1. Follow us on twitter:
twitter.com/GCHSCP

2. Agenda 9:45 Registration 10:00 Welcome and Introduction
David Williams, Chief Officer, Glasgow City Health & Social Care Partnership
10:05 Health and Social Integration Update
10:25 Preparing and Delivering Change
Aileen Brady, Head of Practice & Development, Inclusion
10:45 Preparing and Delivering Change
Sam Smith, Director, C-Change
11:05 Table Discussion
12:00 Question and Answer Session
12:15 Conclusion

3. Health and Social Care Integration Update
David Williams
Chief Officer,
Glasgow City Health & Social Care Partnership
30 November 2016

4. GCHSCP Partnership Vision
The Partnership believes that the City’s people can flourish, with access to health and social care support when they need it. This will be done by transforming health and social care services for better lives.  We believe that stronger communities make healthier lives.

5. Integration and Transformation

6. A now familiar story in Glasgow.

7. Big decisions taken in Glasgow
Review and reform of Occupational Therapy
Major investment in strategic approach to technology enabled care
Major investment in supported living and accommodation based strategy
Proof of concept work with provider organisations
An integrated out of hours health and social care provision
Continued redesign of sheltered housing to more supported living complexes, a more personalised approach
Safe Injecting Provision

8. Proof Of Concept Update: Review And Reform Of Social Care Contracts And Delivery Of The National Minimum Wage 2020
Workstreams:
Contracts and Contract Management
Care Management
Finance and IT
Communications
To date outputs includes:
Review and streamlining of PQR to focus on service user outcomes
Review and streamlining of service concern process
Ongoing development of service level outcomes measure
Providers have begun to develop emerging proposals including:
review and redesign of services; integrated models of care; staffing structure; service redesign and use of assistive technology
PQR: Provider Quarterly Return is an electronic submission providers complete as part of Contract Management Framework focused on inputs and outputs e.g. Number of staff in post; Number of vacancies etc. It is now greatly abbreviated and less frequently (bi-annual)to place less of a burden on providers while ensuring no compromise of risk management and assessment.
Contract Management Framework: Method by which Council ensures providers continue to deliver high level of service expected of them through: ongoing contract monitoring; provider meetings; analysis of service provision and performance; PQR data analysis.
Service Concerns: How the Council responds to, processes an acts upon concerns which can be raised by a wide variety of individuals and agencies expressed about a Council purchased service.
Service Level Outcomes: Work is ongoing on how we integrate services user outcomes and service performance into the wider Contract Management Framework- realignment from inputs/ outputs to outcomes.

9. A challenge to Improvement in Services –
Joint Commissioning
Culture
Leadership
Relationships
Behaviour
Power balance shift

10. Preparing And Delivering Change
Aileen Brady
Head of Practice & Development,
Inclusion
30 November 2016

11. THE SCOTTISH LIVING WAGE
NATIONAL MINIMUM WAGE
SLEEPOVERS
EVOLVING SERVICE DELIVERY

12. EVOLVING SERVICE DELIVERY
2015 we were approached by a Local Authority
Young people living with their families at home
Spending vast sums of money on crisis interventions
– The dreaded Friday afternoon call
Short interventions typically 6-9 weeks
With Learning

13. LEARNING Identified if there was a need for ongoing support
Strategies were put in place for the families:
To minimise the incidences of crisis
To deal with crisis situations
To listen to the young person
Listening is in because Alana truanted because classes were too big and she couldn’t cope but hadn’t told anyone

14. RESULTS This resulted in
Families were able to stay together and have a real life
Overall savings for Local Authority
Able to transfer the learning and strategies to another Local Authority which is again successful

15. SLEEPOVERS One lady we work for has paranoia
Agreed that sleepovers were to be removed
Prior to removal assistive technology was put in place to monitor overnight activity
This was sourced specifically to allow inconspicuous monitoring
Disembodied voice coming through a machine would not have worked!

16. SLEEPOVERS Anxieties were addressed
Lady was able to call for assistance if required
System was tested!!
Results :
she now is safe in her own home overnight and the support she receives is meaningful helping her achieve her outcomes
Pride in the fact that she doesn’t require overnight support and is flourishing

17. Preparing And Delivering Change
Dr. Sam Smith
Director, C-Change
30 November 2016

18. All that is valuable in human society depends upon the opportunity for development accorded the individual.
Albert Einstein

19. Self directed support: Statement of intent
Independent living means people of all ages having the same freedom, choice, dignity and control as other citizens at home, at work, and in the community. It does not mean living by yourself, or fending for yourself. It means having rights to practical assistance and support to participate in society and live an ordinary life…
…Self-directed support, alongside other policies, is intended to support, promote and protect human rights and independent living of care and support users in Scotland. It aims to ensure that care and support is delivered in a way that supports choice and control over one’s own life and which respects the person’s right to participate in society.
Statutory guidance to accompany the Social Care (Self- directed Support) (Scotland) Act 2013

20. 2001 -2016 Bespoke support Adult, children and families
Individual budgets
Individually recruited teams
Individual Service Funds
Unique support arrangements

21. Unleashing Potential: What’s your gift
Reducing financial resources
Need to redraft the equation
Snipping round the edges won’t do
Changing expectations
Collaboration and contribution

22. Self Directed Thinking
@simonduffy Centre for Welfare Reform
How else could this be done?
What other resources are around?
Who else should do this?
How do we ensure we don’t get in the way?
How do we ensure we recruit the right people?

23. Challenge and Change Clear vision – human rights/citizenship
What matters most?
Focus on outcomes
How to do it – fundamental redesign
Should it be us?

24. Change: Doing it Differently
David and his family (anon)
9k budget
Where we started.
Where they took it.
Where we stopped.

25. We cannot solve our problems with the same thinking we used when we created them.
Albert Einstein

26. Change: Thinking Differently
Exploring possibilities
Tech developments
Go beyond traditional sources
Ramps and stair climbers
Facetime and apps

27. Working Together Misery money Statement of intent
Sandy
Misery money
Statement of intent
Block contracts to individual budgets
Culture change
Vision
Releasing potential

28. Working Together Focus on what matters most
Listen hard and learn continually
Cost less achieve more
Sharing the learning
Some things you cannot put a price on

29. Lessons The road may be bumpy Cultivate allies
Hold the vision – human rights /citizenship
Keep it simple where possible
Focus on community
Ensure technology works for you

30. Working it out together
If you can't explain it simply, you don't understand it well enough.
Albert Einstein

32. Table Discussion
What does Joint Commissioning mean for you and your organisation?
What opportunities exist for joint commissioning?
What are the barriers?
How could we make it work?
Having seen the presentations from Inclusion and C-Change what lessons can be learned for implementing change?
What are the parallels and differences between the two organisations?
What are the parallels and differences in relation to your own organisation? 
How are changes within your organisation being viewed by staff, service users and carers?
SLW/ NMW
Transformational Change Projects
Technological
Organisational

33. Question and Answer Session