If working with Personal Outcomes and Talking Points is so easy why does it not feel simple?
June FindlaterFieldwork Manager, South Lanarkshire Council
Like letters through a stick of Rock!
PurposeProcessTalking points
A social workers story
Change since 1975
Implications of community care act
East Renfrewshire CHCP experience
Implications of policy ?
Background
Easterhouse example
Implementation of Community Care act is Scotland
Opportunities to reframe and redefine?
• Guidance 1991• Community Care Act 1993• Carers 1995 (recognition) Act• JPIAF• SSA Guidance 2001 • Community Health and Care Act 2002• IoRN (Indicator of Relative Need)• Updated Care Management Guidance 2004• Training Relaunch 2006• NMIS SSA,Review,carers ,care plan
Joint
Future
Agenda
The Turnaround
• Use Defined Service Evaluation Tool
• This is what people want
• CHCP development
• Why we were Early Implementers
What makes a good life?
Choice
Treated
with
Dignity and respect
Being in control
Involved in community
Seeing friends & family
Fulfilling ambitions
Feeling safe
Having people to rely
on
Keeping well
Having things to do
Feeling valued
And for SW Changing Lives
Personalisation agenda moving:
• From - managing access to service• To - helping people seek solutions
•From - passive recipients• To - active partners
Challenges
• How do we maintain and increase independence and reduce costs against background of our demographic change?
• Citizenship means influence – that means transforming the way we interact and engage
• Unpicking current service design?
Opportunities from an outcomes approach
• A shift in power and where decisions are made
• Staff become more effective making best use of skills • An integrated approach
• New Mission and Purpose – what matters most to you?
• It is not the public who ask for services it is the staff• (We as citizens are the experts, we need expertise to guide us)
What is cultural change?
• Redefine purpose – a new mission
• Change culture and transform
• Citizenship means influence and responsibility: this can be harnessed - organisational capacity building
• Same tools, same resources put to best use through real partnership at all levels
It felt right
• We acknowledged need to change culture - new post, training language
• commitment to embedding approach at practice level - back to core values
• An outcomes focussed organisation – SOA-like words through stick of rock
• Congruent - best use of energy
• We can influence further change
Carers Pilot in East Renfrewshire
• Reframing the process
• Outcomes driven
• Effective training delivered to staff by carers
• A significant improvement in performance
Performance culture?
Talking Points and personal Outcomes-what matters most to people, not a wish list
Harvard research-reorientation not redesign
Is there a disconnect with policy AWI AS&P etc?
Improve not prove? Battleship story
Has it been embedded? Does everything from your pubic information to your internal processes at every level assume citizen as partner , and that staff are clear about role?
Does implementation of policy support or weaken staff and lead to default position?
Who in your organisation owns personal outcomes agenda?