Innovations in Job Retention and Supported Employment in Primary Care Michael Duignan-Murphy Derek Thomas Kerry Turner

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Innovations in Job Retention and Supported
Employment in Primary CareMichael
Duignan-MurphyDerek ThomasKerry Turner
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About mcch A home a job and a social life

• mcch society ltd is a voluntary organisation with
  charitable status, supporting individuals, with a
  variety of disabilities, to live full and valued
  lives, in areas including London, Kent and Essex
• We believe it to be important for everyone to
  have the chance to choose where they live, have
  the opportunity to be meaningfully employed and
  have a full and fun social life.
• mcch works in partnership with a diverse range of
  partner organisations (across sectors), in order
  to provide person centred, innovative and
  individually tailored services, which puts the
  individual at the centre of service provision.
• mcch Employment Vocational services offer a
  range of provision, in which people with learning
  disabilities and people with mental health issues
  are supported to be socially and economically
  active through a range of paid employment
  options, underpinned by the IPS model.

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mcch EV and the National Context

• Within our services, the Realising Ambitions
  agenda provides a foundation for service
  delivery. Individuals are supported, encouraged
  and expected to gain employment and pursue
  successful working lives, availing of the IPS
  model in developing the building blocks for
  sustainable change, innovative partnership
  working and the Individual at the centre of
  service provision.
• Health and Wellbeing agenda New Horizons
  Transforming Social Care
• Public Sector Agreement targets N150, N152
  Making inclusion for people with health issues in
  the workplace, not only a national indicator
  through Public Sector Agreement targets, but a
  reality for Individuals with health issues.
• Health and Wellbeing agenda

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Primary Care Services

• IAPT Employment Advisor Pilot
• This pilot focuses on the provision of job
  retention support in conjunction with clinical
  support for each Individual accessing the service
  in order to support them to retain their
  employment.
• Employment, Health and Well being in Primary
  Care
• This project has been developed with Department
  of Health section 64 funding to work directly
  with Individuals, employers and GP practices to
  develop early intervention supported employment
  initiatives for Individuals with mental health
  issues accessing primary care services, as well
  as signposting as appropriate to achieve optimum
  wellbeing and full social inclusion

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Aim of the Services

• Support Individuals to retain and / or find
  employment
• Support Individuals to return quickly to their
  employment
• Support employers to manage sickness due to
  mental ill health
• Establish and develop communication pathways
  between Individual, GP, employer and other
  partner agencies
• Reduce the barriers to employability
• Develop independent networks of support,
  including Peer Forums and Community Contacts

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Service Delivery

• Employment Specialists and Individual work
  together to achieve employment goals
• An experienced mcch staff team supporting both
  the Individual and their employer in long term
  sustainable employment
• Signposting and Information, Advice and Guidance,
  for each individual, in order to access
  appropriate support mechanisms, for example,
  Signpost Kent, Counselling Services and Job
  Centre Plus
• Support employers to understand the benefits of
  health and well-being across their workforce
  through seminars, workshops and information
  sessions
• Mental Health awareness training provided to
  employers and work colleagues

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IAPT Employment Advisor Pilot

• January 2009 launch of 2 year IAPT Employment
  Adviser Pilot
• mcch operate the Southeast element of 11
  nationwide Pilots in the defined area of
  Maidstone and Weald only
• In partnership with Kent and Medway NHS and
  Social Care Partnership Trust (KMPT)
• KMPT Therapists offer high and low intensity
  therapy
• mcch Employment Advisors provide job retention
  support
• Combined support with access to both clinical and
  employment support
• Referral routes

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IAPT Referral Sources
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• IAPT JOB RETENTION

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Challenges

• Clinical and employment support being embedded
• Change of Clinical provider
• Confidentiality and sharing information
• Partnership working
• Referral sources GPs getting foot in door
• Employment

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Overcoming Challenges

• Defined staff link between organisations
• Joint referral form implemented
• Information sharing agreement in place
• Greater awareness of the importance of early
  intervention
• Consistent presence at Team meetings and
  networking,
• including informal communication
• Promotion of employment support reducing waiting
  lists
• Employment Support before therapeutic
  intervention can lead to
• individual not requiring clinical support
• Flexibility and adaptability helping each other
• Continual marketing and promotion
• Persistence, particularly with GPs
• Using Case Studies to promote service offer
• Improving health and wellbeing, promoting
  recovery

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Employment, Health and Wellbeing in Primary Care
project

• April 2008 launch of 3 year project
• mcch operate project in both North and Southeast
  Kent
• Work in partnership with a range of partners,
  across sectors, with the Individual we are
  supporting at the heart of service provision
• mcch Employment Advisors provide job retention
  support ,support Individuals to gain paid
  employment and promote social inclusion

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Challenges

• New service model setting a new agenda
• Promotion and marketing of health and well-being
  through employment and social inclusion
• Supporting employers to retain their staff and
  therefore achieve the needs of their business
• To support cultural change with employers and all
  partner organisations
• Developing and establishing communication
  pathways with GPs and employers
• Accessing employers to provide ongoing support in
  terms of conflict resolution, mental health
  awareness training and reasonable adjustments

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EH W Referrals
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Overcoming Challenges

• Establishing clear systems and processes
  including referrals, Individual assessment and
  ongoing employment and job retention support
• Flexible processes to meet the needs of referrers
  and Individuals
• Demonstrating an ability to alleviate pressures
  on GPs supporting individuals with mental health
  issues
• Developing working relationships and partnership
  processes with Practice Managers, GP Leads,
  Employers and other Providers
• Being clear on service provision and signposting
  to other services as appropriate
• Support employers to understand the benefits of
  health and wellbeing across their workforce
  through seminars, workshops and information
  sessions designed specifically for that
  employer
• Providing ongoing support to employers in terms
  of conflict resolution, mental health awareness
  training and reasonable adjustments
• Development of a database for recording outcomes
• Persistence and enthusiasm in promotion and
  marketing

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Case Studies TestimonialsQuestions?Contact
Details

• Michael Duignan-Murphy m.duignan-murphy_at_mcch.co.
  uk
• Kerry Turner k.turner_at_mcch.co.uk
  rnr_at_mcch.co.uk
• Derek Thomas d.thomas_at_mcch.co.uk