Leicestershire Lincolnshire Area MCA Implementation Programme The Outline

(Leicestershire & Lincolnshire Area) MCA Implementation Programme The Outline Mandate Working Draft Only 1

(Leicestershire & Lincolnshire Area) The Vision: Aim, Benefits, Principles & Deliverables (Manjit) 2

Aim (Leicestershire & Lincolnshire Area) To increase Understanding about and implementation of the MCA across our Area* by adding value to local activity and plans. * Leicestershire, Lincolnshire and Rutland 3

Benefits detail and specifics subject to evaluation advice (Leicestershire & Lincolnshire Area) • Improved ‘User’ [patient, service user, carer and public] feedback systems: a cycle of ‘real time’ advice into (and feedback from) staff development and service improvement • Improved quality of service and professional practice: staff sharing best practice and shaping their development opportunities drawing on user-feedback • Greater compliance across a wider group of professionals: targeting previously ‘hard to reach’ professional groups • Greater assurance of MCA compliance: creating new and supporting existing Best Interest Assessors, Supervisors and frontline ‘champions’. 4

Realisation of these benefits (Leicestershire & Lincolnshire Area) • Independent evaluation. • Evidenced: – quantitative and qualitative measures of progress – against a baseline – service and practice improvement case studies – ‘user’ stories – contributions from stakeholders – other illustrations from the Programme. 5

Governing Principles & Priorities (Leicestershire & Lincolnshire Area) • Add new, add value to and/or extend (rather than detract from or replace) existing SAB and organisational business plans and initiatives • Prioritise effort and investment upon delivering innovations that: – meet the agenda of (and are ideally delivered to) the whole Area – are integrated initiatives across professions and agencies – are evidently based on shared best practice, learning and advice – from ‘users’, from across county, organisation and profession • Sustainable impact - create exit strategies for all deliverables with options for adoption of identified components of on-going value • Show maximum sensitivity to limited capacity: – MCA leaders and practitioners – specialist knowledge and expertise • Maximise the funds and resources available to us, honouring funding bodies’ expectations i. e. NHS’ Chief Nursing Officer. 6

Programme Deliverables 1 /2 (Leicestershire & Lincolnshire Area) – Improved user, patient and carer exchange to improve the understanding of the impact of MCA/DOLS practice, system and processes upon the experience of these individuals – Local staff ‘exchange’ forums to share and extend best practice, learn and develop - integrated across organisations and professions – Information Resources ‘Portal’ to provide information and guidance for everyone’s use - Advance Decisions, Advance Statements, Lasting Power of Attorney and links to patient pathways. – 7

Programme Deliverables 2/2 (Leicestershire & Lincolnshire Area) – Targeted development opportunities for Primary Care Staff, Residential and Nursing Home staff and the Police – DOLS Best Interest Assessor’ support, training and marketing – differentiated from MCA best interest meetings – Recognition and Development of ‘Leadership at All Levels’ – An evaluation of the programme 8

MCA Programme – Seven Constituent Projects to the Cycle of Benefits Programme Evaluation (with action learning) (Leicestershire & Lincolnshire Area) Ideas, Advice & Feedback Patient and Carer Exchange Staff Learning & Development Exchange Univeral Information and Advice Portal Leadership at all Levels More front-line Champions Increased Supervisor Assurances Best Interest Assessors More Best Interest Assessment Targeted Professional Groups Feedback & check benefits – assurance and improvements Staff Development Initiatives Increased Understanding Practice Improvement Service Improvement Greater Assurance of compliance & Better 9 User experience

(Leicestershire & Lincolnshire Area) Programme Content Seven Projects Six Deliverables Four benefits 10

(Leicestershire & Lincolnshire Area) The Projects Outline Sketches & Leadership Confirm, Challenge and Contribute Sponsors, Directors and Managers 11

First Tranche of Projects (Leicestershire & Lincolnshire Area) • EVALUATION: evaluate MCA Programme (and its projects) against national and local requirements • User’ EXCHANGE: User’ outcomes (as defined by the individual) evidently embedded into practice • MCA EXCHANGE forum to sustain and develop a vibrant, integrated* MCA frontline workforce in Leicester, Leicestershire & Rutland Lincolnshire *inter-discipline, multi-agency and where possible crosscounty 12

Second Tranche of Projects (Leicestershire & Lincolnshire Area) • UNIVERAL PORTAL – on hold • LEADERSHIP at all LEVELS Increase profile of and support to MCA Leaders at all levels across all organisations – with an emphasis upon frontline supervisors • DOLS BEST INTEREST ASSESSORS - Increase number and distribution of Best Interest Assessors to meet service need • TARGETED PROFESSIONAL GROUPS - Bespoke face-toface training sessions and professional development for identified target groups in health and adult care - enhancing professional delivery and User experience across the pathways of care. 13

(Leicestershire & Lincolnshire Area) Programme Delivery (Nicky) 14

Programme Phases (Leicestershire & Lincolnshire Area) Phase 1: PROGRAMME DESIGN Phase 2: PROJECT DESIGN including Baseline and Gap Analysis and Project & Exchange Priorities Phase 3: PROJECT DELIVERY including exchange of advice and learning Phase 4: EVALUATION Phase 5: PROGRAMME CLOSE exit strategies - Product Adoption - evaluation 15

MCA Programme: Design & Delivery Process 1 Programme Design (Leicestershire & Lincolnshire Area) 2 Project Design 3. Project Delivery Patient, Service User & Carer Exchange Shadow Staff Ex’ Staff Learning & Development Exchange Forum Univeral Information and Advice Portal Baseline & Gap Analysis Project & Exchange’ Priorities Leadership at All Levels Best Interest Assessors Targeted Professional Groups Project Sponsorship Support & Exit Strategy Constituent Projects Shadow User Ex’ advice and information exchange 4. Evaluation (with action learning) Delivered Project Adoption 5. Programme Close

(Leicestershire & Lincolnshire Area) 17

(Leicestershire & Lincolnshire Area) Programme Roles for Challenge and Validation 18

Programme Structure – version 2 (UNDER DISCUSSION) Wider MCA Staff and Leaders, Patients and the Public (Leicestershire & Lincolnshire Area) L&L MCA Stakeholders Department of Health NHS England Incl. SAB Programme Board – Overall Programme Steering Evaluation with action learning Project Director with Project Sponsor for each Project Programme Team – day to day Programme Management Programme Manager Projects – day to day Project Management Each having a Project Manager working to a Project Director Patient and Carer Forum Universal Learning Portal Staff Forum MCA Leadership at all Levels Best Interest Assessors Targeted Professional Groups 19

(Leicestershire & Lincolnshire Area) Finance and Monitoring (Lynn) 20

Funding & Financial Monitoring (Leicestershire & Lincolnshire Area) • Non-recurrent finance and all its products time-limited • The total funds for distribution is £ 471, 110 non-recurrent. This includes both the allocation of 19/1/2014 and 21/7//2014 - £ 319, 742 and £ 161, 368 respectively. • Allocation across the Programme and Projects will be agreed at Board event • Financial monitoring by the Nursing and Quality Clinical Lead in liaison with the Programme Manager but reporting to Programme Director. • Emergency financial and other decisions will be taken by the Programme Director in consultation with the sponsor of the relevant Project (or in their absence, a SAB Chair. 21

Other Monitoring 1 (Leicestershire & Lincolnshire Area) • NHS England’s monitoring of the Programme will be through the production of the following items at the end of 2014/15 – A self-assessment summary report for the period 2014/15 which will include an assessment of the extent to which MCA is complied within their geographical area (to be discussed and signed off by the local Quality Surveillance Group) with reference to any evidence used to reach this conclusion and any gaps or proposed future activity for 2015/16. This will take into account the views of the commissioners and providers across the local system. – At least two case studies: one of MCA good practice and one of good practice in implementing the least restrictive option - for sharing through the national programme – Numbers of health professionals trained as Best Interest Assessors [BIAs] in 2014/15 22

Other Monitoring 2/2 (Leicestershire & Lincolnshire Area) • Local monitoring of the Programme – Ultimately through the Evaluation – Exception, end-stage and final closure reports to the Board • Day-to-day monitoring of Projects – By the Programme Consultant with all Project Managers and via Programme Team meetings – Option for acceleration of emergency issues for decision to the Programme Director if required. 23

Please forward (Leicestershire & Lincolnshire Area) Your Views, Advice and Ideas as well as Links, documents and local info’ together with contact points for yourself to the MCA Programme Manager nicky. spencer@accomplice. uk. com 0194 983 1909 24