1. 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
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

2. 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.

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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”

9. 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

10. 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

11. 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)

12. 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

13. 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

14. 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