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

Derby City Council CYPD Derby Children & Young Peoples Partnership

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Page 1: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Derby Derby Children & Children &

Young People’s Young People’s PartnershipPartnership

Page 2: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

workshopworkshop

About IDCS @ the Light house

Lessons from IDCS integration

Consultation findings

Page 3: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

The Integrated The Integrated Disabled Children’s Disabled Children’s Service (IDCS)Service (IDCS)

What a partnership!What a partnership!

Page 4: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

What is IDCS?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

Page 5: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

What the Light House providesWhat 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

Page 6: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Arrangement of multi- Arrangement of multi- disciplinary teams 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 the complex clinical and

social care needs of children 8 - 18.

Page 7: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Integrating mythsIntegrating myths& issues& issues

• Cultural barriers / differences• Diminution of professional role • Information & file sharing • CAF’s & referrals• cross border links & operational

management

Page 8: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Governance & managementGovernance & 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

Page 9: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Management complexitiesManagement complexities

Clinical S.V.

Prof. Agency

Management

Int. Operational management

Nurse Social Worker

O.T.

Page 10: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Integrated ManagementIntegrated 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

Page 11: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

LeadershipLeadership

“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!

Page 12: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Management of changeManagement 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

Page 13: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Tools to help integrateTools 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

Page 14: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Tools to help Tools to help integrateintegrate

• 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.

Page 15: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

OutcomesOutcomes• 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

Page 16: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Current consultationCurrent consultation

• 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

Page 17: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

Professional Culture:Professional Culture: assistance or barrier?assistance or barrier?

1. “you are not a unique and beautiful snowflake” Fight Club.

2. Find a large important document to write together

3. Retain professional links4. Eventually you realise: we have

become more than the sum of our parts

Page 18: Derby City Council CYPD Derby Children & Young Peoples Partnership

Derby City Council CYPD

In case you need a shine….In case you need a shine….