Condition Management Programme

1. Condition Management Programme Building on what we’ve 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)

6. Key Partnership • CMP Participant + • JobcentrePlus PA + • NHS CMP Practitioner = Opportunity for work and health.

7. The Condition ManagementDelivery Model: Proposed Approach Neil Perris, Condition Management Programme Manager

8. Key elements of CMP programme • Client supported by case manager whilst on CMP • Access to core advice modules (peer support/group work) • Access to 1:1 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) You’ll 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. Once the modules/options have finished your Course Leader will ask you to complete an evaluation form. 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

10. The Proposed Local CMP Model Interview With Case Manager 2 sessions Managing Your way back to work Introduction to Healthy living IBPA Referral to CMP 1:1 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

11. 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

12. 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) Women’s / Men’s health session Introduction to local fitness facilities/progs Relaxation techniques Total = c 3 days CMP – 2 Core Modules (NHS delivered) 2 core modules to run alternate weeks at a range of community venues- with clients waiting no longer than 2-4 weeks to participate

13. 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

14. Therapy / counselling: • Ongoing 1:1 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-management (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

17. 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…