Cross Sector Working:The Challenges of Difference between Health

Organisation's and 3rd Sector

Presented by: Tarnia Woods CAMHS Clinical Lead

Stuart Parsons Chief Officer WFWStuart

Date: Insert the date here

The Journey • What we did

• What were the issues we faced

• How did we over come the issues

• What was the outcome

• What we would have done differently

• Top Tips for surviving

Ashton Wigan Leigh Partnership

Wigan Family Welfare

Bridgewater Tier 2

5 Boroughs Tier 3

Cross Sector WorkingCYP-IAPT

Navigating CYP-IAPT

Participation

Health / Specialist Service

• Service User participation

• Involving our young people

• Open only to young people who attend the service

3rd Sector / WFW

• Totally inclusive for all young people, parent /carers and professionals

• Anyone could be a customer

• Hearing the views of YP who are not in service

Health

3rd Sector

Participation

• Employed a participation workers

• Held a Focus Event

• Devised questionnaires

What should mental health services look like?

• Professional questionnaire: https://www.surveymonkey.com/s/VLSR9BR

• Young Person’s questionnaire: https://www.surveymonkey.com/s/SBXD95W

• Parent/carer questionnaire: https://www.surveymonkey.com/s/W789DK7

Participation

• Re-launch of our participation group • Raising Awareness and Breaking down Stigma

• Service Developments

• Promoting Wellbeing and Recovery

• Training

• Local Fixes

• Young People’s conference 22nd December

Accessibility

System Led – Choice / Partnership

Family Involvement

Agency involvement

Child Led Service – child directive

Only child Involvement

Very low DNA rate

Level of risk

Increasing lines of communication to ensure YP get the best service they need as quickly as possible

Accessibility

Case Study – Joint working across agencies

Development of an Advocacy Post

Role of Advocacy in cross agency working

Evidence Based Practice• Training

• CBT

• Parenting

• Supervisors training

• Service Leads

Challenges- How to meet the training requirements !

Health Challenges – 3rd sector challenges

Evidence Base Practice

• Did not use all places

• Trainees are completing courses

• Developed a stronger working relationship across partner agencies

Outcomes

Outcomes are a tick box exercise , not

relevant to therapeutic work

Person centred perspective – outcomes are not a priority we believe what the client says

No Relevance and no feedback

No Time / too busy

Outcomes

Activity Focused Activity Focused

Outcome Focused

Changing Hearts and Minds

Outcomes

• What did we do –

– Training in place

– Regular discussions in team meetings

– Agreed what we would do

• Challenge for 3rd Sector

– Action plans across all 3 partners

• Difference

– Ability to flex

What would we have done differently

Recognising Difference

• Although we all work in the same area we speak very differently !

• Service Transformation AND Partnership Transformation

• CYP-IAPT provides the tool !

Tops Tips

• Communicate, Communicate, Communicate

• Pillars of CYP-IAPT are for staff as well as service users

• Valuing our values

• In it together so have fun

Finally

Thank You

Exercise

• What is your experience of cross sector working ?

– What has worked well?

– What have the challenges been ?