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PEOPLE, PRACTICE & PARTNERSHIPSTHE CORNWALL KEMENETH APPROACHSUZANNE WIXEYSERVICE DIRECTOR & PROJECT SROCORNWALL COUNCIL

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WHERE WE WERE

2

A WORKFORCETHAT CARE

LOADS OF AMBITION

GOOD IDEA OF THE PROBLEMS

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THE WHAT IS EASY!

THE HOW IS THE HARD BIT!

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KEMENETH

DOING THE RIGHT THINGS

FAILING FAST

DESIGN YOUR OWN JOB

YOUR ROLE(AS A LEADER)

DELETING GOVERNANCE

BLACK BOX

THE CHANGE JOURNEY

4

TIME

CH

AN

GE

CHANGEGOAL

EXAMPLES

• Asset based approach

• Better productivity

• Lower DToC

• More efficient services

• Savings

• Etc.

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KEMENETH

DOING THE RIGHT THINGS

FAILING FAST

DESIGN YOUR OWN JOB

YOUR ROLE(AS A LEADER)

DELETING GOVERNANCE

KEMENETH OVERVIEW

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DOING THE RIGHT THINGS

6

EVIDENCE BASEDDECISION MAKING

IDENTIFYING THEREAL ROOT CAUSE

BELIEVING THEDIAGNOSTIC

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INCREASING REABLEMENT CAPACITY

There are only 3 things you can do:

1. Add more resource

2. Improve the resource efficiency

3. Reable people faster

7

REABLEMENT JOURNEY

ONBOARDING(1 DAY)

ACTIVE REABLEMENT(30 DAYS)

DISCHARGE DELAY

(5 DAYS)

ONBOARDING(1 DAY)

ACTIVE REABLEMENT(14 DAYS)

DISCHARGE DELAY

(5 DAYS)

System was focussed completely on the discharge delay, only worth 5 days.

Instead, focussing on the reablement itself saved 16 days, doubling the capacity of the service.

KEMENETH PROGRAMME CHANGE

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FAILING FAST

8

RELENTLESSFOCUS & GRIT

BETTER OUTCOMEFASTER

MEASUREMENT& FEEDBACK

RELENTLESSFOCUS & GRIT

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DESIGN YOUR OWN JOB

10

CO-DESIGN &ENGAGEMENT

EXPERTISE

DEFINE ROLES BYPROCESS & PRACTICE

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STEPS identify that

some of the person’s

needs cannot be re-

abled and represent

definite ongoing needs

STEPS contact the CC to

discuss the person’s

ongoing needs and the

support that STEPS are

currently providing to

meet these needs. This

support will be replaced

by an agency through an

Interim Support Plan.

STEPS send a ‘referral to

ongoing care’ form to

Access. Access allocate

this to the correct Care &

Support Team.

STEPS contact the CC

to discuss the

reablement progress

made and the person’s

ongoing level of need.The Assessment is

allocated, opened and

paused. An Interim Plan is

submitted for the level of

care discussed with

STEPS, and started as

soon as possible.

The CC completes the

Assessment, CPM and

Support Plan, which is

submitted to Brokerage

and replaces the interim

care. No 6-week review is

required.

Interim Care begins and supports the

needs which STEPS identified cannot

be re-abled

Reablement continues

ST

EP

SC

AR

E &

SU

PP

OR

T

Reablement ends and STEPS

no longer involved

Reablement started

EXAMPLE PROCESS DESIGNED BY FRONTLINE STAFF

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YOUR ROLE (AS A LEADER)

13

TIME

FAST PACEDDECISION MAKING

DEVELOPMENTNOT TRAINING

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DELETING THE GOVERNANCE

14

DESIRED IMPACT?

STAFF ENGAGEMENT

REMOVEBUREAUCRACY

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ENGAGEMENT SURVEY

15

Select Below Here

felt there was lots ofroom for improvement in their area.

said the reasons behindwhy we are changing are clear to them.

agreed that thechanges will help us deliver better outcomes for service users.

said they were keen to change things for the better.

believe that with the right support the changes are achievable.

felt comfortable they could speak to their manager about the changes if needed.

are clear, and if asked, could describe the details of what is actually going to be different.

understood how the changes will impact them.

75

100

100

50

100

100

25

75

%

%

%

%

%

%

%

%

Other 50% responded ‘I don’t know yet’.

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IF YOU REMEMBER NOTHING ELSE

1. Workforce is your biggest asset –use them to design and lead the change

2. Leadership – be ambitious, hold your nerve and challenge bureaucratic governance

3. Let the data lead and guide you –rather than what you think the solution is

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KEMENETH

DOING THE RIGHT THINGS

FAILING FAST

DESIGN YOUR OWN JOB

YOUR ROLE(AS A LEADER)

DELETING GOVERNANCE

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KemenethOutcomes

Hospital

discharges

to residential

reduced by

10%

(improving

every week)

Referrals for

reablement

increased by

75% across the

county

Average

package of care

provided at

assessment

halved

On track to save

in excess of

10% from the

Adults’ budget

Social care

DToC reduced

by 40%