and I feel that I’ve already been written off”  “I can’t help thinking that if I had had the right treatment from the start, I would not have had to go through all these months of pain”  I have met too many old people who almost apologise for being alive  “The past year has been very distressing for me and my family. We have seen my father change from an intelligent gentleman to a very frail old man suffering from dementia”  “We are expendable – they are waiting for us to die”  “I was told my mother’s pain was ‘all in her head’”

P Gray SAP co-ordinator Aug Things have to change...

P Gray SAP co-ordinator Aug Exercise 1 Identifying the change What things from your team/workplace/professional ethics do we bring that support SAP and Person Centred Care? Identify the key aspects in your workplace that you would like to change to implement Person Centred Care?

P Gray SAP co-ordinator Aug Role of a Champion Adoption Learning about the innovation proposed Knowing the stakeholders Identifying the opinion leaders/judging potential resistance Promotion Contextualise the innovation ‘selling it’ and influencing others

P Gray SAP co-ordinator Aug Role of a Champion Securing Resources and Support Securing support within the organisation and team Tracking and trouble shooting Dealing with resistance and influencing people Keeping a ‘watching brief Mainstreaming Embedding the innovation into the mainstream work

P Gray SAP co-ordinator Aug Characteristics of champions Knowledge of the innovation or change Use of personal power rather than positional power Adopts the project as their own Generates support Advocates for the innovation

P Gray SAP co-ordinator Aug Champions and Leadership Leadership Behaviour –Inspire and enthuse others with a clear vision and goal –Cope with resistance and gain commitment –Suggest creative and challenging solutions to problems Personality characteristics –Risk taking –Political astuteness –Persistence and dedication –Like to achieve

P Gray SAP co-ordinator Aug Exercise 2 moving towards change To work towards person centred care we need to help staff understand Single Assessment, and look at changes we can make. Use the template and resources in your pack to write an action plan to implement in your teams.

P Gray SAP co-ordinator Aug Achieving Change