New ways of working to deliver person centred care

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New ways of working to deliver person centred care

• Judith Watt
• NIMHE/Sainsbury Centre Joint Workforce
  Support Unit
• Roslyn Hope
• Director
• NIMHE National Workforce Programme

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Vision and Values of mental health workforce
strategy

• Services should be person centred, socially
  inclusive and recovery orientated.
• Services should make a positive difference to
  people.
• Staff should be valued, have the necessary
  education, training and supervision to work
  flexibly across disciplines and agencies.
• Service users and carers should influence all
  aspects of workforce.

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Workforce Areas

• Workforce planning
• Recruitment and retention
• New ways of working
• New roles
• Education, training and development
• Leadership

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New ways of workingNWW

• National steering group on NWW for consultant
  psychiatrists
• Co-chaired by Royal College and NIMHE
• Two subgroups- psychiatrist and cross boundary
• Interim report august 2004
• Final report august 2005

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Key lessons and actions

• Clarify medical responsibilty in
  multi-disciplinary teams GMC guidance
• Revise College guidance on job descriptions and
  norms new joint guidance with employers
• Test out new models in practice20 sites in
  England

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Key lessons and actions

• Change one role and change all Creating Capable
  Team Toolkit
• There is more shared in common that distinct
  between professions Ten Essential Shared
  Capabilities and papers on Distinct
  Contributions
• Leadership to support change and service
  improvement is essential both from clinicians and
  managers

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Lessons from pilots

• NWW for psychiatrists means being a consultant in
  the true sense of the word
• It means a focus on people with the most complex
  needs
• It means giving up routine work that others can
  dodifferently e.g outpatient clinics
• It means more flexibilty from all staff to break
  down professional boundaries
• The focus needs to be on the service user
  experience and care pathway.

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Education, training and Development

• Staff are key to delivering person centred
  services.
• User feedback suggests continued problems on
  being listened to, being respected, being
  influential in the care planning process.
• Staff dont always respect each other.

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What the Ten Essential Shared Capabilities are
intended to do

• Spell out the knowledge, skills and attitudes
  that are required of all staff, irrespective of
  experience or seniority
• Focus on the person using services and their
  families and supporters
• Address the whole person, not just presenting
  symptoms
• Highlight the importance of values

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10 Essential Shared Capabilities

• Working in partnership
• Respecting diversity
• Practising ethically
• Challenging inequality
• Promoting Recovery

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10 Essential Shared Capabilities

• Identifying peoples needs and strengths
• Providing service user centred care
• Making a difference
• Promoting safety and positive risk taking
• Personal development and learning

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Where next?

• NHSU commissioned learning materials to be tested
  out in 60 sites nationally to field test,
  including some BME services
• Evaluation December 2005
• Revision and comprehensive roll out first half
  2006
• Race Equality/Cultural Capability materials being
  developed to build on ESC

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Enabling activities

• Liaison with professional bodies to adopt
• Liaison with SHA WDDs, HEIs, employers
• Linking with Knowledge and Skills Framework and
  National Occupational Standards
• Development of website, financed by Skills for
  Health
• Link with Creating Capable teams toolkit

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Resources and contacts .

• Websites- www.nimhe.org
• - www.scmh.org
• roslyn.hope_at_nimhe.nhs.uk NIMHE NWPqueries
• judith.watt_at_scmh.org.uk CCToolkit
• barry.foley_at_dh.gsi.gov.uk NWW
• Imcgonagle_at_lincoln.ac.uk 10ESC