1. Part 3 of… CHANGE, LEADERSHIP AND THE INTERDISCIPLINARY TEAM CORK JUNE 10 TH 2009 Malcolm Rae, OBE, F.R.C.N., Mobile: 07969895710 Email:malcolmrae@blueyonder.co.uk

2. 2  Crime, violence, drugs and alcohol. What will this mean for future health care? HEALTH, SOCIAL, ECONOMIC AND ENVIRONMENTAL CHANGES AHEAD (CONT’D)

3. 3  Housing. Urban planning.  Ryan inquiry HEALTH, SOCIAL, ECONOMIC AND ENVIRONMENTAL CHANGES AHEAD (CONT’D)  Terrorism.

4. 4 ENVIRONMENTS MATTER – LILIES LOVE WATER

5. 5 NEW HORIZONS – REPLACING THE NATIONAL SERVICE FRAMEWORK  What do you consider are the service developments which have been successful?  What changes would you like to see in mental health services over the next 10 years?

6. 6 NEW HORIZONS  Advance high quality care, build on new teams, i.e. Early Intervention, improve access  Responsive to gender needs  Maintain social networks  Concern for those who lead chaotic lives and to look closely at the needs and support for people with long standing problems

7. 7 NEW HORIZONS (cont’d)  Compelling vision for public mental health: –Prevention –Health promotion –Quality of life –Ambition and hope –Building on strengths  Link to emerging strategies for children/YP  Tackle inequalities including DRE and Older People’s Mental Health

8. 8 NEW HORIZONS (cont’d)  Ensure carer concerns are met, information, support, opportunities to influence care and service  Enable commissioners to grasp and take forward priorities –Service user / carer perspectives –Whole system –Social integration –Housing –Debt –Recovery and inclusion

9. 9 NEW HORIZONS (cont’d)  Stigma and discrimination to be improved, shape public attitudes  Strategy for mental health and employment – real social inclusion  Encourage employers to support the well being of their staff and assist in returning to work

10. 10 NEW HORIZONS (cont’d)  Partnerships –Service users, carers and staff –Different agencies –Personalisation agenda, informed choice, direct payments –Well being, emotional and physical health needs to be met –Improve access to services for prisoners with mental health problems and better follow up on release –Media strategies –Personal outcomes and recovery

11. 11 WHAT IS YOUR ROLE?  Develop skills to understand the complexity / and dilemmas.  Develop a capability to handle combined information.  To learn new ways of appreciating a situation, which called for the particular policy.  If in doubt, seek assistance to aid understanding and application.

12. 12 WHAT IS YOUR ROLE?  Ask yourself, how will these changes impact on patient care? Will it improve or negate?  Become fluent in policy and environmental influences.  Sharpen your cost awareness and learn how to prove the financial worth and cost effectiveness of nurses.  Horizons scan – look for new developments, trends, opportunities and threats.

13. 13 SOME IDEAS TO AID UNDERSTANDING OF HEALTH AND SOCIAL POLICY  Ask your professional organisation.  Read professional journals and quality newspapers for ideas and analysis.  Look for examples of successful implementation.  Get involved with working parties / groups.  Create a contemplative space.  Read, study, learn, apply and implement.

14. 14 FOUR POLITICAL SKILLS  Always keep the initiative  Exploit the inevitable  Keep in with the out  Never stand between a dog and a lamp post or you will get caught in the cross fire

15. 15 HORIZONS AND LANDSCAPES  Moving to the next stage of your personal development and career.  Starting out from different base camps – aspiring, emulating, striving, progressing, achieving.  Reaching new and exciting heights.