1. (Leicestershire & Lincolnshire Area) MCA Implementation Programme The Outline Mandate Working Draft Only 1

2. (Leicestershire & Lincolnshire Area) The Vision: Aim, Benefits, Principles & Deliverables (Manjit) 2

3. (Leicestershire & Lincolnshire Area) Aim To increase Understanding about and implementation of the MCA across our Area* by adding value to local activity and plans. * Leicestershire, Lincolnshire and Rutland 3

4. (Leicestershire & Lincolnshire Area) Benefits detail and specifics subject to evaluation advice Improved ‘User’ [patient, service user, carer and public] feedback systems: a cycle of ‘real time’ advice into (and feedback from) staff development and service improvement Improved quality of service and professional practice: staff sharing best practice and shaping their development opportunities drawing on user-feedback Greater compliance across a wider group of professionals: targeting previously ‘hard to reach’ professional groups Greater assurance of MCA compliance: creating new and supporting existing Best Interest Assessors, Supervisors and frontline ‘champions’. 4

5. (Leicestershire & Lincolnshire Area) Realisation of these benefits Independent evaluation. Evidenced: –quantitative and qualitative measures of progress –against a baseline –service and practice improvement case studies –‘user’ stories –contributions from stakeholders –other illustrations from the Programme. 5

6. (Leicestershire & Lincolnshire Area) Governing Principles & Priorities Add new, add value to and/or extend (rather than detract from or replace) existing SAB and organisational business plans and initiatives Prioritise effort and investment upon delivering innovations that: –meet the agenda of (and are ideally delivered to) the whole Area –are integrated initiatives across professions and agencies –are evidently based on shared best practice, learning and advice – from ‘users’, from across county, organisation and profession Sustainable impact - create exit strategies for all deliverables with options for adoption of identified components of on-going value Show maximum sensitivity to limited capacity: –MCA leaders and practitioners –specialist knowledge and expertise Maximise the funds and resources available to us, honouring funding bodies’ expectations i.e. NHS’ Chief Nursing Officer. 6

7. (Leicestershire & Lincolnshire Area) Programme Deliverables 1 /2 –Improved user, patient and carer exchange to improve the understanding of the impact of MCA/DOLS practice, system and processes upon the experience of these individuals –Local staff ‘exchange’ forums to share and extend best practice, learn and develop - integrated across organisations and professions –Information Resources ‘Portal’ to provide information and guidance for everyone’s use - Advance Decisions, Advance Statements, Lasting Power of Attorney and links to patient pathways. – 7

8. (Leicestershire & Lincolnshire Area) Programme Deliverables 2/2 –Targeted development opportunities for Primary Care Staff, Residential and Nursing Home staff and the Police –DOLS Best Interest Assessor’ support, training and marketing – differentiated from MCA best interest meetings –Recognition and Development of ‘Leadership at All Levels’ –An evaluation of the programme 8

9. (Leicestershire & Lincolnshire Area) 9 Staff Learning & Development Exchange Univeral Information and Advice Portal Leadership at all Levels Best Interest Assessors Targeted Professional Groups Programme Evaluation (with action learning) Patient and Carer Exchange MCA Programme – Seven Constituent Projects to the Cycle of Benefits Feedback & check benefits – assurance and improvements Ideas, Advice & Feedback Practice Improvement Increased Supervisor Assurances More front-line Champions More front-line Champions Increased Understanding Greater Assurance of compliance & Better User experience More Best Interest Assessment Staff Development Initiatives Service Improvemen t

10. (Leicestershire & Lincolnshire Area) Programme Content Seven Projects Six Deliverables Four benefits 10

11. (Leicestershire & Lincolnshire Area) The Projects Outline Sketches & Leadership Confirm, Challenge and Contribute Sponsors, Directors and Managers 11

12. (Leicestershire & Lincolnshire Area) First Tranche of Projects EVALUATION: evaluate MCA Programme (and its projects) against national and local requirements User’ EXCHANGE: User’ outcomes (as defined by the individual) evidently embedded into practice MCA EXCHANGE forum to sustain and develop a vibrant, integrated* MCA frontline workforce in Leicester, Leicestershire & Rutland and Lincolnshire * inter-discipline, multi-agency and where possible cross- county 12

13. (Leicestershire & Lincolnshire Area) Second Tranche of Projects UNIVERAL PORTAL – on hold LEADERSHIP at all LEVELS Increase profile of and support to MCA Leaders at all levels across all organisations – with an emphasis upon frontline supervisors DOLS BEST INTEREST ASSESSORS - Increase number and distribution of Best Interest Assessors to meet service need TARGETED PROFESSIONAL GROUPS - Bespoke face-to- face training sessions and professional development for identified target groups in health and adult care - enhancing professional delivery and User experience across the pathways of care. 13

14. (Leicestershire & Lincolnshire Area) Programme Delivery (Nicky) 14

15. (Leicestershire & Lincolnshire Area) Programme Phases Phase 1: PROGRAMME DESIGN Phase 2: PROJECT DESIGN including Baseline and Gap Analysis and Project & Exchange Priorities Phase 3: PROJECT DELIVERY including exchange of advice and learning Phase 4: EVALUATION Phase 5: PROGRAMME CLOSE exit strategies - Product Adoption - evaluation 15

16. (Leicestershire & Lincolnshire Area) Staff Learning & Development Exchange Forum Univeral Information and Advice Portal Leadership at All Levels Best Interest Assessors Targeted Professional Groups 4. Evaluation (with action learning) Delivered Baseline & Gap Analysis Baseline & Gap Analysis Patient, Service User & Carer Exchange Project & Exchange’ Priorities Project & Exchange’ Priorities Project Sponsorship Support & Exit Strategy 5. Programme Close Shadow User Ex’ Shadow Staff Ex’ 1 Programme Design 2 Project Design 3. Project Delivery advice and information exchange MCA Programme: Design & Delivery Process Constituent Projects Project Adoption

17. (Leicestershire & Lincolnshire Area) 17

18. (Leicestershire & Lincolnshire Area) Programme Roles for Challenge and Validation 18

19. (Leicestershire & Lincolnshire Area) 19 Programme Board – Overall Programme Steering Project Director with Project Sponsor for each Project Projects – day to day Project Management Each having a Project Manager working to a Project Director Patient and Carer ForumStaff Forum MCA Leadership at all Levels Best Interest Assessors Department of Health NHS England Wider MCA Staff and Leaders, Patients and the Public L&L MCA Stakeholders Incl. SAB L&L MCA Stakeholders Incl. SAB Programme Team – day to day Programme Management Programme Manager Evaluation with action learning Programme Structure – version 2 (UNDER DISCUSSION) Universal Learning Portal Targeted Professional Groups

20. (Leicestershire & Lincolnshire Area) Finance and Monitoring (Lynn) 20

21. (Leicestershire & Lincolnshire Area) Funding & Financial Monitoring Non-recurrent finance and all its products time-limited The total funds for distribution is £471,110 non-recurrent. This includes both the allocation of 19/1/2014 and 21/7//2014 - £319,742 and £161,368 respectively. Allocation across the Programme and Projects will be agreed at Board event Financial monitoring by the Nursing and Quality Clinical Lead in liaison with the Programme Manager but reporting to Programme Director. Emergency financial and other decisions will be taken by the Programme Director in consultation with the sponsor of the relevant Project (or in their absence, a SAB Chair. 21

22. (Leicestershire & Lincolnshire Area) Other Monitoring 1 NHS England’s monitoring of the Programme will be through the production of the following items at the end of 2014/15 –A self-assessment summary report for the period 2014/15 which will include an assessment of the extent to which MCA is complied with within their geographical area (to be discussed and signed off by the local Quality Surveillance Group) with reference to any evidence used to reach this conclusion and any gaps or proposed future activity for 2015/16. This will take into account the views of the commissioners and providers across the local system. –At least two case studies: one of MCA good practice and one of good practice in implementing the least restrictive option - for sharing through the national programme –Numbers of health professionals trained as Best Interest Assessors [BIAs] in 2014/15 22

23. (Leicestershire & Lincolnshire Area) Other Monitoring 2/2 Local monitoring of the Programme –Ultimately through the Evaluation –Exception, end-stage and final closure reports to the Board Day-to-day monitoring of Projects –By the Programme Consultant with all Project Managers and via Programme Team meetings –Option for acceleration of emergency issues for decision to the Programme Director if required. 23

24. (Leicestershire & Lincolnshire Area) Please forward Your Views, Advice and Ideas as well as Links, documents and local info’ together with contact points for yourself to the MCA Programme Manager nicky.spencer@accomplice.uk.com 0194 983 1909 24