Multi Agency Collaboration in Adult Services

1. Multi Agency Collaboration in Adult Services 28th June 2007 Asad Butt Improved Ways of Working Programme Manager asad.butt@newham.gov.uk 07888 668210

2. Agenda • Why we need it • What we are doing: • Vision • Case management • Network and existing systems • Flexible working • Sharepoint to fill the need for collaboration outside of case management • Challenges and lessons learned

3. Drivers (1) • Dec 05 CSCI • characteristics of high performing councils • July 05 Commissioning a patient-led NHS, Department of Health, 2005 • Jan 06 Cabinet and PCT Board decision on Adult Services structure • Feb 06 ‘Our Health Our Care Our Say’ – White Paper New direction for community services • Closer to peoples homes • Better coordination between Councils and NHS • Improved information sharing • Increased choice and control for service users • Oct 06 ‘Strong and Prosperous Communities’ – Local Govt White Paper • Dec 06 New Outcomes Framework for Performance Assessment of Adult Health and Social Care

4. Drivers (2) • Adding value to peoples lives, • increasing their choice & control of services, • promoting health & well-being, • inclusion & opportunity, • enabling independence. • Managing and providing effective services through integrated health and social care pathways. • Delivering high quality performance. • Adults Services – clear direction (integrated with Health and Community & Culture) • Key moment to capitalise on new management structure and seize business led change

5. Service Delivery • Team working • Performance Mgmnt & reporting

6. The Newham Locality Vision • A single Health & Social Care Record combined with a single care plan • A single view of the person across the locality, enabling safe, secure and appropriate presentation of all relevant information. • A single holistic care plan facilitated by the above

7. The Newham Locality EMIS CF LBN NPCT CMS Rio C N3 eSAP ELCMHT NUHT Orion EPR Sepia Rio MH

8. Achievements to date • Achieved NHS Code Of Connection • NHSNet/N3 connection • Information sharing agreements in place • Completed SAP secure email Pilot • Way forward on eSAP locality solution • Technology Delivery • Access to Cerner EPR from LBN • Access to Sepia from LBN • Access to Serco Community Matron system from LBN • Access to CareFirst from PCT, MHT and NUHT • Access to NHS Intranet pages • Reciprocal access to LBN, PCT, NUHT and ELMHT Intranets • Reciprocal access to LBN, PCT, NUHT and MHT email addresses • Reciprocal access to LBN, PCT, NUHT and MHT phone numbers • Locality access to secure email

9. Policy Changes Environmental Changes Performance Measurement Shared complete view of the person Business Integrated Streamlined Processes What current things can we do differently? What new things Can we do? Change working practices KM Trg & Dev HR Finance Reporting Process support Care records Email Authentication Dir Intranet Application foundation Secure Infrastructure Info Governance and Sharing Protocols Technology Service Delivery Asad Butt- Newham Adult Services 07888 668210

10. Flexible working tools • Enabling technology • OWA • Push email • Terminal server • Tablets • VOIP phones • Wireless LANs • Broadband • 3G Cards

11. Flexible working tools • Enabling technology • OWA • Push email • Terminal server • Tablets • VOIP phones • Wireless LANs • Broadband • 3G Cards

12. Flexible working tools • Enabling technology • OWA • Push email • Terminal server • Tablets • VOIP phones • Wireless LANs • Broadband • 3G Cards

13. Flexible working tools • Enabling technology • OWA • Push email • Terminal server • Tablets • VOIP phones • Wireless LANs • Broadband • 3G Cards

14. Flexible working tools • Enabling technology • OWA users • Push email users • Terminal server • Tablets • VOIP phones • Wireless LANs • Broadband • 3G Cards • Flexible working types • Mobile worker • Nomadic worker • Home worker • Occasional Home Worker • Ad-Hoc Home Worker • Office Worker • Partner Agency Worker

15. No formal evaluation but…. • “you will have to pry it from my cold dead hand” • Take up is strong • Councillors • Managers • Practitioners • 2900 OWA/Terminal server users • >580 Push email users • Logically • Improve meeting attendance & preparedness. • Address work/life balance challenges. • Deliver overall efficiencies in the day to day operations undertaken. • Enable the manager to work effectively from any location. • Decision making effectiveness improved. • Provide a financial benefit from the use of mobile technology. • Improve the ability to respond to emergency situations in a timely fashion. • Anecdotally people like it • www.egovtv.tv • "Can respond to issues using phone when not always possible to use laptop" • “stops me worrying if I have not been able to get back to the office” • “I can work at times more convenient to me”

16. Policy Changes Environmental Changes Performance Measurement Shared complete view of the person Business Integrated Streamlined Processes What current things can we do differently? What new things Can we do? Change working practices KM Trg & Dev HR Finance Reporting Process support Care records Email Authentication Dir Intranet Application foundation Secure Infrastructure Info Governance and Sharing Protocols Technology VDSB>R Service Delivery SharePoint

17. Challenges and enablers • Currently different network drives n and z eg forms, budgetry info. Each only available to half the team. • PCT caseload Database – only available to PCT • Calendar access –LBN people can not see PCT diaries and vice versa. Some PCT people use whereabouts sheet rather than Calendar. • Meeting rooms and other common resources available to be booked by the whole team • Local policies and procedures not always up to date or easily located • Minutes of mtgs not always available e.g. team, mgmnt, H&S etc • Images are used for accessibility of information – distributed across many places • Sharing and publishing info to the LD Internet site • Internet – links to BILD, CSCI, HCC, Valuing people, FPWLD, DoH, etc • Number of contact lists not always up to date • Team calendar for important mtg eg partnership boards etc • Cautionary Contacts currently only available to LBN people

18. Solution • SharePoint site • 100 people • 2 networks • Offering • Document libraries • Team sites • Meeting sites • Project sites • Resource booking • Announcements • Discussions • Surveys • Whereabouts • Shared Contacts • Shared Favourites

31. Very early days but….. • The major benefit groups identified are: • Strategic enablement of a true partnership through a common infrastructure • Improvement in team cohesion and morale • Some improvements to the Quality of Service • Process Improvement, leading to some productivity benefits

33. SharePoint Lessons learned • Coordinating practitioners with one ICT department can be interesting. Working with two………… • Working with a local authority agenda can be interesting. Working with the NHS agenda as well…….. • Responsive ICT support is reqd in the setup stage • Technology can be a challenge but change is the hard part • Senior managment sponsorship is essential • …but so is coal face engagement (super user selection) • Clear links to the core activities and addressing today’s challenges • Be clear about the scope • Do the benefits work up front • Training is required • Maintaining visibility, commitment and momentum is essential • Practitioner find it quite hard to imagine but easy to redesign • It takes longer than you think to get a taxonomy defined • Communication

34. Thank you Asad Butt Improved Ways of Working Programme Manager asad.butt@newham.gov.uk 07888 668210