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Derby City Council CYPD
Derby Derby Children & Children &
Young People’s Young People’s PartnershipPartnership
Derby City Council CYPD
workshopworkshop
About IDCS @ the Light house
Lessons from IDCS integration
Consultation findings
Derby City Council CYPD
The Integrated The Integrated Disabled Children’s Disabled Children’s Service (IDCS)Service (IDCS)
What a partnership!What a 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
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
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.
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
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
Derby City Council CYPD
Management complexitiesManagement complexities
Clinical S.V.
Prof. Agency
Management
Int. Operational management
Nurse Social Worker
O.T.
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
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!
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
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
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.
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
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
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
Derby City Council CYPD
In case you need a shine….In case you need a shine….