b5: count people in sharing approaches to...
TRANSCRIPT
B5: Count people in – sharing approaches to
inclusion
Speakers: Moira Griffiths
Director of Care and Support Family Mosaic
Rob Greig
Chief Executive National Development Team for Inclusion Chair: Elaine Walder
Director of Commercial Services National Housing Federation
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Personalisation & Inclusion
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• Getting Started
• What we Learnt
• Impact/Legacy
• Customers
Introduction
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Getting Started
• Project Group
(from hell!)
• Commissioners Support
• Front Line Staff
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7 Pilots
3 Tier Support Core, communal and individual
Sky Package Core support and add ons
Core and Cash Core support and FM bank notes
Traditional to Individual Group living to individual choice
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Bramble Court - Young People
• 3 tier support
• Core service negotiated
• Reallocation of staff hours - not 24/7
• Chose communal over individual
• Didn’t choose cash option
• Support planning not meaningful
• Technology
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Lloyd House - ALD
• Sky Package – core and bundle
• Social Inclusion most popular
• Help into work/education
• Peer support important
• Person centred plans over support plans
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Outcomes – Customers
• Improved engagement
• Reasonable choices
• Enhanced personal responsibility
• Self directed/selected support
• Increased social inclusion
• Indirect support improves wellbeing
• Small things are important
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Learning
• Front line staff
• Top down doesn’t work
• Challenged traditional thinking
- eligible tasks/staff cover/communal activities
• Commissioners/contracts impact
• Whose support plan?
• Accessibility & bureaucracy
• Technology
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Ongoing Impact
• Customers influence expected
• Financial decisions close to front line
• Flexible support planning
• Ongoing dialogue with Commissioners
• Choice and control adopted in:
- General Needs
- Sci/Fi Team
•Cultural Change Project
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Ongoing Challenges
• Workforce issues
• Business planning
• Infrastructure
• Bureaucracy and Regulation
• Customers as commissioners
• Multiple funding streams = Multiple Regulation
• Cuts and reducing budgets
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Personalisation and Inclusion
• Value not a product
• Fundamental shift in power
• Little things really matter
• Challenging to organisation and commissioners
• Makes a difference
people lives communities people lives communities
Approaches to Achieving
Inclusion
Rob Greig
NDTi Chief Executive
people lives communities
Step One: Getting the Right Mind-set
Traditional service mindset
Services holds the
answer
Problems?– we need
more staff
The community doesn’t
want these people
People in services have
nothing to contribute
There’s nothing out there
that people can use
With inclusion in mind:
Community holds the
answer
Problems? – find ordinary
things to do
The community can be a
welcoming place
Everyone has something
to contribute
The community is full of
resources
people lives communities
Eight Essential Actions for
Community Inclusion
① Know your community – there will be
resources out there you can use
② Joint up with others – others will control
the resources you need
③ Think co-production – the people you
support will have great ideas
④ Share resources – others may be able to
use them more effectively
people lives communities
Eight Essential Actions for
Community Inclusion
⑤ Focus on outcomes not processes –
measure what people are doing
⑥ Develop the market – if what people need
isn’t there, try to make it happen
⑦ Think workforce and leadership – match
staff skills to people’s interests, managers
should model behaviour
⑧ Communicate and enthuse – plan, tell
stories, communicate, celebrate
people lives communities
Examples of Approaches that Work
The Social Inclusion Training Pack
10 years of listening to what work
Over 100 ideas, supported by stories and
hints
Community Mapping
Understanding the local community
Training in the community
Circles of Support
Using and building on natural supports
people lives communities
Planning and Measuring Inclusion
The Inclusion Web
Based on evidence of what creates
inclusion
A tool for for people to understand their
own lives
A tool for staff teams to use to plan
support
A tool for services and commissioners to
measure impact
people lives communities
Employment
Education
Arts & Culture Faith & meaning
Family &
Neighbourhood
Services
Volunteering
Physical activity
The Inclusion Web
People
Places Scores
Places total
People total
Spread
people lives communities
Employment – the office
and 3 work friends
Education – meet 2
old schoolfriends
sometimes
Arts & Culture –
cinema on his own Friends at church
Family &
Neighbourhood – pub
with partner & son
Services – GP
Surgery
No voluntary
work
No physical
activity
Steve has a variety of important places and
lots of significant people in his life
people lives communities
Employment
Education
Arts & Culture Faith communities
Family &
Neighbourhood
Services
Volunteering
Physical activity
Sue attends the day centre and the clinic. She has five
friends she sees at outpatients or the day centre.
people lives communities
Time
One
Client Emp Educ Vol
No. Places People Places People Places People
01 0 0 0 0 1 3
Results in words for the 2 tailed Wilcoxon Signed Rank Test
Places The test was Significant at 5% level
People The test was Significant at 1% level
Clockspread The test was Significant at 1% level
The Inclusion Web enables analysis of
progress over time
Time
Two
Client Emp Educ Vol
No. Places People Places People Places People
01 0 0 1 4 1 3
Measure at time two
The results come up automatically… (and help is available!)
Measure at time one
people lives communities
In Summary
Communities can be and are welcoming
The starting point is the organisational
mind-set
Commissioners and providers working
together can achieve more
There are a range of tried and tested ways
of achieving inclusion
Demonstrating evidence is key to
sustaining progress
people lives communities
For More Info and Thoughts
www.ndti.org.uk
@ndtirob
ndti.org.uk