Yorkshire and the Humber Mental Health Network Senior PWP Network 18 September 2018 • Andy Wright, IAPT Advisor, Heather Stonebank, Lead PWP Advisor and Sarah Boul, Quality Improvement Manager • andywright1@nhs.net, heather.stonebank@shsc.nhs.uk and sarah.boul@nhs.net • Twitter: @YHSCN_MHDN #yhmentalhealth • September 2018 www.england.nhs.uk
Housekeeping: @YHSCN_MHDN #yhmentalhealth www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Welcome, Introductions and Apologies Andy Wright, IAPT Advisor, Yorkshire and the Humber Clinical Network www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Wellbeing Activity Checking In All www.england.nhs.uk
A picture is worth a thousand words… www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network National IAPT Programme Update: A Journey from PWP to IAPT Project Manager Becky Gill, IAPT National Programme, NHS England www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network Becky Gill 18 th September 2018 www.england.nhs.uk
Who I am • Currently working at NHS England within the IAPT Programme • Former PWP and Senior PWP • Living in London • Enjoy playing netball just got back in to running www.england.nhs.uk 8
Happy 10 th Birthday to PWPs! We’ve come a long way but still face lots of challenges www.england.nhs.uk 9
The commitments Expand to reach 25% prevalence which means 1.5 million people in total entering treatment each year (600,000 additional people). 2/3 will come from IAPT-LTC services Expand the workforce so there are an additional 4,500 therapists trained Increase the number of MH therapist working in primary care by 3,000 www.england.nhs.uk 10
2018/19 priorities • FYFV commitments • IAPT Manual and LTC pathway document • IAPT-LTC support offer • Workforce expansion • Wellbeing and retention • Regional Deep Dives • Continuing to work with stakeholders and ALB’s (Arms Length Bodies) where delivery commitments are shared ie:HEE • Collaborating with providers, commissioners, and clinical networks in assuring and supporting quality via the IAPT Manual www.england.nhs.uk 11
Promoting and developing the PWP role nationally • Blogs, videos and presentations about the PWP role and how skills can be used in senior/specialist roles • The role of Psychological Wellbeing Practitioner and career progression – Heather Stonebank • A Psychological Wellbeing Practitioner career pathway: an exciting and diverse role – Carolyn Houghton • Updated the HEE careers page on the role of a PWP • Guidelines on PWP preceptorship year and CPD • PWP representation at a senior level • Encouraging PWP networks and forums • What else do we need to do? www.england.nhs.uk 12
PWP career development Teaching www.england.nhs.uk 13
What is being done to support PWP wellbeing nationally? • Extensive section on workforce wellbeing written in the IAPT manual https://www.england.nhs.uk/mental-health/adults/iapt/ • Collating and sharing examples of best practice • Six case studies of IAPT services who have delivered improvements in staff wellbeing published on NHSE website • Input into training and education plans • Promoting the PWP role and PWP career development • Guidance around PWP contact hours • List of support resources and tools for staff • Support for service leads and wellbeing champions • Close working with BABCP, HEE, NHS Improvement, IAPT courses… www.england.nhs.uk 14
Key factors impacting staff wellbeing • Leadership and management • Supervision • Clinical complexity • Working environment and infrastructure • Job security and contracts Guidance in • Job design the IAPT Manual • Workload • Targets and culture • CPD and career development opportunities – especially for PWPs • Recognition of the PWP role – feeling valued and able to influence decisions www.england.nhs.uk 15
Best practice case studies • Managing staff wellbeing at Talking Therapies Service Brent • Staff retention at Westminster Talking Therapies service • Promoting wellbeing in the workforce: Yorkshire and the Humber Senior Psychological Wellbeing Practitioner Network • Back on Track – Hammersmith & Fulham IAPT • Promoting staff wellbeing at Sheffield Improving Access to Psychological Therapies (IAPT) service • Embedding a culture of staff wellbeing at North Yorkshire IAPT “ All IAPT staff should have a proper focus on wellbeing like we do – I have been a PWP for 4 years and have no desire to stop any time soon !” “The service does value wellbeing and this is supported by the amount of time allowed for supervision, masterclasses and so on.” www.england.nhs.uk 16
Where I have come from • PWP training at UCLAN • Trainee post at First Step, Cumbria • Qualified PWP and Senior PWP post at Banes Primary Care Talking Therapies, Bath • Business Manager, NHS England • Project Manager, NHS England www.england.nhs.uk 17
Hopes and fears…mainly fears • What about HI training? • What does NHS England do? • What is the Five Year Forward View? • What will my role involve? • Will I have to manage a budget? • Leaving a clinical role…what will this mean? • Will I feel I am making a difference? www.england.nhs.uk 18
My current role • What does NHS England do? • Where do I work? • Who is in my team? • What do I work on? • What I do day to day? www.england.nhs.uk 19
Differences between roles Knowledge of Clinicians Politics NHS Clinicians organisation/ structure Speed Building/ office space Decision Hierarchical making/ Hierarchical Autonomy Working with finance, commissioners Colleagues and providers Banding from different backgrounds www.england.nhs.uk 20
Transferable skills and knowledge • Organisation+++ • Prioritisation+++ • Team working • Knowledge of IAPT • Reality of IAPT • Project management • Public speaking • Having difficult conversations • Own communication style www.england.nhs.uk 21
Reflection • Confidence in speaking up/ out • Take advantage of the changes that you can make • Sticking to the IAPT model • Looking after self • Data/ quality improvement • Awareness of system and priorities • Sharing best practice • PWP forum • NHS Leadership academy • Twitter/ social media presence www.england.nhs.uk 22
Progressing further • Tolerance of uncertainty • Representing NHS England • Distribution lists • Being accountable • Seeking out leadership and training opportunities • Networking • Developing a positive reputation and relationships • Making people aware of your plans for the future www.england.nhs.uk 23
What next for me? • Provider/ CCG/ STP/ ICS • Leeds NHS England • Another MH programme • Back to clinical work? www.england.nhs.uk 24
Useful resources and support • Occupational Health and EAPs • Access to neighbouring IAPT services • Staff benefits and wellbeing initiatives (Nandos!) • BABCP resources on Compassion Fatigue • Book - Experiencing CBT from the Inside Out: A Self- Practice/Self-Reflection Workbook for Therapists – James Bennett-Levy et al. (2015) • Honest Open Proud Mental Health Project – supporting mental health professionals who experience mental health problems in reaching decisions about disclosure • Sleepio – online CBT programme – free at the moment www.england.nhs.uk 25
Thank you and good luck! rebeccagill1@nhs.net www.england.nhs.uk 26
What is next for you? Write down two things you can do to: a) Support your own development b) Support the development of PWPs in your team • What will you do? • When will you do this by? • Who can you ask to support you? • Who can hold you accountable? www.england.nhs.uk 27
Yorkshire and the Humber Senior PWP Network Time for a break? 15 minutes only please! www.england.nhs.uk
Yorkshire and the Humber Senior PWP Network North Yorkshire IAPT: Service Overview and Wellbeing Initiatives Tyra Sutton, Senior PWP, Tees, Esk and Wear Valley NHS Foundation Trust www.england.nhs.uk
Managing Wellbeing North Yorkshire IAPT journey Tyra Sutton James Walton and Poppy Danahay Senior Psychological Wellbeing Practitioners North Yorkshire IAPT Service
Aims of the presentation Why we decided it was important to focus on wellbeing in our CPD offer and wider Describe how the service responded to the challenge of promoting wellbeing Provide an update on the impact of our work Outline the next steps on our journey
Historically Where were we with staff wellbeing? 4 CPD event per year for HIW and PWP’s Clinical skills focus/good level of supervision provision TEWV were already providing a wide range of wellbeing initiatives, wellbeing Wednesday, staff mindfulness course but … Accessibility Disparity in provision Acceptability
Additional considerations IAPT high volume high turnover Growing body of evidence highlighting concerns about staff in the NHS & Mental Health & IAPT services Aspiration to ‘do no harm’ applies to us as well as people we work with.
Audience Participation !
We know what to do but …
This is not a one off initiative
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