Implementing Recovery through Organisational Change Fiona Houston, Service Improvement Manager 2014
What is ImROC? The Implementing Recovery through Organisational Change (ImROC) programme is a new approach to helping people with mental health problems. In mental health, recovery means the process through which people find ways to live meaningful lives, with or without the on-going symptoms of their condition. ImROC aims to change how the NHS and its partners operate so that they can focus more on helping those people with their recovery. http://www.imroc.org/
What are the 10 key organisational challenges? 1. Changing the nature of day to day interactions and the quality of experience of people using services and those close to them. 2. Delivering comprehensive service user led, co-produced, education and training programmes. 3. Establishing a Recovery College to drive the programmes forward. 4. Ensuring organisational commitment creating a recoveryfocused culture at all levels. 5. Increasing personalisation and choice.
What are the 10 key organisational challenges? 6. Changing the way we approach risk assessment and management. 7. Redefining service user involvement. 8. Transforming the work force to include peer workers. 9. Supporting staff in their journey of recovery and transformation. 10. Increasing opportunities for building a life beyond illness. Adapted from Implementing Recovery: A new framework for organisational change Boardman, J and Shepherd, G. (2009) Centre for Mental Health
ImROC in Northern Ireland Introduced to Northern Ireland in 2013 Half day meeting with the Senior Executive Team which consists of Chief Executives from each of the five Trusts across Northern Ireland, representation from HSC and the Public Health Agency Each Trust nominated a lead for the programme who established a Project Team including people using services, relatives/friends and key leads from each of the service lines
ImROC in Northern Ireland The Trusts benchmarked themselves across the three identified service lines against the 10 ImROC organisational challenges ImROC team visit to support the Project Team in reviewing their baseline self-assessment, confirm priorities for action and begin the process of drawing up action plans and agreeing next steps Visit to ImROC site Central & North West London
ImROC in South Eastern HSC Trust
ImROC in SET...the journey so far Organisational challenges identified 1. Transforming the workforce 2. Delivering comprehensive co-produced recovery education & training programmes; and Establishing a Recovery College 3. Increasing personalisation & choice Four sub groups formed
ImROC in SET...the journey so far The sub-groups are: 1. Transforming the workforce 2. Delivering comprehensive co-produced recovery education & training programmes; and Establishing a Recovery College 3. Increasing personalisation & choice 4. Communications Established & meeting regularly Action plans developed Beginning to move actions forward
Why is this important? http://www.youtube.com/watch?v=1mwguj cdcpe
Transforming the workforce Cultural change & organisational change Peer support workers Preparing the staff & teams Training & awareness sessions
Delivering comprehensive co-produced recovery education & training programmes; Establishing a Recovery College To pilot, deliver and evaluate 5 co-produced education and training programmes by March 2014 To establish a recovery college where the programmes can be delivered January 2014 Upscale and roll-out education and training programmes through the Recovery College model of Hub & Spokes from April 2014 But, what is a recovery college?... http://www.cnwl.nhs.uk/recovery-college/
CNWL Recovery College Video
Increasing personalisation & choice Invest in peer workers to support staff Promote supported living Support back to community living Training in coaching, telling your storey & person centred planning
Communications sub group Cultural change within the Mental Health programme so that it has Recovery principles and practices at its core Professional, clear and consistent image/message of what ImROC is with staff, service users, carers and other key stakeholders Awareness sessions (20 minutes & 2 hour) Senior staff briefing Newsletter Website Facebook, Twitter ImROC as standing agenda on all stakeholder group meeting agendas Lunch & learn sessions ImROC Awareness week! Monitor/ assess the effectiveness of the communication tools used
Challenges to date Overlapping objectives e.g. training links in to all 3 objectives Communicating information to service users, carers and staff clear understanding of what ImROC is how it s being implemented locally promoting positive messages about change language sharing the learning and actions from the learning sets Realistic timeframes Resources to implement the action plans Maintaining & supporting service user & carer involvement Need for regional over-arching group / direction & shared learning
Achievements so far... Recovery College Hub identified Funding for Recovery College Co-ordinator Courses being co-produced X8 Peer Support Workers being recruited Risk, safety & recovery workshop Team Recovery Implementation Plans Training for Trainers Service line workshops for staff Both Jackie & I found both speakers amazing. Waldo s personal experience is encouraging to hear as it is a true success story with all the practicalities of struggling with mental health issues. Rachel is very Socratic in her delivery which works very well in this very innovative field of recovery and empowerment. We were encouraged to continue what we are doing and also reassured that what we are doing is right Action plans developed & being delivered on Recognition from ImROC on how much we ve achieved in a very short period of time
What s happening soon?... Redefining Service User Involvement TRIPs ImROC Awareness raising sessions Delivery of 1 st co-produced, co-delivered workshops What is recovery & ImROC? Navigating the Mental Health System Telling your story New staff