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

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

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

4. 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

5. 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

6. Arrangement of multi- disciplinary 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
Derby City Council CYPD
Derby City Council CYP Department

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

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