Stoke on Trent Community Wellbeing Service

A Radical new Model

• Can demonstrate better management of demand

• Has the potential to reduce longer term care and support costs (potential net savings of between £0.418m (lowest saving estimate) and £1.852m (highest saving estimate) per year)*

• Achieves improved outcomes for individuals

• Generates high levels of satisfaction and motivation amongst staff *Data based on like for like comparison of 42 cases

Drivers for Change:

• Services difficult to access

• Lack of continuity: repeated assessments and changes of social worker

• People didn’t feel properly understood and we offered standardised, ‘sticky plaster’ solutions

• Health and social care services fragmented and difficult to navigate

• Were we using our limited resources to best effect?

Growing a new model

• Systems Thinking principles

• Inside-out

• Emergent

• Practitioner-led

The Wellbeing Model Our Purpose: Help me to help myself live my life well

Our Principles:

• You fully understand me and the real problem to solve

• You help me find sustainable solutions to my problems

• You help me build my own networks of support

• If you cannot help, you pull in expertise needed • You stay with me for as long as needed

Top to toe transformation

• Five assessment, reablement and day reablement teams disbanded and reformed into 8 integrated community teams (aligned with GP practices/community health)

• Leadership development programme

• Rules out, framework for practice in.

What’s different The practice….

• Its ok to offer a relationship to people and feel responsible ‘to’

• It takes time to really understand someone – but its time very well spent

• We start from a strengths based position

• We collaborate

• We think about being helpful as opposed to ‘service criteria’

• We make ourselves accessible

What’s different The functions…

• First Contact/accessibility

• Local teams with a range of diverse talents/skills ( fully capacitated….)

• Reduced spans of control for managers

• ‘Case management’ Leadership

• ‘Upside down’

• Practice confidence

• Trust and autonomy

• Emotional intelligence

• Assurance

• Data

• Rules out – principles for practice/values ‘in’

Ethical frameworks – humanistic approach

 The inherent worth and dignity of every individual

 Individual autonomy and relational autonomy

 Trustworthiness – a ‘new’ concept? ‘A non-possessive concern for and commitment to the wellbeing of the individual’.

 Providing the conditions for growth and change

 Being responsible ‘to’ but not ‘for’ (except…)

 Reflective practice – competence, beneficence, maleficence, boundaries/use of self
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