Joint Working: the good, the bad and the ugly Lisa Dodd Children’s Lead for Commissioning NHS SOTW...
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Transcript of Joint Working: the good, the bad and the ugly Lisa Dodd Children’s Lead for Commissioning NHS SOTW...
Joint Working:the good, the bad and the ugly
Lisa DoddChildren’s Lead
for Commissioning
NHS SOTW
Debra Patterson
Service Manager for Disabled
Children
Gateshead Council
Jessica Moore
Aiming High for Disabled Children
Manager
Gateshead Council
3rd June 2009
Demographics
• 190,500 residents
• 44,200 children aged 0-19
• Approx 470 severely disabled children
• Less than 5% from BME communities
• Large orthodox Jewish community
3rd June 2009
Joint working in Gateshead:
• Children’s Services rated “outstanding” across all areas in latest APA
• Children’s Trust Pathfinder – 2003• Examples of recent joint working through
pilots and pathfinders:– Budget Holding Lead Professional – Short Breaks Pathfinder & IB pilot– Targeted Mental Health in Schools– Family Pathfinder
3rd June 2009
Key principles for partnership working in Gateshead
3rd June 2009
Clear, shared objectives
• Our vision for children and young people in Gateshead is for them to be:
“empowered and supported to develop to their full potential and have the life-skills and opportunities to play an active part in society”
3rd June 2009
Clear framework of responsibilities and accountability:
3rd June 2009
High levels of trust:
• Well-established relationships
• Open and honest dialogue
• Remember it’s not personal!
3rd June 2009
What are the key challenges and barriers to effective joint working?
Question:
3rd June 2009
Key Challenges in Gateshead
• Resources – the £ discussions are often the worst!
• Dominant characters• Differences:
– Infrastructures– Language– Processes– Working arrangements– Organisational cultures
3rd June 2009
Key Challenges in Gateshead
• Re-organisation of the PCT– The Provider / Commissioner split
• Getting partners to agree on priorities and stick to the priorities
• Information sharing across agencies
• Keeping partners engaged and involved
• Preventing “talking shops” from developing
3rd June 2009
Overcoming the challenges
What do you think are potential solutions?
3rd June 2009
Overcoming the challenges in Gateshead
• Integration - health lead seen as a key member of the LA team with the development of joint posts
• Sharing the workload – lead responsibility
• Clear communication about responsibility
• Joint review of services – with engagement and involvement at all levels
3rd June 2009
Overcoming the challenges in Gateshead
• The use of benchmarking to learn lessons from partnerships elsewhere
• Looking for opportunities rather than barriers “we can” rather than “we can’t”
• Spending time together to understand each other’s values and thinking
• Understanding that disagreements are part of a healthy relationship
• Joint strategies – commissioning for example
3rd June 2009
Critical success factors
• Information sharing protocols
• Clear outcomes:– time-lines– resource allocation– review processes and responsibilities
• Performance monitoring
3rd June 2009
… The “So What?” Factor
• Multi-agency early support pathway means that families receive joined-up services
• Joint assessments for holistic packages of care means fewer children in Out of Authority placements
• Health sign-up to Network of Children with Disabilities means we know who more of our families are
3rd June 2009
… The “So What?” Factor
• Joint Commissioning Support Team
• Pooling funding enables us to commission more
• Multi-agency service reviews enable us to identify gaps and reduce duplication
• Evidence of good joint working levers in additional grant funding – Short Breaks Pathfinder, IB pilot, TSP offer 1
3rd June 2009
Coming together is a beginning.Keeping together is progress.Working together is success.
Henry Ford
3rd June 2009
…over to you.
www.dcsf.gov.uk/ecm/ahdc