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Derby Children & Young People’s Partnership

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

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  1. Derby Children & Young People’s Partnership Derby City Council CYPD

  2. workshop About IDCS @ the Light house Lessons from IDCS integration Consultation findings Derby City Council CYPD

  3. The Integrated Disabled Children’s Service (IDCS) What a partnership! Derby City Council CYPD

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. Management complexities ClinicalS.V. Prof. AgencyManagement Int. Operational management O.T. Derby City Council CYPD Nurse Social Worker

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. In case you need a shine…. Derby City Council CYPD

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