Welcome to the WISMS ICOWorkforce Planning Event

Dr Linda Harris

Today we have a great opportunity

• To establish a roadmap for workforce development across the partnership ( 2009 – 2012)

• We are a DH ICO – we need to maximise the “power of the brand”

• We have a Balanced Scorecard which demonstrates our commitment to moving from a “national sickness service” to a Locally Accountable Health and Social Care System

Today I would like us all to think as great leaders

• Knowing what’s right

• Articulating what’s right with clarity

• Doing what’s right with enthusiasm and passion

• Taken from a response from Mr Chris Long, CEO Hull Teaching PCT

• ”

“Knowing what is right” and bringing this knowledge to the table

• Our understanding of our services and stakeholders• Our understanding of the national and local policy

context• Our understanding of the evidence for good and

effective bio-psychosocial care• Our understanding of what could be delivered

differently or better

Commitment and collaboration

• As ICO members we wish to reposition ourselves so that our services are dealing with causes as well as consequences

• We wish to deal with the determinants of health - education , social capital, lifestyle

• We are committed to measuring impact as the means of achieving our just rewards and demonstrating the return on our investment

“Articulating what is right” in a series of activities

• Our Balanced Scorecard is focussed on identifying the degree to which the individual/community affected by substance misuse are : -

• Healthy• Earning• Learning• Safe

We are motivated because we know that those who don’t achieve in all areas have poorer outcomes

In our ICO….

• Everyone has a voice

• The principle of subsidiarity applies

• The workforce participates in integrated programmes rather than isolated interventions

• Excellence as a service provider does not in itself constitute success

What do we want to achieve from today ?

Part 1- The ‘Knowing’ bit• Establish the relationship between the balanced

scorecard and workforce transformation • Identify what areas are ripe for transformational

change ?• Explore impacts of outcome based

accountability as an integrated workforce

Part 2 – The ‘Doing’ bit• Explore some specific areas of workforce

transformation • Psychosocial interventions• Service User Empowerment• Safeguarding• Interventions for NEETs• IT

• Part 3 – Action Planning

Today will have been a success if…….

All the partners contributeWe acknowledge but are not scared by the

challenges aheadWe are committed to investment in all four areas of

the scorecardWe bring staff, service users and communities with

usWe are bold and seek to innovate – sometimes new

things don’t work

Transforming the service user journey of care

Some ideas….

Recovery

Recreational Use

Problematic Use

Addiction

Harm

Support Groups

Formal TreatmentInternal Resources

Loved Ones

Behavioural Change

Stages and Processes of Change

Therapeutic Principles

SocietyRecovery Communities

Where in the journey can we transform services?

• Engagement?

• Assessment?

• Programmes/interventions?

• Monitoring?

• Patient involvement?

• Recording of case and success in treatment

Where in the journey can we transform care?

• Engagement • Website access• Online and telephone

triage • Social marketing• Touch screen self

assessments

• Assessment • Involve service users in screening

• Go paperless• Introduce safeguarding

pathway• Introduce benchmark

screening tests • Cluster patients in

accordance with a currency and pricing model?

Cont…

• Formal treatment • Routes to recovery/ITEP

• Motivational enhancement and Cognitive behavioural therapies

• Contingency management

• Rapid Detoxification

Working SMARTER

• Telehealth

• Paperless record keeping

• Decision support tools

• Text/webcam/e mailing our clients

• Streamlining working practices

Balanced scorecardBalanced scorecard

Economic Benefit

Communities

Service user experience

Individual health and well being

WorkforceDevelopment

Wayne, 28 and Bev, 22

• Live apart, their 2 children live with Wayne’s Mum in Castleford

• Bev, in and out of prison in the past for acquisitive crime (drug related). Just secured a job as a waitress and is worried about keeping it as needs her methadone and has pain from an infected leg ulcer from injecting

• Wayne, unemployed, drinks heavily. He worries about Bev’s drug use, she has overdosed before

• They are trying to clear their debts and raise a deposit for a flat

• They both want the family back together

Wayne, 28 and Bev, 22

• Live apart, their 2 children live with Wayne’s Mum in Castleford

• Bev, in and out of prison in the past for acquisitive crime (drug related). Just secured a job as a waitress and is worried about keeping it as needs her methadone and has pain from an infected leg ulcer from injecting

• Wayne, unemployed, drinks heavily. He worries about Bev’s drug use, she has overdosed before

• They are trying to clear their debts and raise a deposit for a flat

• They both want the family back together

Case study

• Wayne • Young male, father • Cannabis from age 12, binge drinking aged 13 with friends, daily

drinking in excess of 50 units a week for past 2 years• No previous employment and left school without qualifications• Never thought of accessing treatment – doesn’t think he has a problem

and when he did see his GP seeking some “sleeping tablets” he was advised that his GPs did not prescribe these

• Suffered from panic attacks when a teenager and found out alcohol reduced his anxiety. Hasn’t told anyone about this

Case study• Bev• Young female• butane gas aged 12, ecstasy and amphetamine from 15, heroin from 16 including periods

of crack binges• Suffered abusive childhood, self harmed and developed moderate eating disorder.

Sentenced to juvenile unit aged 17 for credit card fraud• Pregnant aged 17 ( Joe aged 5) and again at 19 (sally aged 3) using crack and heroin

throughout both pregnancies so children move in with grandmother through residency order

• Suffered postnatal depression and started on fluoxetine – antidepressants have not changed for five years

• Hasn’t stayed in substance misuse treatment for longer 3 weeks • Prior to prison was “running for a dealer and injecting over 1gm of heroin a day

speedballing her crack • Continues to self harm and is underweight• Not on contraception • Inducted on methadone on a supervised dispensed script and within 5 days had missed

pick ups at the chemist – states its shift patterns at work

Wayne, 30 and Bev, 27

• Wayne receives alcohol brief interventions at the practice and attends the evening AA group now once a week. His Progress 2 Work advisor is supporting him to access training

• They visit the centre as a couple, with children (under 5) who are now all up to date with their vaccinations.

• Bev has reduced her methadone, attends a self help group to manage her anxiety. She has had Chlamydia and cervical screening. She is training to be a peer advocate

Wayne, 30 and Bev, 27

• Wayne receives alcohol brief interventions at the practice and attends the evening AA group now once a week. His Progress 2 Work advisor is supporting him to access training

• They visit the centre as a couple, with children (under 5) who are now all up to date with their vaccinations.

• Bev has reduced her methadone, attends a self help group to manage her anxiety. She has had Chlamydia and cervical screening. She is training to be a peer advocate