Integration: Making it happen

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In this presentation, Alison Petch identifies six important dimensions in developing an integrated approach. It was presented at the annual IRISS Champions event 2014.

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<ul><li><p>Integration making it happenChampions Annual Event2014</p><p>Alison Petch, IRISS*</p></li><li><p>OutlineFocus on local delivery of integrated care and supportExploration of key dimensionsChampions in an integrated world*</p></li><li><p>Clarity on outcomesNational eg 16 National Outcomes Health + Social Care Integration Outcomes (draft)Organisational/Community eg Single Outcome Agreements (SOA); HEATPersonal eg Talking Points (social care) Better Futures (housing) Functional status (health)*</p></li><li><p>Outcomes Communicating the different layers of outcomes national, organisational, individualMaking a difference for the individual personal outcomes: qol, process, changeDemonstrating the impactshttp://www.iriss.org.uk/resources/measuring-personal-outcomes-challenges-and-strategies-video-storyboardhttp://www.iriss.org.uk/resources/leading-outcomes-integrated-working</p><p>*</p></li><li><p>VisionA vision needs to be identified, communicated, shared, reinforced and embedded something to believe in and motivate </p><p>Consistent and ongoing communication trigger stories (good and bad), slogans, examples of achievements</p><p>*</p></li><li><p>LeadershipFrom heroic individual to transformational and dispersed leadershipPromoting the visionDelivery on individual and organisational outcomesOutward facing, transcending professional identitiesPositive risk taking and role modellingRole of boundary spanners</p><p>*</p></li><li><p>Culture the way we do thingsyou know youve cracked it when there is only one kettle in the kitchenSurface the differences shadow, mingle, debate identify the common purpose ie integrated supportCreate a new shared culture rather than seek to sew the old togetherhttp://www.iriss.org.uk/resources/culture-change-what-it-all-about</p><p>*</p></li><li><p>Integrated teamsno single prescription for an effective teamClear lines of management responsibilityManager with final accountabilityDelivery of integrated support as focus for individual identityCo-location alone not sufficientInterprofessional trust and respectCase studies, role play, joint learning</p><p>*</p></li><li><p>Making it localIn-depth knowledge of the strengths and needs of the localityTotal place and all partnersCo-design and co-productionRobust data sharing and effective communicationCan-do approach</p><p>Social assets - WITTY</p><p>*</p></li><li><p>Timescalesyou cannot alter peoples mind sets in the way that theyve been working for the last 30 years, within a matter of monthsDemonstrate quick winsRemain unfazed by unrealistic pressure to deliverHighlight stories of successful transformation over time*</p></li><li><p>Drivers and barriersopen, honestcan do cultureflexible to learn as gocentred on user needwilling to take risksstaff valuedwe have nothing to losewe will find a way</p><p>defensive, limitedsees institutional barrierspresses on regardlesstribal, protectionistcarries on regardlessstaff expendablewe have everything to loseno way*</p></li><li><p>Driving forwardCapture the imagination and motivationAssert social services identity; broadcast the positivesDemonstrate the unique contribution and the outcomes that are achievedAvoid the pitfallsMake a difference - creatively*</p><p>*</p></li></ul>