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Innovations in Job Retention and Supported Employment in Primary Care Michael Duignan-Murphy Derek Thomas Kerry Turner.

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Innovations in Job Retention and Supported Employment in Primary CareMichael Duignan-MurphyDerek ThomasKerry Turner

about mcch a home a job and a social life

mcch society ltd is a voluntary organisation with charitable status, supporting individuals, with a variety of disabilities, to live full and valued lives, in areas including London, Kent and Essex

  • We believe it to be important for everyone to have the chance to choose where they live, have the opportunity to be meaningfully employed and have a full and fun social life.
  • mcch works in partnership with a diverse range of partner organisations (across sectors), in order to provide person centred, innovative and individually tailored services, which puts the individual at the centre of service provision.
  • mcch Employment & Vocational services offer a range of provision, in which people with learning disabilities and people with mental health issues are supported to be socially and economically active through a range of paid employment options, underpinned by the IPS model.

About mcch A home a job and a social life

mcch e v and the national context
mcch E&V and the National Context

Within our services, the Realising Ambitions agenda provides a foundation for service delivery. Individuals are supported, encouraged and expected to gain employment and pursue successful working lives, availing of the IPS model in developing the building blocks for sustainable change, innovative partnership working and the Individual at the centre of service provision.

Health and Wellbeing agenda; New Horizons; Transforming Social Care;

Public Sector Agreement targets – N150, N152; Making inclusion for people with health issues in the workplace, not only a national indicator through Public Sector Agreement targets, but a reality for Individuals with health issues.

Health and Wellbeing agenda

primary care services

Primary Care Services

IAPT Employment Advisor Pilot

“This pilot focuses on the provision of job retention support in conjunction with clinical support for each Individual accessing the service in order to support them to retain their employment.”

Employment, Health and Well being in Primary Care

“This project has been developed with Department of Health ‘section 64’ funding to work directly with Individuals, employers and GP practices to develop early intervention supported employment initiatives for Individuals with mental health issues accessing primary care services, as well as signposting as appropriate to achieve optimum wellbeing and full social inclusion

aim of the services
Aim of the Services

Support Individuals to retain and / or find employment

Support Individuals to return quickly to their employment

Support employers to manage sickness due to mental ill health

Establish and develop communication pathways between Individual, GP, employer and other partner agencies

Reduce the barriers to employability

Develop independent networks of support, including; Peer Forums and Community Contacts

service delivery
Service Delivery

Employment Specialists and Individual work together to achieve employment goals

An experienced mcch staff team supporting both the Individual and their employer in long term sustainable employment

Signposting and Information, Advice and Guidance, for each individual, in order to access appropriate support mechanisms, for example, Signpost Kent, Counselling Services and Job Centre Plus

Support employers to understand the benefits of health and well-being across their workforce through seminars, workshops and information sessions

Mental Health awareness training provided to employers and work colleagues

iapt employment advisor pilot
IAPT Employment Advisor Pilot

January 2009 launch of 2 year IAPT Employment Adviser Pilot

mcch operate the Southeast element of 11 nationwide Pilots in the defined area of Maidstone and Weald only

In partnership with Kent and Medway NHS and Social Care Partnership Trust (KMPT)

KMPT Therapists offer high and low intensity therapy

mcch Employment Advisors provide job retention support

Combined support with access to both clinical and employment support

Referral routes



Clinical and employment support being embedded

Change of Clinical provider

Confidentiality and sharing information

Partnership working

Referral sources – GP’s – getting foot in door


overcoming challenges

Overcoming Challenges

Defined staff link between organisations

Joint referral form implemented

Information sharing agreement in place

Greater awareness of the importance of early intervention

Consistent presence at Team meetings and networking,

including informal communication

Promotion of employment support reducing waiting lists

Employment Support before therapeutic intervention can lead to

individual not requiring clinical support

Flexibility and adaptability – helping each other

Continual marketing and promotion

Persistence, particularly with GP’s

Using Case Studies to promote service offer

Improving health and wellbeing, promoting recovery

employment health and wellbeing in primary care project
Employment, Health and Wellbeing in Primary Care project

April 2008 launch of 3 year project

mcch operate project in both North and Southeast Kent

Work in partnership with a range of partners, across sectors, with the Individual we are supporting at the heart of service provision

mcch Employment Advisors provide job retention support ,support Individuals to gain paid employment and promote social inclusion


New service model – setting a new agenda

Promotion and marketing of health and well-being through employment and social inclusion

Supporting employers to retain their staff and therefore achieve the needs of their business

To support cultural change with employers and all partner organisations

Developing and establishing communication pathways with GP’s and employers

Accessing employers to provide ongoing support in terms of conflict resolution, mental health awareness training and reasonable adjustments

overcoming challenges1
Overcoming Challenges

Establishing clear systems and processes including; referrals, Individual assessment and ongoing employment and job retention support

Flexible processes to meet the needs of referrers and Individuals

Demonstrating an ability to alleviate pressures on GP’s supporting individuals with mental health issues

Developing working relationships and partnership processes with Practice Managers, GP Leads, Employers and other Providers

Being clear on service provision and signposting to other services as appropriate

Support employers to understand the benefits of health and wellbeing across their workforce through seminars, workshops and information sessions – designed specifically for that employer

Providing ongoing support to employers in terms of conflict resolution, mental health awareness training and reasonable adjustments

Development of a database for recording outcomes

Persistence and enthusiasm in promotion and marketing

case studies testimonials questions contact details
Case Studies & TestimonialsQuestions?Contact Details;

Michael Duignan-Murphy:

Kerry Turner:

Derek Thomas: