Job Retention in Primary and Secondary Care Michael Duignan-Murphy Kerry Turner Sarah Thorndycraft mcch Employment and Vocational Services

About us A home a job and a social life mcch society ltd is a voluntary organisation with charitable status, supporting individuals, with a variety of disabilities, to live full and valued lives, in areas including London, Kent and Essex We believe it to be important for everyone to have the chance to choose where they live, have the opportunity to be meaningfully employed and have a full and fun social life. mcch works in partnership with a diverse range of partner organisations (across sectors), in order to provide person centred, innovative and individually tailored services, which puts the individual at the centre of service provision. Celebrating 20 years of providing services

National Context Government pledge to reduce by 1 million the number of people receiving Employment Support Allowance Health and Wellbeing agenda Public Sector Agreement targets Developing the building blocks for sustainable change based on the IPS model, innovative partnership working and the individual at the centre of service provision.

Employment and Vocational Services mcch Employment & Vocational services offer a range of provision, in which people with learning disabilities and people with mental health issues are supported to be socially and economically active through a range of paid employment options. For each individual accessing mcch services an Action Plan is created through a shared process based on the Individual Placement & Support model (lPS model).

Individual Placement and Support (IPS model) Eligibility Integration Competitive Employment Rapid job search Individualised job searching Ongoing Support Personalised benefits planning Underpinned by the IPS Fidelity Scale

Service Delivery On a daily basis mcch Employment and Vocational Services work with: –170 service users with mental health needs –155 service users with a learning disability –30 people from a homeless day centre –Working in deprived areas –Really positive outcomes –Making employment everybody’s business

Job Retention Services One Stop Shop – Secondary Care “The One Stop Shop has been created in order to provide an effective and innovative vocational journey to employment for people with severe and enduring mental health issues.” Employment, Health and Well being in Primary Care “This project has been developed to work directly with employers and GP practices to develop early intervention supported employment initiatives for individuals with mental health issues accessing primary care services.”

One Stop Shop Partners Kent County Council Social Services Kent and Medway Social Care NHS Trust mcch E & V service Compass Blackthorn Trust Winfield

One Stop Shop Overview The principle of the One Stop Shop is to combine all the functions needed for an individual to progress into employment and to create access to the services at one location. Some service delivery will take place in agreed community settings, as determined by action plans for each individual Across the partnership we share agreed standards and processes, including; initial assessment, referral procedure and systems for review Agreed targets which are shared across the partnership

The One Stop Shop A quality service following nationally recognised best practice A single entry point for clients to access support to gain Employment and Educational opportunities An accessible and centralised service Pooling of resources, knowledge and expertise

Ongoing Support Employment Specialists and individual work together to achieve employment goals Successful employment gained, support continues and tailored to individual Support to the employer and individual to maintain employment Support is time unlimited Mental Health awareness training provided to employers and work colleagues

Employment, Health and Well-being in Primary Care project Support individuals to retain their employment Support individuals to return quickly to their employment Support employers to manage sickness due to mental ill health Establish and develop communication pathways between individual, GP, employer and others Reduce the barriers to employability Develop independent networks of support, including; Peer Forums, Blogs and Community Contacts

Aims Reduce the number of individuals moving from Primary Care to Secondary Care Services Promote and improve health and well-being through employment and social inclusion Alleviate pressures from GP’s supporting individuals with mental health issues Supporting employers to retain their staff and therefore achieve the needs of their business To support cultural change with employers and all partner organisations

Services Provided Support employers and GP’s to ensure that individuals do not leave the workforce unnecessarily On-site expert advice to individuals and GP’s on employment and work related health issues Develop and establish communication pathways between GP’s and employers, ensuring greater support for employers, GP’s and individuals Providing ongoing support to employers in terms of conflict resolution, mental health awareness training and reasonable adjustments

Services Provided An experienced mcch staff team supporting both the individual and their employer in long term sustainable employment Peer Support Group and Blog Signposting and Information, Advice and Guidance, for each individual, in order to access appropriate support mechanisms, for example, Sign Post Kent, Counselling Services and Job Centre Plus Support employers to understand the benefits of health and well-being across their workforce through seminars, workshops and information sessions

Sign up Not now Action Plan Working up options Plan takes shape Ongoing support And review Signpost Client Journey Assessment Referral

Steps to achieve Sustainable Employment Establishing relationships, built on trust and rapport Defined systems of communication and contact Ongoing and time unlimited support to both individuals and employers, provided by mcch Supporting the management of individual health Conflict resolution and mediation Accessibility to Occupational Health Promoting the vital role of work in an individuals recovery Support to promote recovery and rehabilitation Promoting improved quality of life and well-being Promoting the benefits of health and well-being for all Implementing reasonable adjustments Increased awareness of mental health

mcch Case Studies One Stop Shop Case Study – Emma’s Story Employment, Health and Well-being – Bob’s Story

Your Experience? Questions? What challenges have you faced in job retention? How have these been overcome? What do you see as the barriers to retaining employment?