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South West

Development Centre

Working for positive outcomes

for health and social care
in the South West
CSIP South West Development Centre

Foreword 3

About CSIP South West 4

Our approach 5

1 Mental health 8

2 Social care, older people and learning disability 14

3 Children and families 17

4 Health and social care in criminal justice 20

5 Commissioning 24

Have your say / contact us 27

Our team 28

Our future lies in the South West strengthen its presence in the regions and
the Office of the Strategic Health
Health and social care services in the Authorities’ (OSHA) Review of National
South West region are faced with some Programmes.
challenging questions. For example,
• How do we gear services to support We welcome the increased involvement of
people to lead their lives fully and the South West Strategic Health Authority
independently in ways they choose? (SHA) to ensure our work continues to be
• How can services to be more accountable, and driven by regional
responsive to the needs of their local priorities. We are also working more
communities? closely with our regional Public Health,
• How can we ensure everyone has equal Government Office and Third Sector
access to high quality care? colleagues. We look forward to building
• How can services work with local on our already strong working
communities to plan now for the relationships in the future.
changing demands of an ageing
population? Through strong partnerships, we work
where it is most needed and where it is
Given the day-to-day pressures of making a difference to people's lives.
delivering services, it is not easy to find
Paddy Cooney
space to think collectively about solutions
Regional Director
to some of these complex but urgent CSIP South West Development Centre
questions. Our role in CSIP South West is
to support services to do just that and, in We support local organisations to
the process, bring about self-sustaining improve health and social care services
improvement. to meet better the needs of:
• people with mental health problems
• people with learning disabilities
While we have remained focused on
• older people
delivering the business in hand, we have
• children and families
been through a process of significant • people in the criminal justice system;
organisational change as part of the and
Department of Health’s programme to • the families, carers and supporters of
these groups.

CSIP South West Development Centre

About CSIP South West

Supporting the delivery of Department of Health policy priorities at a national,
regional and local level to bring about improvements in health and well-being.

Care Services Improvement Partnership is We are accountable to the Strategic

a partnership of four national improvement Health Authority for our regionally agreed
programmes, delivered regionally. programmes of work. We also have an
accountability to the director of the CSIP
The Department of Health (DH) and the National Support Office for discharging
Strategic Health Authorities (SHAs) have our responsibilities for work commissioned
implemented changes to the Care centrally, and for ensuring that we
Services Improvement Partnership’s role contribute to nationally agreed
and way of working. programmes.

The changes were agreed following a We have agreed a change plan that
thorough review of CSIP’s eight regional outlines how CSIP South West will
development centres (RDCs) and continue to support working across the
nationally coordinated programmes that NHS and social care, engaging with local
come under its auspices. government and the Government Office
network. CSIP South West and the South
The value of CSIP’s programmes has been West Strategic Health Authority will keep
recognised and their role in supporting key partners and stakeholders informed of
improvement across and beyond health progress on a regular basis.
and social care remains pivotal to the
effective delivery of an ambitious policy Our role is to support the
agenda. delivery of DH policy priorities
at a national, regional and
CSIP South West is commissioned by the
South West Strategic Health Authority and local level to bring about
the Department of Health. improvements in health and

Our approach

Our approach
A regional partnership for
regional priorities
Our Regional Development Centre ensures
a strong emphasis on regional priorities.
We work in partnership with DH, the South
West Strategic Health Authority, the
Government Office for the South West and
local government to promote and support
the improvement and innovation of local

Developing shared solutions

We adopt a collaborative approach,
understanding the needs of our partners
from the public and Third Sector and work
improve outcomes for people who use
with them to achieve shared solutions for
health and social care services.
the improvement and innovation of local
Staff include practitioners and managers
from health and social care, education and
criminal justice services, and people with
We achieve this by:
experience of working in the statutory,
• developing the capacity and capability
voluntary and independent sectors. We
to achieve improvements in delivery
also employ carers and people who use
• supporting policy implementation, and
services directly to help to ensure that our
• supporting the development of policy
approach is centred on people’s real
needs, and experience.
The diagram on page 7 illustrates this
The team has a valuable depth of
practical, clinical and managerial acumen.
Founded on experience Our consultants regularly provide
Here at CSIP South West we have a facilitation to senior managers for effective
dedicated team of highly skilled decision making, planning, and strategy
consultants offering a wide range of development.
services to support local organisations to
CSIP South West Development Centre

Focussed on local communities Diverse consultancy services

The team also provides facilitation to The diagram below illustrates the diverse
engage communities in planning more range of consultancy services that we
appropriate and responsive services, provide.
ensuring that local strategies and action
plans reflect community needs and
priorities. To achieve this, team members
combine their experience of working with network
teamwork support service
local communities and understanding of development redesign
policy issues with the knowledge of how capacity strategy leadership
local services work, in order to develop planning development development

clear and focused analysis of often workforce planning facilitate peer

and development group support
complex situations.
tools and
guidance evaluation
Committed to integration and events
partnerships project design policy
and management implementation
We continue to model and promote
integrated ways of working across health,
social care and the wider public and Third
Sector; an approach that is focused on,
and responsive to the practical and
organisational challenges of driving whole Core work programmes
system change. Our activity is focused on five core work
Supporting effective leadership 1. Mental health
and teamwork development 2. Social care
We provide effective leadership and 3. Children and families
teamwork development support for local 4. Health and social care in
organisations. Our support helps to
criminal justice programme
mobilise teams to define and achieve
5. Commissioning
shared goals. It also helps people to
understand and identify how to improve
This brochure provides a flavour of some
the experience of and outcomes for
the shared solutions we have successfully
people from diverse communities who use
delivered in order to meet our local
local services. This work is led by
partners’ priorities.
Professor Steve Onyett.

Our approach

Examples include:
• reducing delayed transfers from hospital for older people through improved data collection,
analysis and mapping the journey of people who use services
• working closely with service providers and people who use services, using evidence-based
tools and technology to deliver high impact changes in mental health
• working closely with many local authorities to develop sustainable efficiency improvements in
adult social care.

Developing the capacity and

capability locally to achieve
improvements in delivery


Supporting the Supporting

development policy
of policy implementation

Supporting system change

Examples include: Examples include:

• supporting the development of the • supporting the regional implementation of the
strategic framework for improving health National Dementia Strategy
in the South West following the Darzi • supporting services to implement
review improvements identified in the HealthCare
• leading the Department of Health Commission’s audit of inpatient mental health
consultation on the Commissioning services
Framework for Health and Wellbeing • supporting the implementation of Valuing
with input from regional partners, and People Now
• developing national demonstration sites • ensuring dignity is at the heart of all care and
through the Improving Access to support, particularly for older people
Psychological Therapies programme. • supporting implementation of the amended
Mental Health Act 2007

CSIP South West Development Centre

1 Mental health
Working to improve the quality of life of people of all ages
who experience mental distress

Our mental health programme is led by the

National Institute of Mental Health in Improving Access to Psychological
England (NIMHE). NIMHE was formed in Therapies (IAPT)
2002 to help the mental health system This is a three year national programme of
implement the Mental Health National investment of £173 million in England to
Service Framework and the NHS Plan. give greater access to people suffering
from anxiety and depression to
We aim to implement national policies for psychological therapies. This will help
local benefit taking a whole system people to better manage their mental
approach across health and social care. health conditions to remain or get back
Our strategic objectives are: into work.
• improving health and well being
• supporting service and performance Over the next three years the South West
improvement Strategic Health Authority Authority is
• promoting equality, access, choice and committed to ensuring that:
independence, and • 90,000 more people are treated for
• supporting system change. depression and anxiety
• 45,000 of them moving to recovery (in
Led by Kate Schneider, Deputy Regional line with National Institute for Health
Director, the CSIP SW mental health and Clinical Excellence guidelines)
programme has 6 workstreams:
• 2,500 fewer people with mental health
• Improving Access to Psychological problems are on sick pay and benefits
• 360 more newly trained psychological
• Effective Commissioning therapists are offering evidence-based
• Wellbeing and inclusion treatment.
• Specialist Mental Health services
• Equalities
• Legislation

Programme lead: Kate Schneider 8

Mental health

To support this we are working closely we have actively supported local

with Strategic Health Authority. implementation networks in the
commissioning of the new advocacy
Between 2008-2011 we will support the service required under the Mental
delivery of: Capacity Act 2005.
• a phased roll-out of IAPT services
across the region We help local organisations with legal
• a regional training plan delivered responsibilities under the legislation to
against national standards develop local implementation networks
• supervision for trainees whilst and delivery programmes, ensuring that
delivering care stakeholders have opportunities to
• employment opportunities for influence the implementation process
graduating trainees, linked to the roll- locally. For example, we have played a key
out of IAPT sites, and role in promoting the development of a
• a partnership approach with network of advocacy provider
employment and training services. organisations. A key element our work is
to provide focused training and awareness
From October 2008, 100 extra raising for key staff and other
psychological therapy workers will be stakeholders.
receiving training in the South West
and by 2010 a minimum of 386 will be
undertaking training or have "a very big 'thankyou' for your continued
completed it. support and commitment, in assisting with
the seminars across the Trust with the
Legislation implementation of the Mental Capacity
Act. The feedback has been extremely
We are delivering an extensive programme
positive and the seminars well received"
of work to support services to implement
the Mental Health Act 2007, the Mental
Capacity Act 2005 and the related
Deprivation of Liberty Safeguards, which
We respond to queries about challenges
require significant changes to practice.
that organisations face, offering expertise,
advice and guidance, and encouraging
We work to inform all relevant
them to share information about what
organisations about the legislation, helping
works and what does not. This includes
them to understand the impact that the
promoting joint working in the delivery of
changes will have on service
training plans. We also provide local
commissioning and delivery. For example,
CSIP South West Development Centre

organisations with information about DRE can bring about positive outcomes
national policy, guidance and other for BME service users and carers, and
initiatives to support local service provide an opportunity for frontline staff
improvement. to consider ways in which they can
better meet the needs of increasingly
Equalities diverse communities.
Delivering Race Equality (DRE) in Mental
Health is a five year action plan introduced Eight Community Engagement
by the Department of Health in 2005 to Projects - supported by the University
tackle inequalities for Black and Minority of Lancashire - have enabled local
Ethnic (BME) people including those of people to get more involved in the health
Irish or Mediterranean origin and Eastern and social care needs of targeted
European migrants. It forms an integral community groups whilst at the same
part of the CSIP equalities portfolio. time acquiring research skills.
Recommendations from these projects
Evidence shows that BME people who are being translated into Statements of
come into contact with mental health Intent.
services fair less well than their White
counterparts in terms of access to
services, experience and outcomes. The
DRE programme aims to:
• support more appropriate and
responsive services
• engage communities in the planning
and development of services, and
• gather and provide information on
people who use services.

In the South West, we are working to

realise these aims in a number of
Forty Community Development
innovative ways.
Workers (CDWs) have been employed
to work strategically across the South
Four Focused Implementation Sites
West region with a range of
covering Somerset, Bournemouth and
stakeholders. As access facilitators;
Poole, Dorset and Plymouth have
capacity builders; change agents, and
demonstrated that the implementation of

Mental health

service developers, CDWs are already an effective approach in helping people

proving to be an effective workforce. who have mental health problems to find
or remain in employment. CSIP South
At a recent workshop for the West regularly holds events to look at
Gloucestershire Primary Mental Health the evidence for IPS and give examples
Development Team West, which included of clients and services who have used it.
local CDWs, participants rated the Delegates can share information and
outcome of the day and the ideas current practice and consider how to
generated at 8.5 / 10, and the agenda develop an IPS-based vocational service.
and facilitation of the event at 9 / 10. The
“one word that described the day” for Suicide prevention
participants were CSIP South West is working to raise
awareness and promote the sharing and
spread of positive practice in suicide
encouraged refreshing , , prevention and reducing the number of
deliberate self harm incidents across the
invigorating motivated , , region. We aim to ensure that prevention
of suicide is seen as everybody’s
energised , and successful business and not just the responsibility
of professionals.

Our work includes supporting a wide

The HealthCare Commission’s Report ‘The range of agencies to
Pathway to Recovery’ and the annual • improve suicide prevention planning
‘Count Me In’ Census, suggest that the and data gathering
unmet needs of BME service users and • reduce suicide and self harm amongst
carers remain a cause for concern. As vulnerable groups and those who do
such, CSIP South West will build on the not engage with services and who are
successes, disseminate the learning and difficult to reach
continue to work with stakeholders in • address clinical and professional
order to realise the DRE programme issues about patient safety, risk
objectives. management, and clinical governance
• deliver targeted action on suicide
Promoting social inclusion through hotspots
employment • identify current research and work to
The Individual Placement and Support put the research into practice
(IPS) model is widely recognised as being
Mental health

• challenge the often negative media LINks

reporting of suicide As part of implementing the recent
‘Local Government and Public
We held a special network event on 10th Involvement in Health Act’ (2007) we are
September 2008 to mark ‘World Suicide supporting the developments of Local
Prevention Day’ and focus regional Involvement Networks (LINks) in
attention on how we tackle these issues conjunction with the Department of
together in the South West. Health and the NHS Centre for
Devon Partnership Trust has led the way
in ‘putting the research into practice’ There will be a LINk in every Local
publishing the Guidance on Action to be Authority area that has social services
taken on suicide hotspots and the responsibility. LINks will encourage and
application of new technologies to reduce support local people to get involved in
the incidence of self harm amongst young how local care services are planned and
people. This has been well received run. They will listen to local people about
nationally and is being used locally to their needs and about their experiences
make a real difference. For example, new of services.
safety features have been incorporated
into the design of a new bridge being CSIP South West is facilitating a

constructed over the River Taw as part of development and support network for

the Barnstaple Western Bypass scheme. local authority LINk leads, as well as
facilitating a development and support

More recently Devon Partnership Trust has network for host organisations. We help

been developing and piloting the use of health and social care commissioners

text messaging as a means of delivering and providers to connect with LINks

psychological support to individuals who locally and to use them effectively.

engage in self harm, and exploring the

Working in partnership with the NHS
potential of social software and on line
Centre for Involvement to design and
communities to foster engagement. It is
develop a syllabus of knowledge and
hoped that this research will make a major
expertise. We use this to offer specific
contribution to help those who self-harm,
support and guidance for LINks leaders/
and also inform the way in which we
governors. We also provide a range of
educate people about it
leadership support to community and
Third Sector organisations to support
capacity building and effective
Mental health

Mental Health Reference Groups scheme to offer guidance for people who
We facilitate local area-based Mental are in receipt of benefits but who wish to
Health Reference Groups that provide a become involved in CSIP South West’s
forum for discussions about the strategic work. We are currently planning a
direction and local priorities for mental regional event about involvement and
health and social care services. The benefits and reimbursement issues.
groups consider and advise on the mental
health service improvement work across Specialist mental health services
the region. They also advise on how the We support local Trusts and their
mental health programme could work partners to ensure that admissions to
more effectively, for example through who acute inpatient care are appropriate,
is involved and the values observed. purposeful, therapeutic and safe.
Following the publication of the results of
The Reference Groups ensure that there the HealthCare Commission acute adult
are opportunities for representation from mental health service improvement
diverse perspectives. Membership review we have adopted the HealthCare
includes people who use services, carers, Commission’s inpatient assessment
voluntary sector representatives and front framework to inform desired local
line practitioners, who all feed into and are outcomes and priorities for service
part of other networks and groups across improvement.
the region.
Working in partnership with local Trusts
Making A Real Difference we aim to ensure that:
CSIP South West has worked with our • an effective acute care pathway is in
partner development centres across the place re admissions and discharges
country to develop a range of useful • there is individualised whole person
resources to support participation of care that promotes recovery and
people who use mental health services inclusion
and their families and friends. This • service user and carers are involved
includes the South West-led initiative to in care planning, how the ward is run,
develop an ‘Involvement Passport’. and in operational and strategic
Download the resources at planning, evaluation and development, and
• safe and therapeutic systems,
As part of our work to implement this in processes and facilities are in place
the South West, in conjunction with the on the ward for service users, staff
Citizens Advice Bureaux we are piloting a and visitors.
CSIP South West Development Centre

2 Social care, older people and

learning disability
Helping to transform care services for adults, particularly older
people, those with long term conditions and people with learning
disabilities, to enhance their quality of life with greater choice and
control, wellbeing and personal dignity.

CSIP’s Social Care Programme relates to the wider social context of people’s lives
including their independence and wellbeing, and their housing, for example, as
well as their health and immediate care needs. We are committed to the vision of
health and social care services that are personalised and meet the needs of

Our programme provides consultancy, Better health and social care for
support and delivery services focussed on older people
the policy priorities from the Department CSIP South West has an established track
of Health’s Social Care, Local Government record of working with whole systems
and Care Partnerships Directorate and in partners in individual communities across
conjunction with the South West Strategic the South West, working with local
Health Authority. The programme is co- partners to improve care pathways for
ordinated by Nye Harries, Regional older people, support local implementation
Change Agent. of the national agenda for older people’s
health and social care services that covers
Our insight into the everyday issues faced physical and mental health, and
by health and social care services enables strengthen partnership working between
us to deliver real results to benefit health local agencies.
and social care professionals and the
services they provide. We engage with We are working on the following themes in
managers, clinicians and practitioners to 2008/9:
redesign pathways, improve skills and
• Dementia: supporting local
motivate the workforce. implementation projects and regional
development activities, including

Programme lead: Nye Harries 14

Social care

sponsoring and sharing innovative

"we have found CSIP support extremely
practice, for the new National Dementia
helpful, it has helped us to move forward
Strategy . This covers the full range of
with partnership working and also provided
care settings, including home support constructive challenge."
from NHS and social care community PCT Director of Nursing
services, care homes, general acute
care and specialist mental health care.
• Dignity in Care: providing regional
support for local projects as part of the
national Dignity in Care campaign.
"CSIP have been helpful in both pointing out
• Older People’s System Reform: options and opportunities and in direct
undertaking whole systems facilitation of sometimes difficult discussions
reviews of care pathways in and and situations. ….progress that has been
out of hospital, with a particular achieved has been significantly supported
by CSIP…as an honest broker, and has I
focus on delayed discharges,
believe the respect of all parties, challenging
and working to support NHS falls
and supporting individuals and organizations
services as appropriate."
• Early Intervention and
Acute Trust Director of Operations
Prevention: supporting the six
regional Partnership for Older
People’ Project (POPP)
prevention pilots and development
work to improve local work on
Social care services and policy
wellbeing for older people and people
with long term conditions. implementation support
• No Secrets: developing and CSIP South West works with individual

implementing the national policy review communities and across the region on key

in this area. adult social care priorities including:

• Personalisation and self directed

There is also an active Housing Learning support

and Improvement Network in the South • Delivery of the Joint Improvement

West run by CSIP to support local Programme (JIP) for Adult Social Care

implementation of the new national • Negotiating and supporting delivery of

housing strategy for an ageing population. the adult social care and older people’s
sections of Local Area Agreements, on

Social care

behalf of the Government Office for the support people with learning disabilities
South West into 16+ hours employment.
• Supporting performance improvement • We are developing a joint post with the
within priority councils Health and social care in criminal
• Delivery of the Care Services Efficiency justice programme to identify and
Delivery programme disseminate good practice in terms of
working with people with learning
Valuing People disabilities in contact with the criminal
We are working to support the justice system.

implementation of Valuing People Now .

The programme is led by Sue Turner, Carers
Regional Advisor for the Valuing People We are supporting the implementation of
Support Team, who can offer specific the revised Prime Minister's Strategy for
support to areas, based on their local Carers and the work of the Standing
needs. The Valuing People programme Commission on Carers.
also supports a number of networks and
events which address the five key We enrolled three carer co-ordinators to
priorities set out in Valuing People Now: develop networks of family carers. The
• Personalisation networks provide family carers with
• Health opportunities to have time together to
• What people do in the day and discuss issues and share information.
• Housing
• Making it happen

Examples of support include:

• A family led jobs project for families
who want to support their sons or
daughters into work. The project
provides practical tools and support for
families, their allies and local support
providers to enable people with
learning disabilities jobs. There is also
an employment network for the South
West. The aim of the network is to

CSIP South West Development Centre

3 Children and families

Working to support real change and better outcomes
for children, young people and their families.

Our children and families programme aims to enhance, at a regional level,

cross-government activity to support the delivery of Every Child Matters (2003)
and the National Service Framework for Children, Young People and Maternity
Services (2004).

At CSIP South West our team is led by • Early years and child health
Linda Parker, the Regional Change Agent. promotion – we are supporting areas
We work with all agencies and sectors to implement the Child Health
involved with children and families and can Promotion Programme and to develop
offer specific support to individual areas, a wide range of services in Children’s
based on their local needs. Centres and Extended Schools
• Emotional health and wellbeing –we
Our programme for this year includes work offer information, advice and support to
on: enable Partnerships to continue to
• Children with disability – we will improve their services
support the multi-agency • Maternity services – we are helping
implementation of Aiming High for areas to implement their Maternity
Disabled Children which includes Matters action plans
improvements in the provision of short • Safeguarding – we work with the
breaks, transition planning and services South West Strategic Health Authority
to those children with life-limiting to support those professionals working
illnesses in this field as they implement the Child
• Commissioning – we work with local Death Review process
areas to develop World Class
Commissioning competencies within The following page provides examples of
the Children’s Trust arrangements our work in these areas.

Programme lead: Linda Parker 17

Children and families

Children with disability

• Supported one area to work as a
multi-agency team and complete the
national disability audit tool. This self
assessment allowed the area to gauge
its progress towards the
implementation of Aiming High for
Disabled Children and to identify its
priorities for the next year
• Worked in several areas to support the
redesign across all agencies of
services for disabled children,
including therapy services
• Facilitated workshops to encourage
local teams to consider how to
develop and implement protocols for

• Working with commissioners and
providers of palliative care services to Early years and child health
implement Better care: Better Lives promotion
• Member of the Regional Improvement • Working with several PCTs as they
and Efficiency Partnership Governance redesign their Health Visiting Services
Group. Leading projects on teenage to meet “Facing the Future” and the
pregnancy and young people with Child Health Promotion Programme
emotional and behavioural disorder • Working alongside regional colleagues
• Support to local areas as they to support health services to become
undertake re-commissioning and re- an integral part of Children’s Centres’
procurement exercises service delivery
• Working with regional colleagues to roll
out the Extended Schools and fully
include NHS colleagues in the services

CSIP South West Development Centre

Emotional health and wellbeing Safeguarding

• Working with the Targeted Mental • Sharing information about good
Health in Schools pilots to set the practice and promoting the use of the
programmes up and share the early Safeguarding network website
learning across the rest of the South ( and
West the secure discussion forum (https://
• Re-launching the Primary Mental Health for named and
Worker Network to support the designated health professionals
clinicians and enable them to develop a
consistent service offer to
• Working with several areas to review
their CAMHS Partnership arrangements
and tackle specific service
improvements in line with the
CAMHS review

Maternity services
• Worked with Maternity Services
Liaison Committees to develop
new terms of reference and
workplans for the year that will
support the implementation of
Maternity Matters
• Working with one area to
implement a perinatal mental
health care pathway, that sees
midwives and children’s centre
staff working closely together

CSIP South West Development Centre

4 Health and social care in criminal

Working to support better health and social care for
offenders and their families.

The main focus for the Health and Social Care in Criminal Justice Programme
(HSCCJP) is on supporting positive changes in the well-being of people with
health and social care needs in all areas of the criminal justice system.

The Offender Health and Well-being Our main objectives are to:
Partnership in the South West builds on • lead efforts to improve access to health
the work of the Department of Health services for offenders with mental
(DH), the Home Office (HO) and more health, physical health or substance
recently Ministry of Justice (MoJ) to misuse needs through partnership
modernise and mainstream prison health working with local organisations and
care into the wider NHS and the communities
developments highlighted in the • support the implementation of National
consultation on ’Improving Health, Service Frameworks, the NHS Plan, the
Supporting Justice’. As changes in Social Exclusion Unit report and other
structures within the MoJ and DH regional related policy guidance within the
presence proceed, we will continue to context of the criminal justice system
work in partnership to “improve health, • contribute to the reduction of
address health inequalities and reduce reoffending across the South West
crime by maximising the opportunities • improve the quality of commissioning
provided by better integration of health, processes for offenders
social care and criminal justice systems”. • enable service developments to be
informed by local experience and
Our main aim is to support the delivery stakeholder participation
and implementation of Improving Health, • monitor and review progress in service
Supporting Justice. development, targets and milestones
and assist local partnerships to achieve

Programme lead: Lynn Emslie 20

Health and social care in criminal justice

• develop the use of the Prison Health South West Strategic Health Authority are
Performance Indicators (PHPIs) and key partners in delivery of this agenda.
support service improvement issues The South West Reducing Re-offending
arising from these, and Board attaches high priority to addressing
• support research and development diversity issues and to the promotion of
activities, encouraging the South West equality in the delivery of the Reducing
to lead national practice in key Re-offending Strategy. Working through
developmental areas. its constituent members and partners, the
Board is committed to ensuring that:
Reducing reoffending • the development of services relevant to
The South West Reducing Reoffending each pathway takes account of, and
(RRO) Delivery Board has identified eight responds to, the diverse characteristics
strategic pathways as a framework for the of the target group
management of its work: • there is equality of access to delivery
• Accommodation. and benefits of service provision for
• Children and Families of Offenders. each pathway, and
• Drugs. • services are delivered by organisations
• Alcohol. that can demonstrate that they have
• Education, Training and Employment. proper policies and procedures in place
• Attitudes and Behaviour. to support and promote diversity –
• Finance, Benefits and Debt. both in terms of service delivery and in
• Mental and Physical Health. terms of employment.

The South West Offender Health and Well- Here in the South West Lynn Emslie leads
being Partnership will contribute as a well-established team who are working
appropriate to the work of all these with key partners in order to improve
pathways and will lead on delivery of the access to healthcare for offenders and
Health pathway on behalf of the RRO reduce re-offending through leadership of
Delivery Board. It will also oversee the the Mental and Physical Health Pathway of
offender section of the regional delivery the South West Reducing Re-offending
plan for health and well being, and the Strategy.
Department of Health service level
agreement between CSIP and Social Care,
Local Government and Care Partnerships
Directorate. The National Treatment
Agency for substance misuse and the

CSIP South West Development Centre

Network support have their cases heard by the courts

Lynn has established a HSCCJ Network faster.”
for all stakeholders across the South
West. Better care for women offenders
In December 2007 the government set out
Court pilot project their response to the Corston review and
We are working with Her Majesty’s Courts in May 2008 a National Service Framework
Service (HMCS) to improve the service for Women Offenders was published that
available to defendants appearing in court clearly lays out the government's strategy
who are presenting as having mental for addressing the needs of women
health difficulties. offenders.

The pilot started in Bath and Bristol Interrupting the Spiral – Women in Contact
magistrate’s courts and Bristol crown with the Criminal Justice System
court on 1 April 2008. It was officially (Birmingham 24th April 2008), was a
launched by Courts Minister Maria Eagle significant national event which brought
on 5 June 2008 who welcomed the together service users, carers and
introduction of the pilot: professionals from health, social care and
criminal justice agencies, the third and
“The South West Courts Mental Health private sector. The attendance of Maria
Assessment and Advice Pilot is an Eagle MP, Parliamentary Under-Secretary
important step in ensuring that court of State, Ministry of Justice, reinforced the

users with mental health problems

Health and social care in criminal justice

interministerial interest and support for through to reintegration within the

this work by confirming the Government’s community.
response to the Corston report: a review
of women with particular vulnerabilities in Older prisoners
the criminal justice system. The Development of ‘A Pathway to Care
for Older Offenders: A Toolkit for Good
The voice of experience was prominent Practice’. The South West has completed
through out the day. Key themes from the a substantial piece of work which resulted
event identified the need for: in the publication of the ensuing
• effective partnership working across all Department of Health guidance. The
agencies, including the Third Sector purpose of this publication is to inform
• early interventions and assist the delivery of individually
• effective information exchange, and planned care for older prisoners whilst in
• the sharing of best practice. prison, followed by successful
resettlement back into the community,
Better health care for prisoners receiving the necessary support to sustain
Examples of work in this area includes an optimum quality of life and reduce re-

supporting: offending. This work is currently being

rolled out nationally.
Mental health
• the implementation of the extension of General prison health

the Offender Care Pathway in prisons, The implementation of a new system of

especially in local prisons Prison Health Performance Indicators

• the development of comprehensive (PHPIs) has ensured ownership of the

mental health services across all South prison health agenda by the NHS and

West prisons, especially primary mental provides a bench mark for improvements
health care in standards.

• a network for prison in-reach teams

• a pilot for the delivery of Increased
Access to Psychological Therapies for
offenders in Dorset prisons
• local services to address the health
and social care needs of offenders in
the community from first point of
contact with the criminal justice system

CSIP South West Development Centre

5 Commissioning
Supporting the development of world class
commissioning across the South West region

The development and improvement of Activities have included joint planning and
commissioning as a mechanism to delivery of events on:
drive system reform in order to • Joint Strategic Needs Assessments
achieve better outcomes for • Commissioning and LINks, and
individuals and communities is a • Social Enterprises for health and social
priority for health and social care. care.

Extensive policy initiatives and Effective commissioning for

considerable guidance provide a range of mental health
frameworks within ambitious visions This year’s programme builds on an
projecting both World Class approach and style which commissioners
Commissioning for organisations and the have valued and found effective in
potential for highly personalised and developing their knowledge, skill and
localised responses through confidence.
Personalisation (Putting People First
January 2008) and Practice Based What has worked for them?

We are working with colleagues across “Quality discussion on

regional organisations to bring together complex issues”
partners to harness the potential for
“Flexibility in responding to need and
coherent and coordinated approaches to
new agendas”
support the development of;
• commissioning systems for “Examples of good practice and
communities innovation across the region”
• commissioning teams across agencies
and disciplines, and
• commissioning capability in individuals.

Programme lead: Carrie Morgan 24


The aims for the programme are to: • developing, supporting and sustaining
• support the development of effective joint commissioning
commissioning and system reform • personalisation and choice, and
within current and emerging national & • social inclusion and recovery.
regional priorities
• enable commissioners to take account And, how is it for participants? In a word
of and integrate the wide range of or phrase
policy imperatives impacting on mental
health and well- being
• promote the development of WHOLE
focussed, encouraged ,
LIFE commissioning through
reassured , fun , an oasis of
connecting to other relevant health
and social care policies and CSIP calm , positive ,
• be grounded in the needs and of
empowering , informative
communities in the South West as set
out in Indications of Public Health in
the English Regions (South West Enhancing commissioning
Public Health Observatory 2007)
capacity in the third sector
• encourage health and well-being
Working across CSIP SW’s programmes,
improvement as expressed in Improving
the Third Sector Programme encourages
Health, Ambitions for the South West
partnership working between the public
(NHS South West Strategic Priorities
and third sector to provide better
2008/09 to 2010/11)
outcomes for all. It does this by providing
• relate commissioning to system
information, policy support and capacity
development and reform at regional
building activities for Third Sector
and local levels, and
organisations and commissioners.
• recognise and underpin the role of
confident leadership in enabling and
We have been working over the last three
sustaining system change and service
years to develop opportunities for the
Third Sector to become more involved in
commissioning to improve outcomes for
The key themes for this year are:
local communities. For example last year
• moving on to commissioning for health
we developed the successful
and wellbeing
“Commissioning for Non-
Commissioners Pub Quiz”. This year we


have worked in partnership to design a Participants valued the opportunity to

short course offering health and social learn from others, applying their learning
care Third Sector organisations an to their own organisation, the clear
opportunity to develop their understanding presentations and guidance, useful
of commissioning as a whole and to examples and group participation. Some
develop “readiness” to being organisations felt that the course enabled
commissioned in the future. them to really push ahead with developing
their plans to become world class
Evaluation shows that we have been providers.
successful in helping people to
understand better the health and social The course is being written up to provide
care reform agenda, and in becoming a workbook for the wider voluntary and
more familiar with the concepts, policy community sector to use to improve and
and language to do with commissioning. develop their understanding of
People also have a better understanding commissioning.
of what commissioning for outcomes
means, and the implications for their Workstream lead: Rebecca Hardwick

CSIP South West Development Centre

Have your say

We have developed an ambitious
programme of work based on what our
commissioners have said are the most Talk to one of our team
important things we should do. Get in contact with one of our team to
share your views in person. Use the
Findings from last years IPSOS MORI contact list on the next page to identify
survey show that the majority of our the most relevant team member.
stakeholders say that we support positive
outcomes in health and social care Complete our stakeholder survey
services in the South West. But what you Our online stakeholder survey will take you
think? Your views are important to us and less than 2 minutes to complete.
there are a number of ways that you can
have your say. We will do our best to listen survey
to what you say and implement any
improvement suggestions where Write an email
appropriate. You can provide your feedback by email to

Contact us
Tel: 01278 432 002
Fax: 01278 432003

Regional Director: Paddy Cooney 07957 153139

Deputy Director and mental health lead: Kate Schneider 07973 732766
Our team

Our team
Staff team contact details grouped under our core work programme headings and listed
alphabetically by surname. Click on a staff members name to read their biography on our website.

Mental health
Diane Bardsley Participation Lead and LINKs Co-ordinator 07785 511807
Sarah Joy Boldison Development Consultant Mental Health Workforce 07775 684776
Francine Bradshaw Development Consultant Race Equality 07775 684785
Leeanne Caldwell Programme Support Officer Mental Health 01278 432002
James De Pury Project Manager Mental Health Act Implementation 07908 098036
Alan Howard Development Consultant Acute Care 07876 453407
Miriam Morgan Race Equality Lead 07920 213901
Mark Norman Service Improvement Lead and Dual Diagnosis Lead, 07990 528836
David Pennington Development Consultant MH Legislation/IAPT 07799 627244
Kate Schneider Deputy Director and Mental Health Lead 07973 732766
Louise Sheasby Temporary Programme Support officer, Mental Health and IAPT, 01278 432002
Alex Stirzaker Developmment Consultant IAPT & Personality Disorders 07920 502250
Trish Stokoe Development Consultant Social Inclusion and Wellbeing 07768 421669
Amanda Williams Project Manager Mental Capacity Act 07825 843356

Rebecca Hardwick Development Consultant Third Sector Programme and Commissioning 07768
Carrie Morgan Senior Development Consultant Commissioning 07900 905487

Our team

Jane Rawlinson Programme Support Officer, Children and Families and Commissioning 01278

Social care, older people and learning disability

Emma Bullen Temporary Programme Support Officer 01278 432002
Sandy Clarke Physical and Sensory Impairment Lead 07889 209083
Amanda Cheesley Regional Change Agent Older People 07810 658284
Nye Harries Regional Change Agent Older People’s Services 07775 897428
Kay Russell Regional Change Agent Older People 07776 453489
Sue Turner Regional Advisor VPST 07866 715742

Children and families

David Goodban Regional Development Worker, CAMHS 07787 510232
Shoba Manro Service Improvement Lead, CAMHS 07748 656939
Linda Parker Regional Change Agent Children and Families 07920 711007
Jane Rawlinson Programme Support Officer, Children and Families and Commissioning 01278

Health and social care in criminal justice programme

Faye Brazier Programme Support Officer HSCCJ 01278 432002
Lynn Emslie Lead, HSCCJ 07899 968190
Sue Staddon Project Manager Court Pilot Project 07917 593470

Other leads
Richard Byng GP Advisor
Steve Onyett Senior Development Consultant Leadership 07771 908812

Support team
Jean Alger-Green Business Manager 01278 432002
Julie Armstrong-Butler Business Support Officer 01278 432002
Carol Prescott Information Officer 01278 432002

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