Health and Employability: Developments and Lessons Learned in Glasgow City

2. Health and Employability: Developments and Lessons Learned in Glasgow City Christine Jess, Southeast Bridging Service Alison McCrae & Kim Murphy, Glasgow Works Moira Purdie, NHS GGC Acute Services

3. Content of Workshop • Background to citywide developments (Kim/ Alison) • Embedding employability and vocational rehabilitation issues into NHS GCC Acute Services – Moira • Glasgow City Bridging Services – Christine • Questions/ Lessons Learned

4. Glasgow City: Background Equal Access to Employment Strategy & Partnership (2004-2008) • Joint health, social care and employability partnership & strategy Key Drivers • Large numbers of people claiming health related benefits – 40% would like to work (Glasgow Challenge, TERU, 2003) • Not engaging with employment services/ bowler hat syndrome • Increasing focus in health and social work services on employability issues – work key aspect of recovery & rehabilitation • Weak links between health, social care and employability sectors (Mapping Study, TERU, 2004) Strategic Response • Major programme of capacity building and culture change

5. Glasgow City: Background Key Developments: 2004 – 2008 • Establishment of 2 key planning groups to progress agenda: EPIG (2005) and NHS GGC Employment and Health Strategic Group (2006) • Large scale frontline staff attitudinal survey 2006 (637 staff) • Not part of role & No procedures • Selective interventions with service users • Lack of knowledge of area • Employability training for health and social care staff (2007) in response to survey findings (evidence based) • Development of processes, performance management systems and targets to evidence and monitor impact (discussions and referrals for support) • Establishment of 5 CHCP Bridging Services – single point of access to employability support for health and social care professionals and service users

6. Glasgow City: Background Progress/ Impact • Circa 1800 frontline staff trained to date including: • Community based Physiotherapists, Primary Care Mental Health Teams, Glasgow Addiction Services, Keep Well, and Acute Services • Independent evaluation of impact 2007 • Strong links built with Bridging Services: • 1600 successful referrals in 08/09 & 1200 in 09/10 • Re-run of frontline staff survey (2008) • Positive change in attitudes and practice • More progress with social care practitioners than healthcare professionals. • E.g., Currently part of role to raise issues with clients: • Social Care: 56% (2006) to 76% (2008) • Health: 40% (2006) to 50% (2008)

7. Glasgow City: Background Where we are now… Glasgow Works Strategic Partnership, 2008 • ‘Equal Access’ approach embedded within GW business plan • Wider focus e.g.,transferring of model to Housing and Early Years • Continued commitment to Bridging Services Model and specialist provision e.g., Learning Disability Supported Employment Service • Piloting of Health Outcomes Tool with Bridging Services

8. Embedding employability and VR issues into NHS GGC Acute Services • Formulation of the Steering Group • Adult Rehabilitation Framework • Staff Baseline Audit • Staff Training Programme • Employability and Financial Inclusion • Vocational Rehabilitation Pilot • Future Developments

9. Glasgow City Bridging Services • City Wide Picture • Funding • Ethos and Delivery • Staffing • Referral Sources • Future Developments

10. Employability Pathway Stage 5 In Work Support (Long-Term) Stage 2 Work Preparation (Initial) Stage 3 Work Preparation (Later) Stage 4 In Work Support (Early) Stage 1 Engagement and Positive Activity Bridging Service GSWRA Employability GSWRA Aftercare • Life Skills Course • Life Coaching • Money Advice • Health and Wellbeing • assessments • Stress Management • Personal & Social • development courses • Diagnostic assessment • Occupational Therapy • Peer support • Mentoring • Communication Skills • Motivational skills • Literacy & Numeracy • Assertiveness Training • Improving Health & • Wellbeing • College Taster Courses • Life Coaching • Money Advice • Voluntary Work • Certificated College Courses • Intermediate Labour Market positions • Interview Techniques • CV Preparation • Applications Form Completion Training • Developing Transferable Skills • Local Labour market information • Job Search Activities • Job Tasters • Work Trials • Work Experience Placements • Specific Career Planning • In Work Support • Employer Support • Money Advice if required

11. Stage 1Engagement /Positive Activity Snap Shot of activities in Stage 1 • Occupational Therapy • Peer support • Mentoring • Communication Skills • Motivational skills • Literacy & Numeracy • Assertiveness Training • Improving Health & • Wellbeing • Life Skills Course • Life Coaching • Money Advice • Health and Wellbeing • assessments • Stress Management • Personal & Social • Development courses • Diagnostic & Psychometric • assessment

12. Contact details Christine Jess, Glasgow Southeast Bridging Service/ GSERA, christine.jess@gsera.org.uk Moira Purdie, NHS GGC Acute Services, moira.purdie@ggc.scot.nhs.uk Kim Murphy, Glasgow Works, kim.murphy@drs.glasgow.gov.uk Alison McCrae, Glasgow Works, alison.mccrae@drs.glasgow.gov.uk

13. Links Glasgow Works Frontline Staff Survey 2008, http://www.glasgoworks.eu/Library/Library++EA+Frontline+Staff+Survey.htm Frontline Staff Survey 2008, separate responses for health and social care, http://www.glasgoworks.eu/Library/Library++EA+frontline+survey+HSC+results.htm Glasgow Bridging Service Evaluation, Executive Summary, http://www.glasgoworks.eu/Library/Library++Bridging+Service+exec+summary.htm Equal Access Frontline Staff Survey 2006, http://www.equalaccessglasgow.com/EqualAccessandFrontlineStaffBriefingPaper June2006.htm Evaluation of Employability Training 2007 http://www.glasgoworks.eu/NR/rdonlyres/F8B3B999-949D-43EF-893C- 15F1656F0D39/0/EqualAccessEvaluationofEmployabilityTraining.pdf Glasgow Works Website, www.glasgoworks.eu