Integration – a means not an end

1. Stewart Greenwell ADSS Cymru Strategic Director Newport CC Integration – a means not an end

2. 22 local authorities • 7 Health Boards • 3 million population • Assembly Govt pushing collaboration and integration • Social Services and Well-Being (Wales) Bill – likely enacted April 2014, implementation from April 2015 – legislates for partnership and integration The context in Wales

3. Not for its own sake • To improve people’s lives • To be more efficient, avoiding duplication of time, resources and effort • To be more effective – ‘if you are doing it on your own, you are more likely to be doing it wrong’ • To provide clear pathways to a service – preventing giving people the ‘run-around’ So why?

4. A single manager or single management arrangements • A single information system • A single/pooled budget – or at least aligned budgets • A culture that encourages learning from mistakes, not repeating mistakes – interdependent with: • Collaborative leadership – ‘understanding each other’s business’ • Clear and unambiguous governance arrangements How

5. By listening to what people want – not just interpreting what they need • By letting go of professional territorialism • By giving attention to people’s well-being as well as dealing with people’s complex needs • By trusting each other to do ‘the right thing’ • By celebrating success and using the same measure of success across agencies • Through dogged determination pushing urgency and pace Getting it right

6. Continuing to revert to ‘default positions’ – blame still around • Giving people the continual run-around • Forgetting about outcomes • Not talking enough about the important stuff • Rewarding ‘eeyores’ with attention • Looking for the quick ‘buck’ – a finance driven culture • Not celebrating success Getting it wrong

7. It can be good fun And finally………..