1. Sector Led Improvement #Tough love
Helen Coombes

2. Leading, Acting, Learning & Supporting
Taking sector led improvement seriously
Second round of Peer challenge programme
Led DASS 2 ADs Expert by experience and lead member
Self Assessment using adapted TEASC tool
Case File Audit undertaken by Principal Social Workers
Presentation feedback on site followed by formal letter for publication
DASS buddy system used for 6 month follow up
Reminder of what the programme does

3. What have people said ?
Social Care leadership and understanding at the most senior levels of the directorate is lacking
Andy is a good egg
Really good relationship between CCG, hospital and council senior leadership
Matt and Tony are very accessible and committed to hearing and acting on feedback
We want it all to work, I’m proud of working here
Chaotic to the point it does not make sense
Number of ways of triangulation and say about case audits, performance report, reading the evidence, testing out through KLOE

4. ‘So what?’
Joint commissioning plans and pooling of any budgets with NHS partners
The scale of the challenge facing adult social care
Review assessment caseloads to ensure an appropriate level of skill and effectiveness
Develop a clear vision and purpose for adult social care

5. Consistent themes Use of Resources, Performance and Outcomes
Partnerships and Collaboration
Practise especially safeguarding and legal literacy
Leadership both Executive and Political
Change Management
System Working and Better Care

6. Some Coordinator reflections
Shared Learning - always great things happening in every place
Exhaustion of peer challenge members
Incorporating the service user/carer voice effectively a challenge
Feedback and next steps can be challenging and requires a lot of the DASS
Timescales are tight to undertake the challenge
Organisation is key ahead of the challenge
We could be more intelligence and data driven
Having the right skills in the rest of the team

7. A Dorset example – Learning from else where
Detailed analysis of ASC Financial and Activity Data
Scrutinise some key business processes
Benchmark and compare with national messages
Look at some specific areas I didn’t understand
Look over the fence at health !
Scrutinise our savings and financial plans and do some knowledge transfer within the directorate

8. Where next for #Tough Love

9. Reflections from Tony Oakman
Asset based approach - Very different from regulatory approach
Welcomed and where necessary has had sufficient ‘grit
Use of casework– is the strategy the reality?
Critical friend - if done right is not a cosy
We are all dealing with similar opportunities, challenges and issues – not alone.
Opportunities to celebrate success and achievements recognised in a public report

10. “Be careful what you wish for”
“I feel we need to consolidate and build on current methodology and approach and be careful we don’t wish for an approach which is not a learning/outcome based and potentially risk averse. If it’s broken it’s incumbent on DASS to blow the whistle – regardless of what methodology we or the government decide going forward.”