Part 3 of…

CHANGE, LEADERSHIP AND THE INTERDISCIPLINARY TEAM

CORK

JUNE 10TH 2009

Malcolm Rae, OBE, F.R.C.N.,

Mobile: 07969895710Email:malcolmrae@blueyonder.co.uk

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Crime, violence, drugs and alcohol. What will Crime, violence, drugs and alcohol. What will this mean for future health care? this mean for future health care?

HEALTH, SOCIAL, ECONOMIC AND HEALTH, SOCIAL, ECONOMIC AND ENVIRONMENTAL CHANGES AHEAD ENVIRONMENTAL CHANGES AHEAD (CONT’D)(CONT’D)

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Housing. Urban planning.Housing. Urban planning. Ryan inquiryRyan inquiry

HEALTH, SOCIAL, ECONOMIC AND HEALTH, SOCIAL, ECONOMIC AND ENVIRONMENTAL CHANGES AHEAD ENVIRONMENTAL CHANGES AHEAD (CONT’D)(CONT’D)

Terrorism.Terrorism.

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ENVIRONMENTS MATTER – ENVIRONMENTS MATTER – LILIES LOVE WATERLILIES LOVE WATER

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NEW HORIZONS – REPLACING THE NEW HORIZONS – REPLACING THE NATIONAL SERVICE FRAMEWORKNATIONAL SERVICE FRAMEWORK

What do you consider are the service What do you consider are the service

developments which have been successful?developments which have been successful?

What changes would you like to see in mental What changes would you like to see in mental

health services over the next 10 years?health services over the next 10 years?

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NEW HORIZONSNEW HORIZONS

Advance high quality care, build on new teams, i.e. Advance high quality care, build on new teams, i.e.

Early Intervention, improve accessEarly Intervention, improve access

Responsive to gender needsResponsive to gender needs

Maintain social networksMaintain social networks

Concern for those who lead chaotic lives and to Concern for those who lead chaotic lives and to

look closely at the needs and support for people look closely at the needs and support for people

with long standing problemswith long standing problems

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NEW HORIZONSNEW HORIZONS (cont’d)(cont’d)

Compelling vision for public mental health:Compelling vision for public mental health:– PreventionPrevention– Health promotionHealth promotion– Quality of lifeQuality of life– Ambition and hopeAmbition and hope– Building on strengthsBuilding on strengths

Link to emerging strategies for children/YPLink to emerging strategies for children/YP

Tackle inequalities including DRE and Older Tackle inequalities including DRE and Older

People’s Mental HealthPeople’s Mental Health

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NEW HORIZONSNEW HORIZONS (cont’d)(cont’d)

Ensure carer concerns are met, information, Ensure carer concerns are met, information,

support, opportunities to influence care and support, opportunities to influence care and

serviceservice

Enable commissioners to grasp and take forward Enable commissioners to grasp and take forward

prioritiespriorities– Service user / carer perspectivesService user / carer perspectives– Whole systemWhole system– Social integrationSocial integration– HousingHousing– DebtDebt– Recovery and inclusionRecovery and inclusion

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NEW HORIZONSNEW HORIZONS (cont’d)(cont’d)

Stigma and discrimination to be improved, shape Stigma and discrimination to be improved, shape

public attitudespublic attitudes

Strategy for mental health and employment – real Strategy for mental health and employment – real

social inclusionsocial inclusion

Encourage employers to support the well being of Encourage employers to support the well being of

their staff and assist in returning to worktheir staff and assist in returning to work

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NEW HORIZONSNEW HORIZONS (cont’d)(cont’d)

PartnershipsPartnerships– Service users, carers and staffService users, carers and staff– Different agenciesDifferent agencies– Personalisation agenda, informed choice, direct Personalisation agenda, informed choice, direct

paymentspayments– Well being, emotional and physical health needs to be Well being, emotional and physical health needs to be

metmet– Improve access to services for prisoners with mental Improve access to services for prisoners with mental

health problems and better follow up on releasehealth problems and better follow up on release– Media strategiesMedia strategies– Personal outcomes and recoveryPersonal outcomes and recovery

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WHAT IS YOUR ROLE?WHAT IS YOUR ROLE?

Develop skills to understand the complexity / Develop skills to understand the complexity / and dilemmas.and dilemmas.

Develop a capability to handle combined Develop a capability to handle combined information.information.

To learn new ways of appreciating a situation, To learn new ways of appreciating a situation, which called for the particular policy.which called for the particular policy.

If in doubt, seek assistance to aid understanding If in doubt, seek assistance to aid understanding and application.and application.

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WHAT IS YOUR ROLE?WHAT IS YOUR ROLE?

Ask yourself, how will these changes impact Ask yourself, how will these changes impact on patient care? Will it improve or negate?on patient care? Will it improve or negate?

Become fluent in policy and environmental Become fluent in policy and environmental influences.influences.

Sharpen your cost awareness and learn how Sharpen your cost awareness and learn how to prove the financial worth and cost to prove the financial worth and cost effectiveness of nurses.effectiveness of nurses.

Horizons scan – look for new developments, Horizons scan – look for new developments, trends, opportunities and threats.trends, opportunities and threats.

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SOME IDEAS TO AID UNDERSTANDING SOME IDEAS TO AID UNDERSTANDING OF HEALTH AND SOCIAL POLICYOF HEALTH AND SOCIAL POLICY

Ask your professional organisation.Ask your professional organisation.

Read professional journals and quality Read professional journals and quality newspapers for ideas and analysis.newspapers for ideas and analysis.

Look for examples of successful Look for examples of successful implementation.implementation.

Get involved with working parties / groups.Get involved with working parties / groups.

Create a contemplative space.Create a contemplative space.

Read, study, learn, apply and implement.Read, study, learn, apply and implement.

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FOUR POLITICAL SKILLSFOUR POLITICAL SKILLS

Always keep the initiativeAlways keep the initiative

Exploit the inevitableExploit the inevitable

Keep in with the outKeep in with the out

Never stand between a dog and a lamp Never stand between a dog and a lamp

post or you will get caught in the cross post or you will get caught in the cross

firefire

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HORIZONS AND LANDSCAPESHORIZONS AND LANDSCAPES

Moving to the next stage of your personal Moving to the next stage of your personal development and career.development and career.

Starting out from different base camps – Starting out from different base camps – aspiring, emulating, striving, progressing, aspiring, emulating, striving, progressing, achieving.achieving.

Reaching new and exciting heights.Reaching new and exciting heights.