Integration and Teamwork

 

The importance of multidisciplinary teamwork has been widely recognised for some time now. In values-based practice the extended multidisciplinary team is the key to person-values-centred care. But integration between services such as health and social care has been more difficult to achieve.

Besides a number of individual projects we have established three major programmes of work aimed at supporting the development of more integrated approaches in three areas

  • Services to the public
  • Child and adolescent mental health
  • Professional education

Services to the Public

We are delighted to be working in partnership with Collaborate CIC and London Southbank University in a joint programme of work on The Future of Collaboration in Services to the Public

The first stage in the programme is a series of exploratory House of Lords Roundtable Seminars on Integration of Public Services in the Delivery of Health and Social Care.

Seminar 1: VALUES
WHAT VALUES UNDERPIN GREAT CROSS-SECTOR COLLABORATION?
Can we talk about values-based collaboration in services to the public and, if so, what should those underlying values look like?
Speakers:

  • Lord Victor Adebowale, Chair, Collaborate & Chief Executive, Turning Point
  • Julia Unwin CBE, Chief Executive, Joseph Rowntree Foundation

Seminar 2: DELIVERY
HOW CAN CROSS-SECTOR COLLABORATION BE DELIVERED?
The delivery landscape for public services is changing.  How can we adapt performance management and regulatory frameworks to support better collaborative outcomes for citizens?
Speakers:

  • Margaret Hodge MP
David Behan CBE, Chief Executive, Care Quality Commission
  • Rt Hon Stephen Dorrell, Chair of the NHS Confederation and former Secretary of State for Health

Seminar 3: LEADERSHIP
WHAT IS THE SKILL-SET FOR SYSTEM LEADERS IN SERVICES TO THE PUBLIC?
Leading across silos and sectors will be a fundamental requirement for tomorrow’s system leaders.  What skills and capabilities will future leaders need, and how can we build readiness today?
Speakers:

  • Sara Llewellin, Chief Executive, Barrow Cadbury Trust
  • Professor Dame Sue Bailey, Chair, Academy of Medical Royal Colleges

Seminar 4: NEXT STEPS
Findings from the Roundtables will be drawn together in a panel discussion exploring options for next steps in the programme

The seminars are co-chaired by Advisory Board member and Chair of Collaborate, Lord Adebowale, the Chief Executive of Collaborate, Dr Henry Kippin, and The Director of the Collaborating Centre, Professor Bill Fulford

Although the seminars are by invitation only we welcome expressions of interest including examples of good practice and proposals for collaborations that will help us build a new values-based approach to collaborative public management

Child and Adolescent Mental Health

Child and adolescent mental health (CAMH) is above all an area where a well integrated systemic approach to services – incorporating areas such as schools and employment as well as health and social care – has long been an aspiration.

The Values-based CAHMs Commission (the ‘s’ is for ‘system’) was launched by Advisory Board member Dame Sue Bailey and is led by Peter Hindley in his role as Chair of the Child and Adolescent Faculty in the Royal College of Psychiatrists.The Commission is chaired by Baroness Tyler of Enfield.

Besides taking witness evidence in the conventional way, the work of the Commission will be informed by a literature review and qualitative research on the implicit as well as explicit values of stakeholders being carried out by the Commission’s Research Officer Fran Whitaker with support from Bill Fulford and Jacinta Tan. Bill Fulford is also an advisor to the Commission.

Professional Education

Joined up service provision depends on joined up education and training which in turn depends on educators working in a joined up way with commissioners and regulators

Ruth Strudwick of ARE (Association of Radiography Educators) is convening a one-day meeting in 2016 on Values-based Radiography: a Whole Systems Approach. This meeting has two key aims: 1) to identify from patient and provider perspectives what good practice looks like in radiography, and 2) to explore the role of educators, regulators and commissioners in supporting it.

Professor Sir Muir Gray has established the ValuesBased Healthcare Programme in Oxford to support development of whole system approaches to decision making in ‘triple value healthcare’. This triple approach integrates, 1) Allocative value, determined by how the assets are distributed to different sub groups in the population, 2) Technical value, determined by how well resources are used for all the people in need in the population, and 3) Personalised value, determined by how well the decisions relate to the values of each individual.

Dr Anant Jani, Executive Director of Better Value Healthcare, is working on associated educational programs

Ian McGonagle and colleagues in Lincoln University’s Mental Health, Health and Social Care (MH2aSC) have set up a Masters program in Integrated Health and Social Care

Announcements

  • Conference: The Centre is a co-organiser with CAIPE of the ATBH (Altogether Better Health) Conference on Values-based Interprofessional Practice and Education – Oxford – September 6th – 9th 2016
  • Publication: Professor Jill Thistlethwaite is an active member of ATBH (All Together Better Health) and the author of Values-based Interprofessional Collaborative Practice in the CUP book series
  • Lecture Series: Professor Pierre Loebel is generously sponsoring a series of lectures and workshops aimed at building a more robust biopsychosocial model in psychiatry. The series is organized by Professor Julian Savulescu as Director of the Uehiro Centre for Practical Ethics in the Faculty of Philosophy, University of Oxford
    Read More: http://www.loebelprogramme.ox.ac.uk/2015