Condition Management Programme

1
Condition Management Programme

• Building on what weve got!
• Neil Perris

2
Operational Issues

• Need to ensure mirroring provision and quality
  across the whole of the district to include
  Liverpool Wirral
• Build on best practice re engagement and
  retention of clients on CMP
• Want to recruit multi-disciplinary team for CMP
  (skills/awareness training)
• Want to ensure community/neighbourhood based
  delivery
• Developing linkages currently in 3 priority areas
  of
• Mild to moderate mental health issues
• Cardio-respiratory
• Muscular- skeletal
• Expand as demand requires (e.g. neurological
  conditions)
• Customised provision requires contracting with
  some providers and signposting/referral to other
  existing services/programmes

3
Link between CMP and employment support

• Access to other forms of JC support (Pathways to
  Work Choices elements) by clients important
• Joint case conferences and good communication
  between IBPAs, CMP case managers and realistic
  employment opportunities is crucial
• Flexible delivery to reflect varying needs
  between clients of clients over time is
  essential

4
Link between CMP wellness/lifestyle

• CMP clients may be accessing other
  therapies/support
• Primary care mental health teams
• Heart/rehab Centres
• OT/physio support
• Expert Patient
• Back Pain support programmes
• Need to raise awareness of the Condition
  Management Programme with primary care providers
  inc GPs
• Need to consider and develop
• communication between services
• Referrals/signposting processes to Job Centre
  Plus
• Access to existing healthy living initiatives

5
Link between CMP and community involvement/social
capital

• Recognition of short term nature of CMP need
  for clients to get on-going support from peers
  and wider community through regaining/forming
  social networks not tip off the map when CMP
  completed
• Clients need to regain confidence to participate
  in community as a whole, not just work
• Need to make the CMP attractive/interesting/
  non-threatening to ensure opt-ins low drop-out
  and good work of mouth social marketing by
  participants and partner agencies
• Linkage to volunteering/buddying initiatives
  (In-work support)

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Key Partnership

• CMP Participant
• JobcentrePlus PA
• NHS CMP Practitioner
• Opportunity for work and health.

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The Condition ManagementDelivery Model Proposed
Approach

• Neil Perris, Condition Management Programme
  Manager

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Key elements of CMP programme

• Client supported by case manager whilst on CMP
• Access to core advice modules (peer support/group
  work)
• Access to 11 support physio/ counselling CBT /
  other
• Length of participation on CMP is ranges from 3 -
  6 months
• Joint case conferences with Incapacity Benefit
  Personal Advisers (IBPAs), CMP case managers and
  customer as appropriate

9
CMP Client Journey
Agreement made with PA that you would like to
participate in the programme
Appointment made by PA to see case manager at
Jobcentre
First meeting with case manager (at this meeting
you will be given some questionnaires to complete)
Once the modules/options have finished your
Course Leader will ask you to complete an
evaluation form.
Youll be sent an appointment letter to
meet with your case manager. You will be asked to
repeat the questionnaires that you completed
at the beginning of the programme.
The Course Leaders will contact you to arrange a
start date for your course.
You may see the case manager for a further X
sessions (where you will jointly agree an action
plan)
You will then be referred back to your PA who
will assist you in looking for employment.
You will meet with your case manager at the
jobcentre and discuss your progress and future
plans, and you will be offered an appointment
with the case manager PA.
Optional 3-way interview
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The Proposed Local CMP Model
Managing Your way back to work
Introduction to Healthy living
Interview With Case Manager 2 sessions
IBPA Referral to CMP
11 support
Effective Linkage support into Work in work

e.g. Physio Or CBT/ counselling
Pick Mix Options
Social networking
GP awareness/support role other professional
support
Case manager support throughout period on CMP
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Who will deliver this?

• CMP Core Modules (x2)
• Provided by NHS and public sector
• Pick Mix provision
• Contracted out to Voluntary/Community sector
  Private Sector

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CMP 2 Core Modules (NHS delivered)

• Managing your way back to work
• All sessions are half day
• Anxiety Management
• Positive pressures (stress mgt)
• Working well (work place issues)
• Interaction works (communication strategies
  around work and health)
• SMART steps (pacing and goal setting)
• Solving problems and dissolving anger management
• Putting assertiveness into action
• Money management
• Total c 4 days

• Introduction to healthy living
• All sessions are half day
• Positively healthy benefits of a healthy
  lifestyle (healthy eating and drinking)
• Womens / Mens health session
• Introduction to local fitness facilities/progs
• Relaxation techniques
• Total c 3 days

2 core modules to run alternate weeks at a range
of community venues- with clients waiting no
longer than 2-4 weeks to participate
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Pick Mix Option choices

• Likely to be commissioned from outside the NHS
• optional sessions to supplement core programmes
• case manager has access to a range of provision
  in order to tailor CMP to participants needs
• Case manager will continue to be point of
  contact for participant
• all provision will be carefully monitored and
  evaluated

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Therapy / counselling

• Ongoing 11 CBT/counselling (supplementary)
• Individual sessions with Job Centre Plus Work
  Psychologist
• Introduction to memory aids
• Additional anger/stress/anxiety management
• Substance misuse support (drugs/alcohol)
  (signposting)

15
Exercise / fitness

• Ongoing specialised support for specific
  conditions cardio/muscular-skeletal/pain-manageme
  nt (Expert Patient?)
• Personal trainer sessions in local leisure centre
  
• Other exercise classes (such as yoga, pilates, )
• Healthy living (eating and drinking)
• Living with fatigue / sleep management

16
Advice / Support

• Debt counselling and money management
• Life-coaching
• Managing the shift back to work in households /
  relationships
• Make-overs / personal grooming
• Mentoring

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How will this be commissioned?

• We are currently in the process of establishing
  our core module provision (any elements that we
  are unable to provide from within the NHS /public
  sector, we will commission from outside)
• We will then draw up service specifications for
  all of the provision we intend to commission. (We
  will send these to all attendees of these
  provider events)
• We will select the most appropriate provider
  using a range of criteria including evidence of
  effectiveness, cost effectiveness, accessibility
  of provision, geographical coverage, and so on