South London Pathways Delivery Model

1. South LondonPathways Delivery Model

2. Introduction to Reed In Partnership • Our History • In 1998, we were the first private company to deliver part of the Government's New Deal programme and since then Reed in Partnership has worked with 7,500 employers to help 80,000 people make the transition from welfare to work. • During the past decade, we have worked with over 159,000 of the hardest to help customers in the most deprived areas of Britain, including over 3,000 claiming incapacity benefits.

3. Pathways Phase II Targets • Place 10,242 customers into work over three years: • Year 1 – 2490 • Year 2 – 3798 • Year 3 – 3954 • Achieve a 75% sustainment rate in employment (16 hours per week over a 26 week period).

5. Senior Ops Manager Operations Manager Business Manager Partnership Manager Account Manager Personal Advisers Work Psychologists Specialist Advisors (Tutors) Specialist Advisors (CMP) Recruitment Managers The Pathways Delivery Team Front Line Staff Support Staff

6. Reed in PartnershipCondition Management Programme Rob Charlton Head of Service and Innovation (Principal Occupational Psychologist)

7. Overview of the CMP • Non-Clinical interventions • Not medical advice and treatment • Bio-Psycho-Social Model • Teach people how to cope and feel positive • State Registered Health Professionals • Professional roles registered with DOH • Clinical Governance Standards • DOH Methodology for maintaining standards

8. Target Groups • Mild to Moderate Mental Health Problems • Muscular-Skeletal complaints • Cardio-Respiratory • Common local conditions

9. Assumptions for RinP CMP • 20% of those starting Pathways provision with Reed in Partnership will select CMP • 70% of those starting CMP will be handled by internal team of Specialist Advisers (CM) • 30% of those starting CMP will be referred to Priory • Priory referrals will be customers with mental health problems

10. Reed in Partnership CMP Team • Principal Occupational Therapist (Senior Clinician) • Senior/Specialist Adviser (Condition management): • Occupational Therapists • Physiotherapists • Mental Health Workers • Nurses • Specialist Adviser (Work psychology) • Personal adviser remains involved • Priory CBT Psychotherapists

11. Benefits of internal CMP • Help customers who need to tackle their health condition before they will be ready to address other barriers to employment • Advice and guidance on health issues can be made available to all customers • Support for personal advisers who have queries • Expertise on occupational health issues as part of in-work support

12. CMP Referral Process • Personal Progress Indicator completion • Personal Adviser discusses CMP • Customer referred to Specialist Adviser (CM) • Informal review with Specialist Adviser (CM) • If suitable, initial assessment appointment • Customer provides informed consent • GP informed of their involvement • Opportunity for GP to input information

13. CMP Delivery Model 1. Initial Diagnostic Process Condition specific health diagnostics 2. Goal Setting & Action Planning Work-focused, personal and health-related goals 4. Monitoring & Review Review distance travelled 3. Personalised Programme Advice and guidance Cognitive behavioural therapy (CBT) Education through workshops Pain management interventions Partner referral (Priory) 5. Return to Mainstream provision Case conference with Specialist Adviser (CM), customer and Personal Adviser Mainstream programme Work Focused Interviews with Personal Adviser

14. 1. Initial Diagnostic Process • Three core tools • Internal Health Assessment Tool • Canadian Occupational Performance Measure • Hospital Anxiety and Depression Scale • Identifies suitable goals and activities • Allows measurement of distance travelled • Enables evidence-based practices

15. 2. Goal Setting & Action Planning • Individual responsibility is emphasised • Goals and actions will need to be: • Work focused i.e. Identify realistic work options that fit around my condition • Personal focused i.e. Feel positive about being able to manage my condition • Health focused i.e. Take regular exercise and eat healthily • Compliments EM-POWER Action Planning

16. EM-POWER Action Planning • Engage • Motivate • Personal Orientation • Options Orientation • Work Orientation • Employment Orientation • Retention Orientation

17. 3. Personalised Programme • Advice and guidance on health matters • Education • 1-1 • Group • Self-managed rehabilitation • Cognitive Behavioural Therapy techniques • Access to mainstream programme activities • Priory

18. The Priory • Training staff in CBT Techniques • Group sessions (6 sessions) • One to one guided self-help sessions • GP engagement • Clinical Governance • Clinical effectiveness and risk management • Clinical governance steering group

19. 4. Monitoring & Review • Reviews with Specialist Adviser (CM) • Repeat key assessment tools • Case conference with PA of progress • Customer must agree what is shared • WFI Process to continue if appropriate

20. 5. Return to Mainstream Provision • Repeat full suite of assessments • In-depth work focused interview • Three-way case conference • Link action plan into mainstream Pathways programme

21. Clinical Governance • Led by Principal Occupational Therapist • Clinical Governance Steering Group • 7 Pillars of Clinical Governance - Clinical Effectiveness - Risk Management Effectiveness - Patient experience - Communication Effectiveness - Resource effectiveness - Strategic effectiveness - Learning Effectiveness • CMP Questionnaire review by DoH outlining our Clinical Governance mechanisms provided ‘high levels of assurance’

22. Any Questions?