A digital place for people who access services, carers, staff and partner agencies, to share ideas around care co-ordination & care planning in mental health

Posts tagged ‘third sector’

Planning Care in Assertive Outreach

I was fortunate enough to spend some time with Leeds Assertive Outreach Team (AOT) this week.  Assertive Outreach teams have been around for some time and are intended to support people with severe mental health difficulties who find it difficult to work with traditional services. You can read more about AOT’s in this Rethink information leaflet.

I initially met with AOT late last year to hear about how they were using Care Programme Approach (CPA) to co-ordinate, plan and review care. There were 3 questions considered:

1. How does CPA works within Assertive Outreach?

Around care plans it was identified that most people did not want a copy of their care plan; that reviews held varied interest to the service user – from ‘something to be endured’ to ‘very keen’.  In response to this the coordinators use a number of flexible methods to complete the review.  Where the person is in hospital the coordinators take the opportunity to spend time with the person developing the care plan for when they are discharged; it was acknowledged that the in-patient CPA review was not always conducive to agreeing goals and detailed plans following discharge. There was some variation in the way the CPA documentation was completed.

2. Why does CPA works within Assertive Outreach?

The team reflected that their ability to be flexible contributed to CPA working well within the team, factors impacting this were their level of experience, good understanding of care management/planning and proactive engagement with people using the service and partner agencies.  Capacity was also identified as a factor, that coordinators have around 12 people on their caseload.

3. What could be better?

  • Inpatient reviews being held more flexibly
  • Summary – a one page summary would be useful alongside the full care plan; it would also capture initial plans.
  • Documentation – The running order of the CPA Care Plan could be improved; the language could be simpler; the review questions should be revised.

The full report is available here.

Having met with AOT again this week, it is apparent that they continue to use CPA well to provide co-ordination, care planning and reviews.  The coordinators find a way to involve the person in planning their care despite on the face of it the person not necessarily wanting to be involved.  The involvement comes through negotiation, flexibility, working with the persons priorities first and through getting to know the person, and their carer(s)/networks/supporters well.

Of the CPA documentation, there are changes planned following a review of what we have and feedback from service users, carers and clinicians.  You can read about the changes in full here; but the headlines are:

  • CPA Care Plan name changing to My Wellbeing & Recovery Plan
  • Change in wording used for the care plan headings – to be straightforward, plain English
  • Goal setting and care planning section made simpler
  • Additionally,  a ‘one page care plan’ to be included within the Integrated Care Pathway trial

How does CPA work in your team?

What would make CPA better?

If you access services or are a carer: What is your experience of  being involved in developing your care plan and in your review?

If you have recently had a review, then you should receive a brief questionnaire through the post, alternatively, you can complete this online here.

 

 

 

 

 

St Vincent’s – supporting people away from poverty

I was struck by the work that St Vincent’s are doing in the community and the potential for bringing real benefit to people who need it; supporting people in getting on with their lives through providing advice, education and counselling and then presenting the opportunity to give back/participate through volunteering or donating food. This brings a real community feel that supports recovery and wellbeing;  I hope people will tap into this.  I asked if they would be willing to share the news with LYPFT Planning Care Network about what they are up to; and Kim kindly wrote a guest blog:

St Vincent’s has been supporting people living in poverty for 18 years. We are a centre of help, hope and opportunity, with a commitment to offering vulnerable people the tools to come out of debt, back into work and away from poverty. Operating from one of the 1% worst areas nationally for deprivation, we are working at grassroots level with those living on the edge of society.

Our holistic services include free debt advice, education, volunteering, counselling and employability support. All of our services are responsive to the needs of the people that we serve. As a part of our debt advice service, we saw a lot of people who were choosing between buying food and paying essential bills. We also saw a lot of families that were struggling with parents going hungry so their children could eat. We responded to this by giving our clients food parcels to get them through a difficult period.

Our volunteering programme at St Vincent’s is different to other charities as we take on and train people regardless of their background and abilities. This means we offer a supported volunteering pathway which gives people with mental health problems and physical disabilities a chance of work experience. The majority of our volunteers are vulnerable people being supported by us.

With the support of donations from church groups, we were able to expand this service by offering the parcels externally. This has now grown to the point that we are one of the key points of contact for people in need of food.

Did you know we are unlike regular food banks? We offer one-off emergency food parcels to help people during an unexpected crisis. All of our food comes from generous donations from individuals, churches, and other organisations so we can only help people in real need.

st vincents worker

Our service works on referrals from professional agencies in Leeds. Agencies such as doctors, support workers and debt advisors can refer a client to us. The client must be destitute and we ask that this service is used as a last resort, when all other available support has been accessed.

Have you ever been in a crisis or known of someone who has? We can help with just one phone call. Last week a support agency in Leeds asked us to help a gentleman they were working with who had not eaten for 3 days due to receiving no benefits. They phoned around to get help but no other agency could help as he was single. Other agencies will only help families but we understand that support needs to be flexible and that there is no one size fits all solution when providing help for people. The gentleman was delighted with the support and was offered help with his debts and benefits advice. The agency said ‘As social workers we often have to deal with society’s most desperate cases; it’s good to know places like St Vincent’s exist’.

We accept referrals by telephone Monday – Friday from 10:00 – 11:30.  If the client qualifies for a food parcel, it can be collected the same or next day from 11:30 – 13:00. All referrals must be done over the phone as we need to check the clients’ details with the agency to ensure we are helping the people who need it most.

Would you help us by donating food to help people in need? We gratefully accept donations of store cupboard food including tins, jars, pasta, cereal and long life milk. We also need toiletries such as soap, shampoo and toothpaste.

By donating food you are helping vulnerable people in Leeds who may have no other means of accessing food and this is their last resort, whether it be families, single people or the elderly every food parcel will ensure they eat for a couple of days until they get themselves back on their feet.

There is also the option of ‘giving back’ through donation to St Vincent’s:

http://localgiving.com/charity/stvincentsleeds

Thanks from everyone here at St Vincent’s for all your support.

You can follow St Vincent’s on Twitter @StVincentsLeeds

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Community stuff happening across Leeds & York

So here are a few events that are going off in the next few weeks or so:

Deaf Awareness 23rd April – York

A new initiative to encourage more staff and volunteers to take up  Deaf Awareness is now available in Yorkshire.

Signs4Life have set up an introductory workshop in Deaf Awareness tohelp staff to communicate and engage with their deaf & hard of hearing colleagues, service users, students, patients and clients in York.

The Deaf Awareness event will be taking place Wednesday 23 April 2014 at York CVS, 15 Priory Street, York (YO1 6ET) from 2pm – 4pm.

This local initiative is to help identify barriers that deaf people face and explore their culture and community but also to encourage inclusion of all people with sensory, physical or learning disabilities in York. Attendance is strictly by booking only (limited places).

For further information please contact Sara on  info@signs4life.org<mailto:info@signs4life.org

Employment Peer Support Workshop  6th and 16th May – Leeds

The Employment Peer Support service at WorkPlace Leeds is offering a new workshop (see flyer) and we’re looking for volunteers to share their stories of mental health and employment. As a volunteer you would attend a group workshop (12 people max.) where you would take part in a Q&A session and share some of your tips for maintaining your wellbeing at work. It will be a safe, supportive, peer led environment and we will pay your travel expenses. We’re running two sessions – one at Clarence House, 6pm – 8:30pm on 6th May and the second one at De Lacey House, 10pm – 12:30pm on the 16th May.

If you’re interested please fill in the form and email it back to emlyn.hagan@workplaceleeds.org.uk or call 0113 2302631 if you want a chat about the workshop or the mentoring.

Service User Network 7th May – Leeds

The Service User Network are meeting on Wednesday 7th May @ St Chad.s , Headingley, Leeds 12.45 – 3,00. Click here for more info.

 Love Arts York Festival  12-30th May – York

The first Love Arts York festival will run from Monday 12 May to Friday 30 May.  Steven Wrigley-Howe, one of our Trust’s Non-executive Directors, is directing the festival which is a collaboration between local organisations and individuals, with the aim of using the arts to get people talking about mental health and wellbeing.

For further information and details on how to get involved, please e-mail stevenwrigleyhowe@me.com or visit the Love Arts York Facebook page https://www.facebook.com/LoveArtsYork

 #mHealthHabitat Show and Tell 14th May – Leeds

Our #mHealthHabitat Show and Tell events are all about exploring the intersection between health, wellbeing and digital (for example, mobile apps and websites) as well as creativity. We bring people accessing services, clinicians, developers, designers and coders together to learn, share and build relationships for collaboration.

It’s all part of our mission to create a habitat in Leeds where mHealth can flourish. We want a city where people are active partners in keeping well and in managing their health when they are unwell and we believe digital is an important enabler in making this happen. You can find out more at www.mhealthleeds.co.uk or follow us on Twitter @mHealthLeeds.

We have three speakers who will share how they are using digital in different ways to both manage their health, the health of the people they care for, and to transform health services. We’ll also have an ‘open mic’ slot for you to Show and Tell digital innovations you are developing, ask for help or share a bright idea – don’t be shy – we’d love to hear what you’re up to and how we might be able to support each other.

If you are interested in speaking at a future event, we’d love to hear from you victoria.betton@nhs.net

Service User/Carer involvement in Trust recruitment in York

Have you had experience of inpatient services  or do you know of service users/carers in York, in particular people who have had experience of inpatient services at Bootham Park Hospital, who may be willing to be involved in recruitment for our Trust? If you, or anyone you know might be interested, please could you  e-mail communications.lypft@nhs.net  to register your interest or please provide their contact details to the same e-mail address.

Participants would need to attend a short workshop session on recruitment as part of their involvement.

 

Feel free to drop me an email donna.kemp@nhs.net or tweet @donnajkemp to share what you have up and coming across leeds and York for folk to get involved in – event, inititive, project, intersting stuff!

And, if you do get involved in any of the above – be great to hear how it went on here, its good to share 🙂

 

Exit comfort zone stage left…….

That is how it felt when the plan for CPA – making a difference  got the green light and was signed off. CPA - making a differenceThe plan focuses on listening. Listening to what people say about Planning Care – from people’s personal experience of accessing care, support and treatment across LYPFT services  to hearing how people would like services designed and delivered. Listening to what staff say about what they need to provide the best care, support and treatment and listening to what our partner agencies, statutory and third sector, say about what its like being alongside LYPFT.

Listening is a key element of communication, the listening part is key to understanding different viewpoints and identifying people’s priorities; and it is around here that I start to leave my comfort zone. The tension emerges when there are differences between what people want – from differences between individuals to differences between different groups or ‘stakeholders’.  Difference is good, it would be rather dull if everyone wanted the same thing but how to reach consensus fairly? The end result will be some folk are delighted, some are dismayed. My challenge is to remain neutral enough to ensure that people can freely express their views but to provide enough information for people to consider their views upon.  At times there can be different priorities between people who access our services, the professionals delivering the service and the organisation itself; final decisions are often made at quite a distance from where the original discussions took place, it takes courage to shout up for other people’s views and it requires committment and believe  to progress what can initially appear as disparate agendas (though they often are not).

So why am I sharing this? Well, hearing people’s views and making shared decisions is what we all do.  Discussions with staff across the organisation be it face to face, via email or social media constantly reminds me that we are all working in a similar way. I wanted to acknowledge this and share a bit about how this shift has changed the way I work and some of the challenges this has brought along the way.

If you are still reading, then you will be aware that I didn’t manage to squeeze in competence and compassion – oh look, I have now! So what’s all this about? 6CsWell, it’s about building Compassion in Practice;  you can read more about this, along with examples of how this is working locally here,  you can also read here about how Towngate House Rehabilitation and Recovery Team are building a culture of compassion.  So how are you building compassion in  your practice?  If  you access services or are a carer, how do you experience compassion in care – is this something that can be felt/experienced? How does it make a difference?

So whats the link between The 6Cs, Planning Care and exiting comfort zone stage left? Well if we apply the culture of compassionate care to the way that we work with people in planning care then the benefits to people who access our services and their carers should be evident. I came across The 6C’s on Twitter. Yes Twitter. Something very new to me and a steep learning curve in many respects. I had not underestimated the value of twitter in relation to connecting with people professionally, with the public and people in other organisations, fact is I had not estimated it at all. But that’s a whole other subject…….

Thanks for reading – Donna Kemp

How the meetings went…….

Well it was good to meet with people who are interested in Planning Care.  There were 2 meetings held on Wednesday 20th November – York in the morning and Leeds in the afternoon.

The idea of the meetings was to gather informally to present the concept of the Planning Care Network, to talk about how it might work  and to explore any issues that arose.  The Network is for people to share their views and ideas about Planning Care; it is everyones Network.

LYPFT’s Planning Care standing support group (awaiting a name change) has an annual work plan to progress quality and engagement in Planning Care, covering CPA, Standard Care Plan, Self Directed Support  as well as local and national initiatives. The idea is that the Network feeds into the Planning Care standing support group, letting the group know about what’s important to people that use the service, carers, supporters, staff and partner agencies, and that the Network members contribute to solutions and get involved in work groups to progress agreed work. A summary of the Planning Care standing support groups minutes and the work plan will be posted on the Network;  a couple of representatives for the Network are requested to attend the meeting – held bi-monthly.

People that use the service, carers and supporters sharing their experiences and ideas is a positive way of getting an understanding of what is important. Sharing service or team experiences of Planning Care is welcomed; it may be what is working well, or what could work better.  Sharing examples of good practice is a way of helping other teams to make changes.

Some very interesting points were raised by the people at the meeting,  such as:

How do we reach the people that don’t use social media?

How about people who don’t use English as their first language?

What if people post comments that they later regret?

The questions prompted discussion in the groups; the Planning Care Network is one of a number of ways that we are trying to engage with people.  Ideas around producing a postcard to promote the Network were discussed; this could be a way of staff offering the people that they are working with the opportunity to participate in the Network; postcards could be made available in public places such as libraries, where people would have access to computers.  There are also plans to introduce computer access to service users in parts of the Trust. It would be great to hear more about this on the blog……….

It was suggested that help line numbers be available on the blog so that people can access them if needed; a link to the external website would address this as it has a number of useful numbers listed including the Single Point of Access number – I will add an About LYPFT page this week.  Any other suggestions or comments about this are welcomed – just blog.

Comments posted on the blog are published as you hit return; there is no filtering or censoring of the comments before they are published.  This will be reviewed over time but it was felt that people should not have to wait to see their contribution go live and that people should feel free to contribute their views.   If you make a comment that you later regret then you can either post another comment saying as much, or contact me and I can remove it for you as administrator (there may be other options but I am still learning about blogging!).  Feel free to comment on this, it would be great to hear your views.

For those of you that couldn’t make the meetings, this is the power point presentation Planning Care Network ppt.

That’s all for now; thank you for reading, please consider the questions and post your views.  Also, if you are interested in representing the Network at the Planning Care standing support group then please express your interest via email donna.kemp@nhs.net

Donna

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