An integrated Team in Practice

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An integrated Team in Practice

• CEPPL conference
• 8th October
• Ann Workman
• Jeremy Pickard

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Background

• Sedgefield pop 85,000
• PCT
• District Council
• CSSR Durham County

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Background

• Shared vision 2003/4
• 5x integrated locality teams
• Co-located
• Single manager
• Unified performance management
• Single IT
• SAP
• Accountable to partnership board

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Background

• Future proof (?)
• Not single employer
• Mainstream NOT additional

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Background

• Design team plus workstreams for
• IT
• Premises
• Finance
• Performance
• . And HR

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Background

• 45 District nursing staff
• 5 Housing Officers
• 17 Social Work staff

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Background

• And the ones that got away
• Wardens, OTs, Mental Health

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Background

• Staff concerns
• Another irrelevant change
• Excuse to downsize
• Nurse doing Social Work and
• Social worker being managed by nurse

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Background

• Workstream response
• No reduction in staff
• No change in role
• Clinical support outside management

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Background

• Workstream concerns
• New roles
• Community Partnership Manager
• Business Support Officers
• Corrosive effect of different pay and conditions

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Experience

• Nurses
• Social workers
• Housing officers
• Business Support Officers
• Managers

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Conclusions

• Integrated teams are not a threat to professional
  identity
• Professional confidence is enhanced by better
  outcomes ..

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Conclusions

• and by the way, customers get better
  services.
• Paper available on www.northeast.nhs.uk
• (follow publications and workforce)