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Community Learning Disability Teams

Community Learning Disability Teams. Debra Moore Managing Director Debra Moore Associates www.debramooreassociates.com 01723 371446 07950 333884 debra@debramooreassociates.com. Mission impossible?. Background to the research.

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Community Learning Disability Teams

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  1. Community Learning Disability Teams Debra Moore Managing Director Debra Moore Associates www.debramooreassociates.com 01723 371446 07950 333884 debra@debramooreassociates.com

  2. Mission impossible?

  3. Background to the research • Development programme for Community Learning Disability Teams based around the 6C’s Model • Revealed information about current ‘state of play’ and raised questions about future role and modernising the workforce

  4. Background to the research …what people were saying…. • Need to reduce health inequalities and supporting the delivery of VP objectives e.g. HAP’s etc • Need to support mainstream NHS including mental health • Reducing out of area placements • ‘Personalisation’ • Safeguarding • Changes in demography • ‘Boundaries’ between teams e.g. children & older people • Supporting criminal justice system • Workforce issues • Financial pressures • Some concerns about choice and quality of provision

  5. Pressure to ‘rescue’ • In some localities the community based team are increasingly ‘rescuing’ situations created by ‘specialist’ social care providers (often ‘importers’) • Also ‘recovering’ problems created by changes in other parts of the system e.g. day services - the ‘buck stops here’ position • Safeguarding

  6. ‘Being painted into a corner’

  7. Background to the research ‘old chestnuts’ • Issues raised about time spent on health related activities and social work activities as opposed to ‘care management’ • Questions about the content of the work of individual CTLD members & blurring of roles within the team • Concern about capacity for ‘face to face’ contact and time spent on admin/IT and in meetings • Concern to make sure that the CTLD is part of a wider care pathway

  8. Methodology • A brief electronic survey • A number of key questions generated by emergent themes from work with CTLD’s • Self selecting participants • Survey link posted on various professional websites and out via networking groups etc • 500+ responses

  9. What percentage of your working week is spent across the following 4 areas? • Care Management • Admin & IT • Face to face contact with service users • Review meetings

  10. What percentage of your working week is spent on care management?

  11. What percentage of your working week is spent on face to face contact with service users?

  12. What percentage of your working week is spent on administration and IT?

  13. What percentage of your working week is spent in review meetings?

  14. Health professionals – what percentage of your working week spent on health action planning & health facilitation?

  15. Health professionals – what percentage of your working week spent on training and supporting mainstream health professionals?

  16. Regional variations – face to face contact - nurses

  17. Integrated teams – what difference does it make? • No discernable difference across care management, face to face contact and reviews however the amount of time spent on administration and IT was higher for those who were in an integrated team

  18. Probably raised as many questions as answers • Why are there such big variations between regions and how does this effect outcomes? • What does admin & IT consist of? • If health professionals reduce care management activity what will be the implications?

  19. Next steps • More detailed analysis of survey • Drilling down on emergent themes • Examine patterns of provision e.g. A&T, Out of Area placements etc • Consider how we map against outcomes such as health checks, numbers of HAPs etc

  20. Lessons for nurses • Health related activity as a first priority • Outcomes • Person experience • Universal and mainstream services • Look after one another • Don’t give up • Use an appreciative eye – what do you want more of?

  21. Don’t get the Dibley’s! • Strong leadership • Earn your place at the table • Ensure people who use services and their families are at the table • No piccalilli and tuna sandwiches!

  22. FinallyKeeping the message simple - ensuring the ‘me and mine’ test is passed • http://www.youtube.com/watch?v=LYPIxHzXAJY

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