www.england.nhs.uk

• Andy Wright, IAPT Advisor, Heather Stonebank, Lead PWP Advisor and Sarah Boul, Quality Improvement Manager

• andywright1@nhs.net, heather.stonebank@shsc.nhs.uk and sarah.boul@nhs.net

• Twitter: @YHSCN_MHDN #yhmentalhealth

• September 2018

Yorkshire and the Humber

Mental Health Network

Senior PWP Network

18 September 2018

www.england.nhs.uk

@YHSCN_MHDN

#yhmentalhealth

Housekeeping:

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Welcome, Introductions and

Apologies

Andy Wright, IAPT Advisor, Yorkshire and the Humber

Clinical Network

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Wellbeing Activity

Checking In

All

www.england.nhs.uk

A picture is worth a

thousand words…

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

National IAPT Programme Update:

A Journey from PWP to IAPT

Project Manager

Becky Gill, IAPT National Programme,

NHS England

www.england.nhs.uk

Yorkshire and the

Humber Senior PWP Network

Becky Gill

18th September 2018

www.england.nhs.uk

• Currently working at NHS England within the IAPT

Programme

• Former PWP and Senior PWP

• Living in London

• Enjoy playing netball just got back in to running

8

Who I am

www.england.nhs.uk

Happy 10th Birthday to

PWPs!

9

We’ve

come a

long way

but still

face lots

of

challenges

www.england.nhs.uk

Expand to reach 25% prevalence which means

1.5 million people in total entering treatment

each year (600,000 additional people). 2/3 will

come from IAPT-LTC services

The commitments

10

Increase the number of MH therapist working in

primary care by 3,000

Expand the workforce so there are an additional

4,500 therapists trained

www.england.nhs.uk 11

2018/19 priorities • FYFV commitments

• IAPT Manual and LTC pathway document

• IAPT-LTC support offer

• Workforce expansion

• Wellbeing and retention

• Regional Deep Dives

• Continuing to work with stakeholders and ALB’s (Arms Length Bodies) where delivery commitments are shared ie:HEE

• Collaborating with providers, commissioners, and clinical networks in assuring and supporting quality via the IAPT Manual

www.england.nhs.uk

• Blogs, videos and presentations about the PWP role and

how skills can be used in senior/specialist roles

• The role of Psychological Wellbeing Practitioner and

career progression – Heather Stonebank

• A Psychological Wellbeing Practitioner career

pathway: an exciting and diverse role – Carolyn

Houghton

• Updated the HEE careers page on the role of a PWP

• Guidelines on PWP preceptorship year and CPD

• PWP representation at a senior level

• Encouraging PWP networks and forums

• What else do we need to do?

Promoting and developing

the PWP role nationally

12

www.england.nhs.uk

PWP career development

13

Teaching

www.england.nhs.uk

• Extensive section on workforce wellbeing written in the IAPT manual

https://www.england.nhs.uk/mental-health/adults/iapt/

• Collating and sharing examples of best practice

• Six case studies of IAPT services who have delivered improvements in

staff wellbeing published on NHSE website

• Input into training and education plans

• Promoting the PWP role and PWP career development

• Guidance around PWP contact hours

• List of support resources and tools for staff

• Support for service leads and wellbeing champions

• Close working with BABCP, HEE, NHS Improvement, IAPT courses…

14

What is being done to support

PWP wellbeing nationally?

www.england.nhs.uk

• Leadership and management

• Supervision

• Clinical complexity

• Working environment and infrastructure

• Job security and contracts

• Job design

• Workload

• Targets and culture

• CPD and career development opportunities – especially for PWPs

• Recognition of the PWP role – feeling valued and able to influence decisions

15

Key factors impacting

staff wellbeing

Guidance in

the IAPT Manual

www.england.nhs.uk

• Managing staff wellbeing at Talking Therapies Service Brent

• Staff retention at Westminster Talking Therapies service

• Promoting wellbeing in the workforce: Yorkshire and the Humber Senior Psychological Wellbeing Practitioner Network

• Back on Track – Hammersmith & Fulham IAPT

• Promoting staff wellbeing at Sheffield Improving Access to Psychological Therapies (IAPT) service

• Embedding a culture of staff wellbeing at North Yorkshire IAPT

“All IAPT staff should have a proper focus on wellbeing like we do – I have been a PWP for 4 years and have no desire to stop any time soon!”

“The service does value wellbeing and this is supported by the amount of time allowed for supervision, masterclasses and so on.”

16

Best practice case studies

www.england.nhs.uk

• PWP training at UCLAN

• Trainee post at First Step, Cumbria

• Qualified PWP and Senior PWP post at Banes Primary Care Talking Therapies, Bath

• Business Manager, NHS England

• Project Manager, NHS England

17

Where I have come from

www.england.nhs.uk

• What about HI training?

• What does NHS England do?

• What is the Five Year Forward View?

• What will my role involve?

• Will I have to manage a budget?

• Leaving a clinical role…what will this mean?

• Will I feel I am making a difference?

18

Hopes and fears…mainly

fears

www.england.nhs.uk

• What does NHS England do?

• Where do I work?

• Who is in my team?

• What do I work on?

• What I do day to day?

19

My current role

www.england.nhs.uk 20

Differences between roles

Clinicians

Clinicians

Building/

office space

Politics

Decision

making/

Autonomy

Speed

Colleagues

from different

backgrounds

Hierarchical

Knowledge of

NHS

organisation/

structure

Hierarchical

Working with

finance,

commissioners

and providers Banding

www.england.nhs.uk

• Organisation+++

• Prioritisation+++

• Team working

• Knowledge of IAPT

• Reality of IAPT

• Project management

• Public speaking

• Having difficult conversations

• Own communication style

21

Transferable skills and

knowledge

www.england.nhs.uk

• Confidence in speaking up/ out

• Take advantage of the changes that you can make

• Sticking to the IAPT model

• Looking after self

• Data/ quality improvement

• Awareness of system and priorities

• Sharing best practice

• PWP forum

• NHS Leadership academy

• Twitter/ social media presence

22

Reflection

www.england.nhs.uk

• Tolerance of uncertainty

• Representing NHS England

• Distribution lists

• Being accountable

• Seeking out leadership and training opportunities

• Networking

• Developing a positive reputation and relationships

• Making people aware of your plans for the future

23

Progressing further

www.england.nhs.uk

• Provider/ CCG/ STP/ ICS

• Leeds NHS England

• Another MH programme

• Back to clinical work?

24

What next for me?

www.england.nhs.uk

• Occupational Health and EAPs

• Access to neighbouring IAPT services

• Staff benefits and wellbeing initiatives (Nandos!)

• BABCP resources on Compassion Fatigue

• Book - Experiencing CBT from the Inside Out: A Self-Practice/Self-Reflection Workbook for Therapists – James Bennett-Levy et al. (2015)

• Honest Open Proud Mental Health Project – supporting mental health professionals who experience mental health problems in reaching decisions about disclosure

• Sleepio – online CBT programme – free at the moment

25

Useful resources and support

www.england.nhs.uk

Thank you and good luck!

rebeccagill1@nhs.net

26

www.england.nhs.uk

Write down two things you can do to:

a) Support your own development

b) Support the development of PWPs in

your team

• What will you do?

• When will you do this by?

• Who can you ask to support you?

• Who can hold you accountable?

What is next for you?

27

www.england.nhs.uk

Yorkshire and the Humber Senior PWP Network

Time for a break?

15 minutes only please!

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

North Yorkshire IAPT: Service

Overview and Wellbeing Initiatives

Tyra Sutton, Senior PWP, Tees, Esk and Wear Valley

NHS Foundation Trust

Managing Wellbeing

North Yorkshire IAPT journey

Tyra Sutton

James Walton and Poppy Danahay

Senior Psychological Wellbeing Practitioners

North Yorkshire IAPT Service

Aims of the presentation

Why we decided it was important to focus on

wellbeing in our CPD offer and wider

Describe how the service responded to the challenge

of promoting wellbeing

Provide an update on the impact of our work

Outline the next steps on our journey

Historically

Where were we with staff wellbeing?

4 CPD event per year for HIW and PWP’s

Clinical skills focus/good level of supervision provision

TEWV were already providing a wide range of

wellbeing initiatives, wellbeing Wednesday, staff

mindfulness course but …

Accessibility

Disparity in provision

Acceptability

Additional considerations

IAPT high volume high turnover

Growing body of evidence highlighting concerns about

staff in the NHS & Mental Health & IAPT services

Aspiration to ‘do no harm’ applies to us as well as

people we work with.

Audience Participation !

We know what to do but …

This is not a one off initiative

So it was about climate (cultural) change

What did we do as a service?

CPD days for all staff - PWP’s and HIW’s and admin &

trainees

Away from the office

Used to ‘launch’ our new initiative

Reflective discussions

Physical activity

Wellbeing techniques

Personal and team pledges

Reflecting on the connection between personal and Trust

values and how this helped motivate us for work

CPD days

Established wellbeing champions in every team

Regular meet with Clinical Lead

Lead the standing agenda item at team meetings

Update team wellbeing boards

Encourage support and promote ongoing

wellbeing activities

Wellbeing Champions

Embedding wellbeing into day to day

IAPT business

Monthly leadership, team meetings and PWP clinical

supervision start with a wellbeing exercise ‘check in’

Look for regular opportunities to acknowledge

individual contributions to the service performance

and wellbeing agendas. ‘Thank You’

Any income generation reinvested in wellbeing

initiatives

Encourage staff to pre book most of their annual leave

at the beginning of the financial year

In response to staff feedback, greater emphasis on

workload management tools and techniques

Revisiting wellbeing pledges made, in individual

performance management meetings

Consistently gave people permission to attend to their

wellbeing

Modelled it

Updated some of the infrastructure, computers,

furniture, decoration within the service.

What have we noticed…..

There is much more openness about the importance

of wellbeing and staying well at work.

Greater appreciation that it is a shared responsibility

and means different things to different people.

It has been embraced with more enthusiasm.

Individual pledges have been witnessed

Going for a walk

Break from the computer

Drinking water

Teams are generating and maintaining wellbeing

activities

Teams holding each other to account

Shared lunch

Out of work social events

Weekly inspirational quotes for wellbeing boards

Mindfulness sessions

Playing games

Learning a new skill (crocheting)

Service wide wellbeing activities

IAPT Bake off

Bread week

Service manager participation

Audience Participation !

SWR IAPT

What next ?

Planned further wellbeing CPD events

Understanding own attachment style

Managing emotional intelligence

Burnout and compassion fatigue

Sustaining the professional self

Protect and nurture wellbeing initiatives

Undertake staff survey

Look in more detail to protect against burnout

Influence other services in our Trust

And finally ….

Everyone is attending to and discussing their own

wellbeing and the wellbeing of others.

This has helped promote a greater sense of

togetherness, connection and shared purpose

www.england.nhs.uk

Yorkshire and the Humber Senior PWP Network

Time for some lunch?

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Celebrating 10 Years of IAPT

and

Planning for the Next Ten Years

All

www.england.nhs.uk

Celebrating 10 Years of IAPT

…with toilet roll!

www.england.nhs.uk

Planning for the Next 10 Years 1. What are your top three priorities for meeting the mental health needs of people of

all ages in England? Over the next five, and ten years?

2. What gaps in service provision currently exist, and how do you think the NHS

should address them (these can overlap with Q1 but may include a longer list)?

3. People with physical health problems do not always have their mental health needs

addressed; and people with mental health problems do not always have their physical

health needs met. How do you think we can improve this?

4. There are some significant inequalities in how people access and experience care

for their mental health needs, and in their outcomes, including but not limited to

people who have ‘protected characteristics’ under the Equality Act 2010. What are your

views on what practical steps the NHS should take to address inequalities in the

services it provides?

5. How best can we bridge the gap between children’s and adults’ mental health

services?

6. How can we recruit, train and retain the workforce to deliver the changes we need,

particularly to meet your priorities (Q1 above)?

www.england.nhs.uk

Planning for the Next 10 Years

7. Do you think the NHS should be doing more to prevent mental ill-health? If so, what

should we do to improve this?

8. Do you think the NHS could do more to intervene early for people with mental ill-

health? If so, are there any Mental Health problems we should prioritise to provide

better early intervention?

9. People with more serious and complex mental health problems do not always

receive the care they need. Which groups would you prioritise and what extra help

would you like to see developed by the NHS?

10. Are there examples of innovative/excellent practice (in mental health care or that

could be applied from other areas) that you think could be scaled-up nationally to

enhance the quality of care people receive for their mental health, reduce costs and/or

improve efficiency of delivery?

11. What do you think are the specific challenges that will prevent the NHS from being

able to deliver good mental health care, and what should we do to overcome them?

www.england.nhs.uk

Yorkshire and the Humber Senior PWP Network

Time for a break?

15 minutes only please!

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Exclusion Criteria

Sheryl Horton, Humber Foundation Trust / All

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Any Other Business

www.england.nhs.uk

Yorkshire and the Humber

Senior PWP Network

Thank you for Attending!

Please remember to fill out

your evaluation forms!