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Derby Children & Young People’s Partnership. workshop. About IDCS @ the Light house Lessons from IDCS integration Consultation findings. The Integrated Disabled Children’s Service (IDCS) What a partnership!. What is IDCS?.
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Derby Children & Young People’s Partnership Derby City Council CYPD
workshop About IDCS @ the Light house Lessons from IDCS integration Consultation findings Derby City Council CYPD
The Integrated Disabled Children’s Service (IDCS) What a partnership! Derby City Council CYPD
What is IDCS? • Specialist Service for disabled children with severe and complex needs. • Health Act s.31 partnership • The Light House built through a LIFT partnership • Health, Social Care and Education staff Derby City Council CYPD
What the Light House provides • Residential overnights (10) beds) • Community based activities for children • Statutory social work • Behavioural support • Family support/ parenting support & assessment • Therapy in schools • OT aids, equipment and adaptations • Special Needs Toy Library & play advice • Specialist Nursery early Intervention & holistic care • Single point of access: parents, colleagues & children • Information: website; newsletter; electronic resource development Derby City Council CYPD
Arrangement of multi- disciplinary teams • Under 11 team: bringing casework & early intervention together • Pre-school team specialist nursery, Parenting & family support, • Over 11 team: casework: focus on transition, ILF & direct payments. • CST: community activities • Therapy Team: therapy support in schools & home • Residential Team: meeting thecomplex clinical and social care needs of children 8 - 18. Derby City Council CYPD
Integrating myths& issues • Cultural barriers / differences • Diminution of professional role • Information & file sharing • CAF’s & referrals • cross border links & operational management Derby City Council CYPD
Governance & management We are not yet a ‘whole system’ • We have integrated operational management, systems and processes • Fully integrated residential services • Not all budgets are ‘pooled’ as yet – but most are. • Governance responsibility; tasks delegated & self assessment and audit tools • IDCS Partnership Management Board Derby City Council CYPD
Management complexities ClinicalS.V. Prof. AgencyManagement Int. Operational management O.T. Derby City Council CYPD Nurse Social Worker
Integrated Management Integrated services need a different type of management structure & style • Professionals & governance • Professionals & supervision / management • Professional Registration & CPD • SSD command & control management style • Matrix supervision…… flatter hierarchy Derby City Council CYPD
Leadership “A leader’s main function is to serve as a catalyst of change, but never a controller of change”, Aviolo 1994 The ‘leaders’ value base… what informs her! Derby City Council CYPD
Management of change “Your integration is my fragmentation” Leutz 2000. • Being the agent of change has a different quality to that of ‘being changed’ • Around 1/3rd staff will struggle what ever you do…. BUT most can make the journey Derby City Council CYPD
Tools to help integrate • Direct work towards a written task – in our case a development plan. • Reduced contention around philosophy, culture or traditions • Solution focussed • Influencers/ change agents in group • Learned ‘language’ together • There is an achievement – a quick win Derby City Council CYPD
Tools to help integrate • Task by task. • Work together in (short life) groups on issues in common / service development. • Ensure that staff have direction, protection and are valued for their group contributions • Don’t underestimate the value of well earned praise and reward. Derby City Council CYPD
Outcomes • Single Point of Access, Standardised Risk Assessment, CAF , Integrated systems & processes: working well! • Reduction family breakdown leading to LAC in ’06 but steady CP work. • Enhancement of professional role. • Service improvement – residential children’s home • High level of parent & child satisfaction Derby City Council CYPD
Current consultation I'll tell you!! • Children & Young People: n=27 • ACA affective communication assessment • Structured Observation • Parent Carers n= 25/27 • Semi Structured interview • Practitioners: n = 8 • Action Learning Sets Derby City Council CYPD
Professional Culture:assistance or barrier? • “you are not a unique and beautiful snowflake” Fight Club. • Find a large important document to write together • Retain professional links • Eventually you realise: we have become more than the sum of our parts Derby City Council CYPD
In case you need a shine…. Derby City Council CYPD