How can the system respond to blocks and barriers faced by clients?

Dom Wood, System Change Group Chair

The System Change Group is made up of individuals from services across the city who work with clients with multiple

and complex needs. Members have a commitment to making change happen; creating solutions to blocks in

the systems that are experienced by these clients.

‘ ‘

Aaron, IF Group

I greatly value having an outlet to use my lived

experience to help change the system for good. After

years of battling with it all by myself, I enjoy being able to

contribute to something that could possibly mean

that my downfalls aren't experienced by someone

else in the system, that's a real privilege.

‘

‘

supp

ort

of chairs common

language

follow up sharing lear

ning

workshops

m

eeting support 1:1 su

ppor

t

d

rop

ins

training

System Change Group

BLOCKS AND BARRIERSSystem Change Group

members

service user groups

experiences from within their own services

other groups members belong to

Increased confidence in the group’s ability to effect change.

Increased confidence in ability of individual members to effect change.

Improvement in the group’s ability to influence the wider system.

Greater sense of ownership over the activities held by members of the group.

Over the last 6 months members have reported:

Work is also underway across the rest of the Golden Key partnershipNo. of system change activities ongoing and completed:

ongoing

completed

4

6

21

23

15

3

System Change Group

Service Coordinator Team

Programme Team

Cross partnership

Creation of an active network of cross-sector Agents of Change by merging the System Change Group and Homeless Health Board.

Client informed lapse leaflet now available in dry houses.

Adult safeguarding: Improved internal procedures within drug & alcohol services (see case study below).

Improved access for dual diagnosis: key performance indicators and recommissioning expectations around joint working between drug & alcohol services and mental health services.

incr

eas

e in

sys

tem

ch

ang

e a

ctiv

itie

s h

eld

be

twe

en

21

1%20

1620

17+organisations15

represented in the group

data source Dec 2017: InForm tracking of Golden Key clients.

The Service Coordinator Team observed over 500 blocks and barriers in their first phase of work, in these areas:

32% 8% 23%10% 4%17% 6%

drug

& a

lcoh

ol

men

tal h

ealth

hous

ing

cros

s-se

ctor

soci

al ca

re

othe

r

offe

ndin

g

Golden KeyService

Coordinator Team

Golden Key Partnership

Board

Golden Key Peer Mentor

Service

wh

ere

are

th

e b

lock

s?w

hat

act

ivit

y is

hap

pe

nin

g?

wh

at is

th

e g

rou

p d

oin

g?

IF Grouplived experience

Activity undertaken by a member of the System

Change Group

improving the effectiveness

of referrals into the adult safeguarding team from drug & alcohol agencies

da

ta s

ourc

e D

ec 2

017

: Sys

tem

Cha

nge

Gro

up a

ctiv

ity lo

g a

nd s

urve

y

Spring 2018

Referral process does not always meet client need.Block:

Increased referral success rate - reduced work for staff - streamlined processesAspirations:

create an internal

threshold for referrals

Activities:

Ou

tco

me

s:

Staff feel supported and better able to

hold risk

increased rate of

successful referrals

Reduction of work for

internal staff team

Reduction of work for

safeguarding team

identified need for drug & alcohol training

for safeguardingteam staff

Examine INTERNAL processes

System Change Group

member applied to be

Voscur advocate on

Bristol Safeguarding Adults Board

Createpotential for

GREATER IMPACT

Across ROADS: gather an

evidence base relating to

experiences of safeguarding

referrals

Examine EXTERNAL processes

Streamline forms:modify

internal form to match

safeguarding team’s form

System Change Group member

spoke at a social worker conference

about capacity amongst adults with drug use

issues

SHARE with social

workers

1.

2.

3.

4.

system change activities23

ongoing

system change activities

completed4

group members

have completed SchumacherSystem Thinking

training

ofmembers

act as a “buffer”:

review referral forms before submission

Create an internal rolefor adult safeguarding

Case Study: Safeguarding