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Integration of Health and Social Care ………a few thoughts from the West Country…..

Integration of Health and Social Care ………a few thoughts from the West Country…. Tony Gardner April 2004. A few words of caution!. Integration is not…….. An end in itself The solution to all problems A reason to distract us from doing the basics well. A quick fix to ‘wicked’ problems

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Integration of Health and Social Care ………a few thoughts from the West Country…..

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  1. Integration of Health and Social Care………a few thoughts from the West Country….. Tony Gardner April 2004

  2. A few words of caution! Integration is not…….. • An end in itself • The solution to all problems • A reason to distract us from doing the basics well. • A quick fix to ‘wicked’ problems • A capitulation of one culture to another • Assimilation

  3. “……make good the failings of the present system, improve the quality and consistency of services and increase efficiency across the board. The N.H.S. and Social Services will work more closely together and so provide proper integration of treatment and care. These reforms mark a new beginning for mental health provision…” …but it should help us to…..

  4. …and it does present opportunities…… • To correct some of the failings of the past • To meet Service User and Carer demands for better services and…. • ….for better outcomes! • To remove unhelpful barriers • To get rid of old excuses • To work towards ‘Whole Life’ services • To offer greater social inclusion

  5. ….and… • To develop a force for improvement, strengthening, cohesion and dynamism in mental health • As a means to drive out: • Cost Shunting • Patrolling agency boundaries • Buck Passing • ‘Theological' posturing • ….and other bad habits!

  6. ..whilst giving a better chance of… • delivering national policy • getting the best of both worlds • responding to local pressure for better joint working • delivering local commissioning intentions • improving services • delivering NSFs • putting service users and carers at the heart of our work

  7. …better outcomes for Service Users… • By challenging traditional assumptions about choices and services • By recognising that users want whole system solutions to problems • By ensuring simple systems for gaining access to a wider range of services. • By building structures that involve and empower • By promoting their citizenship,recovery and inclusion • Giving people what they need, one care system not two

  8. …and for Carers • Greater involvement • Adopting social care values for meeting the needs of carers • Receiving integrated and comprehensive information • Single point of access • One care system, not two! • Partnership not paternalism

  9. ….and for staff.. • By valuing the best of health and social care • (..and driving out the worst!..) • By developing a single organisational culture, vision and approach • By harnessing health and social care skills • By giving them greater organisational influence • By offering a more rewarding working environment • Offering better career development

  10. The benefits will be maximized for all stakeholders if…. • We are transparent, ‘put our cards on the table’ • We ensure equity of status within the Partnerships • We keep it as simple as possible • We listen, hear and act • We keep focussed upon users and carers • We build upon ‘what works’

  11. ….and by ensuring that we…. • Have effective change programme management • Find the champions and enlist the ‘doers’ • Get the basics done well • Communicate……….and then communicate some more! • Learn from others

  12. ‘Booby traps…..’! • Cowboys and Indians • Triumphalism • Lowest Common denominators • ‘Talking shops’ ~ slow progress • Losing sight of purpose • Timidity • Loss of ownership

  13. ……. and ambushes… • Watch out for lawyers and Accountants! • ‘Bungee Managers’ • Power and Influence • Professional anxieties and ‘second thoughts’ • Cultural Collisions • Personal rivalries • Not getting stuck in!

  14. ….the two sides of the coin…! • Tribalism • Structures • Power and influence • Learning from others • Slow, slow, quick, quick, slow!

  15. ….the Empire Strikes back!….. • Integration of values • Social Inclusion(Social care) • Recovery (Hope and optimism) • Early intervention (Prevention) • Choice (Self determination) • Overview and Scrutiny (Local Democracy)

  16. …..and keep reminding ourselves….. • Improvement more than structure • Hearts and Minds • Users will tell us when service outcomes are right • Partnership means action and change • Its really exciting and can make a real difference to people

  17. ….and the future? Integration is merely the beginning of a process to ensure that we respect the whole lives of the people we work with. ‘Whole systems’ work best when planned and delivered with and accountable to local communities.Perhaps we can move beyond the notion of Foundation Trusts to genuinely ‘Co-operative’ and Mutual ways of working.

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