Beruflich Dokumente
Kultur Dokumente
2 recurrent themes 8
integration and partnership working 8
commissioning 10
personalisation, choice 12
and control
equality and diversity 14
contacts 16
1
foreword
Welcome to this highlight review Our skills, our impact, our value
which we hope will give you a We know that our work is valued. Of those health
flavour of the work the Care and social care stakeholders aware or directly
involved in our work, 81% reported positive
Services Improvement feedback on CSIP's impact in their region. Three
Partnership has undertaken over in five people working in health and social care
believe that CSIP has helped improve services in
the past year, to complement their region*. Our focus on integration and
our more detailed programme partnership working is recognised as one of the
and regional annual reviews. foundations underlying all that we do.
While we have remained focused on delivering
Complex challenges that bring us the business in hand, we are in the process of
together in search of shared solutions organisational change, as part of the Department
of Health’s programme to strengthen its
We believe we have something important to say presence in the regions and the Strategic Health
about how services can best equip themselves Authority (SHA) review of National Programmes.
to respond to the immediate and future
challenges we face. How do we gear services We welcome the increased involvement of the
to support people to lead their lives fully and SHAs to ensure our work continues to be
independently in ways they choose? How can driven, and accountable to local need. We are
services be more responsive to the needs of working more closely with our regional public
their local communities? How can we ensure health and Government Office colleagues. We
everyone has equal access to high quality care? have strengthened links with social care leaders,
How can services work with society as a whole the Association of Directors of Adult Social
to plan now for the changing demands of an Services (ADASS) and Association of Directors
ageing population? of Children’s Services (ADCS). We now look
forward to building on our already strong
Given the day-to-day pressures of delivering working relationships in the future.
services, it is not easy to find space to think
collectively about solutions to these complex Through strength in partnerships, regardless of
but urgent questions. Our role is to support changes in organisational arrangements, work
services to do just that, and in the process, will continue where it is most needed and where
bring about self-sustaining improvement. it is making a difference to people's lives.
Peter Horn
National Director, CSIP
2
about the care service improvement partnership
3
how we work The way CSIP works reflects the
complex challenges that face today’s
services. We work in three ways:
The everyday work of a regional
development centre (RDC) • building capacity and capability locally
includes a combination of • supporting policy implementation, and
locally and nationally driven • informing policy development.
priorities for its region.
Building capacity and capability locally
Each centre also has responsibility for leading
specific CSIP national programmes. We work with CSIP works with local staff to help build local
organisations that commission and provide services capacity to deliver on lasting improvements. We
to solve problems and put them into practice. use a range of service improvement tools to
help local teams build on their own capabilities
Each RDC employs an experienced team of people and on their current capacity.
with a wide range of skills. Staff include practitioners
and managers from health and social care, Examples include:
education and criminal justice, and people with • reducing delayed transfers from hospital for
experience of working in the statutory, voluntary and older people – improving data collection,
independent sectors. We also employ carers and analysis to map the journey of people who use
people who use services directly to help ensure our services and identify problems in the system
approach is centred on people’s real needs. to reduce delays in transfer from hospital
4
about the care service improvement partnership
Examples include:
• developing national demonstration sites
• The role of public health in integrating services, through the Improving Access to
a CSIP publication, with supporting learning Psychological Therapies programme.
events, describing and exploring how public
health specialists can contribute to the design Promoting innovation and system reform, which
of joint strategic needs assessment and the follow on from policy development, is a central
development of whole systems approaches. part of our work programme.
5
CSIP’s current For example, the mental health programme will
be looking at how priorities such as
commissioning, delivering race equality,
IMPROVED
OUTCOMES
6
about the care service improvement partnership
7
2 recurrent themes
integration and
partnership
working
CSIP aims to promote integrated CASESTUDY
working at all levels, from Local area agreements (LAAs)in focus:
strategy development to system building capacity and capability
reform and service redesign. In the East of England, Southend Borough Council
Here are some examples of how was in phase three of negotiating the LAA when CSIP
lent its support. The Commission for Social Care
we have achieved this. Inspection (CSCI) identified Southend as a council
requiring priority improvement. CSIP worked with
Joint improvement partnerships (JIPs) the Government Office and Regional Public health
group to support the council to develop an LAA.
In the past year CSIP has led in the development
of JIP. This is a strategic partnership which unites Southend planned to apply for a stretch target for
improvement bodies to develop and oversee direct payments. CSIP then worked with the
implementation of a comprehensive and Department of Health performance leads and CSCI
to assist Southend in setting a challenging target.
coordinated improvement strategy for social care.
CSIP Adult Social Care regional change agent
We played a role in establishing the regional Amanda Reynolds says: "CSIP built a close working
JIPs, underpinning the Association of Directors relationship with Southend. Take up of direct
of Adult Social Services (ADASS) work plans payments (see p10) was historically low, so we
and regional priorities. Many regions already encouraged them to develop a more challenging
have agreed action plans and others are direct payments stretch target. We then sought
currently developing them. Department of Health and CSCI input to agree the
new target".
Local area agreements (LAAs) The council is now on track to exceed its target.
"The council has used the challenge of the LAA as
Throughout 06/07 and again in 07/08, we played
a catalyst for wider improvement in social care.
a key role in facilitating the implementation of This year, CSCI is likely to consider that the
local area agreements, (see box) to create better council's performance has improved. Southend
local integration across health and social care. council put in a huge amount of effort to
The Integrated Care Network (ICN), the strengthen social care and has introduced strong
Commissioning, Housing and Telecare Learning leadership mechanisms to drive this change. Due
& Improvement Networks, and Adult Social to our role supporting local authorities CSIP was
Care Programme all promote the development able to be part of this step change.”
of strategic partnership working. This provides
consultation and brokerage to localities seeking
to strengthen partnerships and offers advice on
leadership and governance arrangements.
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recurrent themes
9
commissioning
Support for the development of Building capacity and capability for
commissioning has become effective commissioning locally
another recurrent theme in CSIP has introduced regional commissioning
management development programmes to build
CSIP’s work. The past year has local commissioning competency. These are
seen a number of new policy particularly informed by the skills gaps and
recommendations, reports and other issues identified in the Fitness for purpose
reviews of primary care trusts (PCTs).
other related activities around
this theme. CSIP runs dedicated
commissioning programmes and Bringing policy development
and practice together
several commissioner
development initiatives. In 07/08, CSIP provided a range of tools and
guidance to assist commissioners in
strengthening the link between policy and
practice. We managed a range of conferences,
Informing commissioning policy networks and other regional groups to address
development commissioning development issues. Examples
include practice-based commissioning learning
CSIP has built its links with the Department of
events, seminars on developing long-term
Health policy teams and across government
commissioning strategies and guidance on
departments and other agencies on
commissioning services for people with long-
commissioning development across care groups
term neurological conditions. Tools developed
and settings. We conducted a consultation
include the introduction of online podcasts as
exercise for the Department of Health on the
training and awareness-raising products.
Commissioning framework for health and
well-being, and advised on the production of
the Next steps guidance (Autumn 2007), which
Some of our achievements
identifies nine specific work streams that CSIP
will support. We also provided input into the
2006/7 at a glance.
Department of Communities and Local • we supported the design and joint delivery
Government (DCLG) review of local government of a commissioning management
commissioning and worked with Cabinet Office development programme for teams from
partners to support third sector development local authorities, health and third sector,
around commissioning. including accreditation arrangement with
Teeside University
• we worked with primary care trust
commissioners in London to increase
awareness and investment in Telecare activity
for people with long-term physical conditions
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recurrent themes
CASESTUDY
One Commissioner in a unity authority says:
“The pace of change in commissioning is so
rapid, and we are constantly being asked to work
in different ways, to different priorities. As a
relatively small unitary authority we struggle for
capacity and our commissioning colleagues in the
primary care trust are equally hard pressed. It's
great to have the resources that CSIP makes
available that short-circuit our developing them, or
when events are brought into the region to help us
get up to speed quickly."
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personalisation,
choice and control
Personalisation is a recurrent theme Individual budgets are currently being piloted in
13 LAs all of which now have the system up
that runs through much of CSIP’s and running. This past year, CSIP has worked
work. Throughout 06/07 CSIP closely with the sites to identify legislative and
worked closely with Department organisational successes as well as barriers to
implementation. As with direct payments, we
of Health colleagues to set up brought sites together to share the learning,
networking opportunities for local which led to the development of the Resource
authorities to share learning allocation system, a tool to assist councils in
determining the most suitable types of individual
around implementing a number budget for people who require them.
of programmes that foster
personalisation, choice and control.
Improving access to psychological
therapies – informing policy with
evidence of what works
in Control
CSIP has facilitated the roll out of the Improving
Together with the Department of Health, CSIP
access to psychological therapies initiative (IAPT)
has sponsored the in Control initiative, a cross
which tests out whether psychological therapies
government and voluntary sector partnership
for people with anxiety and depression and other
first set up by CSIP’s Valuing People Support
'common' mental health problems, such as Blue
Team, Mencap and other partners. in Control
Middleton (see case study right), can provide
works with local authorities (LAs) to change
measurable improvements in health.
how they organise social care so people who
need support can take more control of their In supporting the sites, CSIP helped services to
own lives. By the end 06/07, two thirds of LAs give people faster access to psychological
had joined in Control (in-control.org.uk). interventions as well as access to returning to work.
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recurrent themes
CASESTUDY
Choice and improving access to psycological
therapies – Blue Middleton, has experienced
depression for the past 22 years. He has also
had additional symptoms of chronic anxiety,
insomnia, and panic attacks. Blue says:
“I first approached a GP about my depression
when I was 19. I was given diazepam which
made my state worse.
Although I was in a happy relationship and full-time
employment, I felt isolated within myself. I was
unable to discuss my thoughts openly with friends
and work. As time progressed my depression went
untreated, due to fear. As I then matured I made
new friends with whom I felt able to discuss my
innermost feelings. By this time I was encountering
panic attacks and insomnia.
A succession of bad things happening in my life
led me to seek out counselling, in the short term
this seemed to be the support I needed. The
counselling was a good "weekly outlet".
Hitting 40 years of age and under guidance of my long-
term GP I was offered a new service offering CBT in my
local area. In the past year I have achieved exactly my CASESTUDY
objectives set out in my first session with my therapist,
of being more confident within myself, and of having CSIP’s support in this area has contributed
more control of the direction of my life. I am now taking to improvements in care for people such as
steps to getting back into the workplace. Julia Winter who now has greater choice
Blue says he is indebted to this treatment, and and control:
would recommend that this service become more Julia Winter, who is disabled and a wheelchair user,
widely available. has used her Individual Budget to adapt her home
and hire a personal assistant to provide support for
her as a parent and during work commitments.
Disabled since 1996 Julia has an individual budget
• in the North West, CSIP supported one of the which means she is allocated a sum of money and
Partnerships for Older People Projects (POPP)
to establish a partnership board run by older can decide herself how best to use it. In the past
people which receives a budget to year she bought equipment to help her breathe.
commission services in their locality, enabling She has also bought special ramps to allow her
independent and active involvement, and wheelchair access into the house.
Julia says: "I was happy on direct payments. But it is
• Valuing People Support Team and the Housing all about assessment of your needs and very medical.
Learning and Improvement Network jointly
developed the extra care housing programme, The individual budgets questionnaire asks 'what is the
supporting better telecare, personalisiation and most important thing in your life? ' I had never been
use of Individual Budgets for people with asked that before. It has changed my life!"
learning disabilities.
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equality & diversity
Promoting equal access and CSIP’s Physical Disability and Sensory
Impairment Programme has a role in promoting
quality of care for all people, equality and diversity. This past year, the
regardless of age, disability or national programme has worked with prison
health teams to improve access to information
race, is a central theme and support for older and disabled people.
embedded across CSIP’s Nationally CSIP has rolled out the Towards
programmes. CSIP’s Regional Equality and Access (TEA) initiative, promoting
telecare, telehealth and telemedicine so that
Development Centre’s jointly plan local authorities and health organisations can
with services and stakeholders better understand how these systems improve
to ensure our work is tailored access to local services for deaf people.
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recurrent themes
CASESTUDY
Some of our achievements
Equalities, Diversity and Policy
2006/7 at a glance
implementation – Guilaine Kinouani believes
the work of CSIP has enabled her to better • developed Through Assistive Technology
implement DRE in her borough. She is a DRE (TATE), an initiative to help people with
community development worker attached learning disability find employment
to Fanon; a BME voluntary organisation and
is funded by Lambeth PCT. She says: "I see • incorporated the DRE into the choice,
suicide prevention, criminal justice, mental
my work as a CDW bringing about change health legislation, and Improving Access to
both within mental health services and the Psychological Therapies agenda
BME population. Our role is to bridge the gap
between services and BME communities." • helped to mainstream the DRE in trust-wide
service improvement initiatives
Guilaine's work for DRE began last year and
involves looking at care pathways of black men • facilitated the roll out of CAMHS cultural
with mental health problems in forensic settings. competence training, and
She works as a link between formal criminal
justice, mental health services and the prisoners • coordinated and support the Dignity in Care
whose views are generally unreported. (DH, 2006/07) Champions' work to prevent
discrimination against older people.
She says: "There has been a lot of talk about
increasing capacity in the BME community but we
also need to build capacity in mental health
services. It has been said that these communities
do not engage with mental health services and that
change has to come from within BME communities”
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contacts
CSIP regional development centres London development centre
Melba Wilson, regional director
North East, Yorkshire and Humber Melba.Wilson@londondevelopmentcentre.org
development centre 11-13 Cavendish Square
Genesis 5, Innovation Way, London, W1G OAN.
Off University Road, Heslington, tel: 0207 307 2457
York, YO120 5DQ www.londondevelopmentcentre.org
Sally Prescott, Director
Phil Sculthorpe will be covering South East development centre
her role until December 2007 Jackie Ardley, regional director
tel: 01904 717 260 Jackie.Ardley@csip.org.uk
www.neyh.csip.org.uk 3000 Cathedral Hill
Guildford, GU2 7YB
North West development centre tel: 01483 246500
Dean Repper, regional director The South East RDC 06/07 annual
Dean.Repper@northwest.csip.org.uk review is available on their website
Hyde Hospital, 2nd Floor South, www.southeast.csip.org.uk
Grange Road South, Hyde, SK14 5NY
tel: 0161 351 4930 South West development centre
Paddy Cooney, regional director
East Midlands development centre Paddy.Cooney@nimhesw.nhs.uk
Mary Clifton, regional director Mallard Court, Express Park, Bristol Road,
Mary.Clifton@eastmidlands.csip.nhs.uk Bridgwater, Somerset, TA6 44RN
3rd Floor, Mill 3, Pleaseley Vale Business Park, tel: 01278 432 002
Outgang Lane, Mansfield, NG19 8RL. www.southwest.csip.org.uk
tel: 01623 812 941
The East Midlands RDC 06/07 annual
review is available on their National programmes
websitewww.eastmidlands.csip.org.uk
Children, Young People and Families
West Midlands development centre Dean Repper, acting national programme lead
Ian McPherson, regional director Dean.Repper@northwest.csip.org.uk
Ian.McPherson@csip.org.uk tel: 0161 351 4930
The Uffculme Centre, Queensbridge Road, The Children, Young People and Families
Moseley, Birmingham, B13 8QY. leaflet is available on the CSIP website
tel: 0121 678 4854 www.csip.org.uk
The West Midlands RDC 06/07 annual
review is available on their website CSIP Networks
www.westmidlands.csip.org.uk Jeremy Porteus, national programme lead
Jeremy.Porteus@dh.gsi.gov.uk
Eastern development centre tel: 0207 972 1330
Kieron Murphy, regional director Janet Crampton, acting commissioning
Kieron.Murphy@csip.org.uk programme lead
654The Crescent, Colchester Business Park, janet.crampton@dh.gsi.gov.uk
Colchester, Essex, CO4 9YQ. tel: 020 7972 4606
tel: 01206 287541 www.icn.csip.org.uk
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Health and social care in criminal justice CSIP Central
Alistair McIntyre, interim national
programme lead Peter Horn, national director
Alastair.Mcintyre@csip.org.uk Peter.Horn@dh.gsi.gov.uk
tel: 020 7972 4464 tel: 0207 972 4803
www.hsccjp.csip.org.uk Ingrid Steele, director of communications
Learning disabilities and knowledge services
(Valuing People Support Team) Ingrid is on maternity leave until Feburary 2008
Sue Carmichael, joint programme lead Current contact is:
Sue.Carmichael@dh.gsi.gov.uk Simon Pearson, team co-ordinator
tel: 020 7972 1211 tel: 07884 473499
Debra Moore, joint programme lead Phil Sculthorpe, director of business services
Debra.Moore@csip.org.uk Phil.Sculthorpe@csip.org.uk
tel: 0113 25 45652 tel: 0113 2545187
Mental health (National Institute Communication and knowledge services
for Mental Health in England) team
Ian McPherson, programme lead ask@csip.org.uk
ian.mcpherson@csip.org.uk tel: 0113 2545127
tel: 0121 678 4854
Older people
Ruth Eley, programme lead
Transition Planning Team
Ruth.Eley@dh.gsi.gov.uk
tel: 07789 653200 CSIP, with the Department of Health
and working alongside key partners such
Physically Disability and
as the SHAs, has set up a transition
Sensory Impairment
planning team for 07/08 to focus on
Ian Salt, programme lead
changes to how CSIP operates.
Ian.Salt@dh.gsi.gov.uk
Key CSIP contacts include:
tel: 07812 337647
Andy Nash, director of implementation
Adult Social Care programme andy.nash@dh.gsi.gov.uk
Julia Ross, programme lead Carmel Mann, human resources lead
Julia.Ross@dh.gsi.gov.uk carmel.mann@csip.org.uk
tel: 07979 505 327 Alison Cooley, communications lead
www.socialcare.csip.org.uk alison.cooley@dh.gsi.gov.uk
For general information on the
transition planning, email:
Websites regionalpresence@dh.gsi.gov.uk
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