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

www.southwest.csip.org.uk

Foreword
Our future lies in the South West
Health and social care services in the
South West region are faced with some
challenging questions. For example,
• How do we gear services to support
people to lead their lives fully and
independently in ways they choose?
• How can services to be more
responsive to the needs of their local
communities?
• How can we ensure everyone has equal
access to high quality care?
• How can services work with local
communities to plan now for the
changing demands of an ageing
population?
Given the day-to-day pressures of
delivering services, it is not easy to find
space to think collectively about solutions
to some of these complex but urgent
questions. Our role in CSIP South West is
to support services to do just that and, in
the process, bring about self-sustaining
improvement.
While we have remained focused on
delivering the business in hand, we have
been through a process of significant
organisational change as part of the
Department of Health’s programme to
Foreword
strengthen its presence in the regions and
the Office of the Strategic Health
Authorities’ (OSHA) Review of National
Programmes.
We welcome the increased involvement of
the South West Strategic Health Authority
(SHA) to ensure our work continues to be
accountable, and driven by regional
priorities. We are also working more
closely with our regional Public Health,
Government Office and Third Sector
colleagues. We look forward to building
on our already strong working
relationships in the future.
Through strong partnerships, we work
where it is most needed and where it is
making a difference to people's lives.
Paddy Cooney
Regional Director
CSIP South West Development Centre
We support local organisations to
improve health and social care services
to meet better the needs of:
• people with mental health problems
• people with learning disabilities
• older people
• children and families
• people in the criminal justice system;
and
• the families, carers and supporters of
these groups.
3
 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
a partnership of four national improvement
programmes, delivered regionally.
The Department of Health (DH) and the
Strategic Health Authorities (SHAs) have
implemented changes to the Care
Services Improvement Partnership’s role
and way of working.
The changes were agreed following a
thorough review of CSIP’s eight regional
development centres (RDCs) and
nationally coordinated programmes that
come under its auspices.
The value of CSIP’s programmes has been
recognised and their role in supporting
improvement across and beyond health
and social care remains pivotal to the
effective delivery of an ambitious policy
agenda.
CSIP South West is commissioned by the
South West Strategic Health Authority and
the Department of Health.
We are accountable to the Strategic
Health Authority for our regionally agreed
programmes of work. We also have an
accountability to the director of the CSIP
National Support Office for discharging
our responsibilities for work commissioned
centrally, and for ensuring that we
contribute to nationally agreed
programmes.
We have agreed a change plan that
outlines how CSIP South West will
continue to support working across the
NHS and social care, engaging with local
government and the Government Office
network. CSIP South West and the South
West Strategic Health Authority will keep
key partners and stakeholders informed of
progress on a regular basis.
Our role is to support the
delivery of DH policy priorities
at a national, regional and
local level to bring about
improvements in health and
well-being.
4
 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
services.

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
services.
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
approach.
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
5
 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.
training
tools and
guidance evaluation
learning
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
programmes:
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.

6
 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

IMPROVED
OUTCOMES

Supporting the Supporting

development policy
of policy implementation

Supporting system change

Examples include: Examples include:

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

7
 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
England (NIMHE). NIMHE was formed in
2002 to help the mental health system
implement the Mental Health National
Service Framework and the NHS Plan.
We aim to implement national policies for
local benefit taking a whole system
approach across health and social care.
Our strategic objectives are:
• improving health and well being
• supporting service and performance
improvement
• promoting equality, access, choice and
independence, and
• supporting system change.
Led by Kate Schneider, Deputy Regional
Director, the CSIP SW mental health
programme has 6 workstreams:
• Improving Access to Psychological
Therapies
• Effective Commissioning
• Wellbeing and inclusion
• Specialist Mental Health services
• Equalities
• Legislation
Programme lead: Kate Schneider
Improving Access to Psychological
Therapies (IAPT)
This is a three year national programme of
investment of £173 million in England to
give greater access to people suffering
from anxiety and depression to
psychological therapies. This will help
people to better manage their mental
health conditions to remain or get back
into work.
Over the next three years the South West
Strategic Health Authority Authority is
committed to ensuring that:
• 90,000 more people are treated for
depression and anxiety
• 45,000 of them moving to recovery (in
line with National Institute for Health
and Clinical Excellence guidelines)
• 2,500 fewer people with mental health
problems are on sick pay and benefits
• 360 more newly trained psychological
therapists are offering evidence-based
treatment.
8

To support this we are working closely
with Strategic Health Authority.
Between 2008-2011 we will support the
delivery of:
• a phased roll-out of IAPT services
across the region
• a regional training plan delivered
against national standards
• supervision for trainees whilst
delivering care
• employment opportunities for
graduating trainees, linked to the roll-
out of IAPT sites, and
• a partnership approach with
employment and training services.
From October 2008, 100 extra
psychological therapy workers will be
receiving training in the South West
and by 2010 a minimum of 386 will be
undertaking training or have
completed it.
Legislation
We are delivering an extensive programme
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
require significant changes to practice.
We work to inform all relevant
organisations about the legislation, helping
them to understand the impact that the
changes will have on service
commissioning and delivery. For example,
Mental health
we have actively supported local
implementation networks in the
commissioning of the new advocacy
service required under the Mental
Capacity Act 2005.
We help local organisations with legal
responsibilities under the legislation to
develop local implementation networks
and delivery programmes, ensuring that
stakeholders have opportunities to
influence the implementation process
locally. For example, we have played a key
role in promoting the development of a
network of advocacy provider
organisations. A key element our work is
to provide focused training and awareness
raising for key staff and other
stakeholders.
"a very big 'thankyou' for your continued
support and commitment, in assisting with
the seminars across the Trust with the
implementation of the Mental Capacity
Act. The feedback has been extremely
positive and the seminars well received"
We respond to queries about challenges
that organisations face, offering expertise,
advice and guidance, and encouraging
them to share information about what
works and what does not. This includes
promoting joint working in the delivery of
training plans. We also provide local
9
 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

10

service developers, CDWs are already
proving to be an effective workforce.
At a recent workshop for the
Gloucestershire Primary Mental Health
Development Team West, which included
local CDWs, participants rated the
outcome of the day and the ideas
generated at 8.5 / 10, and the agenda
and facilitation of the event at 9 / 10. The
“one word that described the day” for
participants were
encouraged refreshing , ,
invigorating motivated , ,
energised , and successful
The HealthCare Commission’s Report ‘The
Pathway to Recovery’ and the annual
‘Count Me In’ Census, suggest that the
unmet needs of BME service users and
carers remain a cause for concern. As
such, CSIP South West will build on the
successes, disseminate the learning and
continue to work with stakeholders in
order to realise the DRE programme
objectives.
Promoting social inclusion through
employment
The Individual Placement and Support
(IPS) model is widely recognised as being
Mental health
an effective approach in helping people
who have mental health problems to find
or remain in employment. CSIP South
West regularly holds events to look at
the evidence for IPS and give examples
of clients and services who have used it.
Delegates can share information and
current practice and consider how to
develop an IPS-based vocational service.
Suicide prevention
CSIP South West is working to raise
awareness and promote the sharing and
spread of positive practice in suicide
prevention and reducing the number of
deliberate self harm incidents across the
region. We aim to ensure that prevention
of suicide is seen as everybody’s
business and not just the responsibility
of professionals.
Our work includes supporting a wide
range of agencies to
• improve suicide prevention planning
and data gathering
• reduce suicide and self harm amongst
vulnerable groups and those who do
not engage with services and who are
difficult to reach
• address clinical and professional
issues about patient safety, risk
management, and clinical governance
• deliver targeted action on suicide
hotspots
• identify current research and work to
put the research into practice
11

• challenge the often negative media
reporting of suicide
We held a special network event on 10th
September 2008 to mark ‘World Suicide
Prevention Day’ and focus regional
attention on how we tackle these issues
together in the South West.
Devon Partnership Trust has led the way
in ‘putting the research into practice’
publishing the Guidance on Action to be
taken on suicide hotspots and the
application of new technologies to reduce
the incidence of self harm amongst young
people. This has been well received
nationally and is being used locally to
make a real difference. For example, new
safety features have been incorporated
into the design of a new bridge being
constructed over the River Taw as part of
the Barnstaple Western Bypass scheme.
More recently Devon Partnership Trust has
been developing and piloting the use of
text messaging as a means of delivering
psychological support to individuals who
engage in self harm, and exploring the
potential of social software and on line
communities to foster engagement. It is
hoped that this research will make a major
contribution to help those who self-harm,
and also inform the way in which we
educate people about it
Mental health
LINks
As part of implementing the recent
‘Local Government and Public
Involvement in Health Act’ (2007) we are
supporting the developments of Local
Involvement Networks (LINks) in
conjunction with the Department of
Health and the NHS Centre for
Involvement.
There will be a LINk in every Local
Authority area that has social services
responsibility. LINks will encourage and
support local people to get involved in
how local care services are planned and
run. They will listen to local people about
their needs and about their experiences
of services.
CSIP South West is facilitating a
development and support network for
local authority LINk leads, as well as
facilitating a development and support
network for host organisations. We help
health and social care commissioners
and providers to connect with LINks
locally and to use them effectively.
Working in partnership with the NHS
Centre for Involvement to design and
develop a syllabus of knowledge and
expertise. We use this to offer specific
support and guidance for LINks leaders/
governors. We also provide a range of
leadership support to community and
Third Sector organisations to support
capacity building and effective
involvement.
12

Mental Health Reference Groups
We facilitate local area-based Mental
Health Reference Groups that provide a
forum for discussions about the strategic
direction and local priorities for mental
health and social care services. The
groups consider and advise on the mental
health service improvement work across
the region. They also advise on how the
mental health programme could work
more effectively, for example through who
is involved and the values observed.
The Reference Groups ensure that there
are opportunities for representation from
diverse perspectives. Membership
includes people who use services, carers,
voluntary sector representatives and front
line practitioners, who all feed into and are
part of other networks and groups across
the region.
Making A Real Difference
CSIP South West has worked with our
partner development centres across the
country to develop a range of useful
resources to support participation of
people who use mental health services
and their families and friends. This
includes the South West-led initiative to
develop an ‘Involvement Passport’.
Download the resources at
www.mard.csip.org.uk
As part of our work to implement this in
the South West, in conjunction with the
Citizens Advice Bureaux we are piloting a
Mental health
scheme to offer guidance for people who
are in receipt of benefits but who wish to
become involved in CSIP South West’s
work. We are currently planning a
regional event about involvement and
benefits and reimbursement issues.
Specialist mental health services
We support local Trusts and their
partners to ensure that admissions to
acute inpatient care are appropriate,
purposeful, therapeutic and safe.
Following the publication of the results of
the HealthCare Commission acute adult
mental health service improvement
review we have adopted the HealthCare
Commission’s inpatient assessment
framework to inform desired local
outcomes and priorities for service
improvement.
Working in partnership with local Trusts
we aim to ensure that:
• an effective acute care pathway is in
place re admissions and discharges
• there is individualised whole person
care that promotes recovery and
inclusion
• service user and carers are involved
in care planning, how the ward is run,
and in operational and strategic
planning, evaluation and
development, and
• safe and therapeutic systems,
processes and facilities are in place
on the ward for service users, staff
and visitors.
13
 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
individuals.

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

15
 Social care

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

implementation of Valuing People Now .

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

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

15
 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
Linda Parker, the Regional Change Agent.
We work with all agencies and sectors
involved with children and families and can
offer specific support to individual areas,
based on their local needs.
Our programme for this year includes work
on:
• Children with disability – we will
support the multi-agency
implementation of Aiming High for
Disabled Children which includes
improvements in the provision of short
breaks, transition planning and services
to those children with life-limiting
illnesses
• Commissioning – we work with local
areas to develop World Class
Commissioning competencies within
the Children’s Trust arrangements
• Early years and child health
promotion – we are supporting areas
to implement the Child Health
Promotion Programme and to develop
a wide range of services in Children’s
Centres and Extended Schools
• Emotional health and wellbeing –we
offer information, advice and support to
enable Partnerships to continue to
improve their services
• Maternity services – we are helping
areas to implement their Maternity
Matters action plans
• Safeguarding – we work with the
South West Strategic Health Authority
to support those professionals working
in this field as they implement the Child
Death Review process
The following page provides examples of
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
transition

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

18
 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 (www.safeguardingnetwork.org.uk) and
West the secure discussion forum (https://
• Re-launching the Primary Mental Health saif.csip.org.uk) for named and
Worker Network to support the designated health professionals
clinicians and enable them to develop a
consistent service offer to
commissioners
• 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

19
 CSIP South West Development Centre

4 Health and social care in criminal

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

Programme lead: Lynn Emslie 20

 Health and social care in criminal justice
• develop the use of the Prison Health
Performance Indicators (PHPIs) and
support service improvement issues
arising from these, and
• support research and development
activities, encouraging the South West
to lead national practice in key
developmental areas.
Reducing reoffending
The South West Reducing Reoffending
(RRO) Delivery Board has identified eight
strategic pathways as a framework for the
management of its work:
• Accommodation.
• Children and Families of Offenders.
• Drugs.
• Alcohol.
• Education, Training and Employment.
• Attitudes and Behaviour.
• Finance, Benefits and Debt.
• Mental and Physical Health.
The South West Offender Health and Well-
being Partnership will contribute as
appropriate to the work of all these
pathways and will lead on delivery of the
Health pathway on behalf of the RRO
Delivery Board. It will also oversee the
offender section of the regional delivery
plan for health and well being, and the
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
South West Strategic Health Authority are
key partners in delivery of this agenda.
The South West Reducing Re-offending
Board attaches high priority to addressing
diversity issues and to the promotion of
equality in the delivery of the Reducing
Re-offending Strategy. Working through
its constituent members and partners, the
Board is committed to ensuring that:
• the development of services relevant to
each pathway takes account of, and
responds to, the diverse characteristics
of the target group
• there is equality of access to delivery
and benefits of service provision for
each pathway, and
• services are delivered by organisations
that can demonstrate that they have
proper policies and procedures in place
to support and promote diversity –
both in terms of service delivery and in
terms of employment.
Here in the South West Lynn Emslie leads
a well-established team who are working
with key partners in order to improve
access to healthcare for offenders and
reduce re-offending through leadership of
the Mental and Physical Health Pathway of
the South West Reducing Re-offending
Strategy.
21
 CSIP South West Development Centre
Network support
Lynn has established a HSCCJ Network
for all stakeholders across the South
West.
Court pilot project
We are working with Her Majesty’s Courts
Service (HMCS) to improve the service
available to defendants appearing in court
who are presenting as having mental
health difficulties.
The pilot started in Bath and Bristol
magistrate’s courts and Bristol crown
court on 1 April 2008. It was officially
launched by Courts Minister Maria Eagle
on 5 June 2008 who welcomed the
introduction of the pilot:
“The South West Courts Mental Health
Assessment and Advice Pilot is an
important step in ensuring that court
users with mental health problems
have their cases heard by the courts
faster.”
Better care for women offenders
In December 2007 the government set out
their response to the Corston review and
in May 2008 a National Service Framework
for Women Offenders was published that
clearly lays out the government's strategy
for addressing the needs of women
offenders.
Interrupting the Spiral – Women in Contact
with the Criminal Justice System
(Birmingham 24th April 2008), was a
significant national event which brought
together service users, carers and
professionals from health, social care and
criminal justice agencies, the third and
private sector. The attendance of Maria
Eagle MP, Parliamentary Under-Secretary
of State, Ministry of Justice, reinforced the
22
 Health and social care in criminal justice
interministerial interest and support for
this work by confirming the Government’s
response to the Corston report: a review
of women with particular vulnerabilities in
the criminal justice system.
The voice of experience was prominent
through out the day. Key themes from the
event identified the need for:
• effective partnership working across all
agencies, including the Third Sector
• early interventions
• effective information exchange, and
• the sharing of best practice.
Better health care for prisoners
Examples of work in this area includes
supporting:
Mental health
• the implementation of the extension of
the Offender Care Pathway in prisons,
especially in local prisons
• the development of comprehensive
mental health services across all South
West prisons, especially primary mental
health care
• 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
through to reintegration within the
community.
Older prisoners
The Development of ‘A Pathway to Care
for Older Offenders: A Toolkit for Good
Practice’. The South West has completed
a substantial piece of work which resulted
in the publication of the ensuing
Department of Health guidance. The
purpose of this publication is to inform
and assist the delivery of individually
planned care for older prisoners whilst in
prison, followed by successful
resettlement back into the community,
receiving the necessary support to sustain
an optimum quality of life and reduce re-
offending. This work is currently being
rolled out nationally.
General prison health
The implementation of a new system of
Prison Health Performance Indicators
(PHPIs) has ensured ownership of the
prison health agenda by the NHS and
provides a bench mark for improvements
in standards.
23
 CSIP South West Development Centre
5 Commissioning
Supporting the development of world class
commissioning across the South West region
The development and improvement of
commissioning as a mechanism to
drive system reform in order to
achieve better outcomes for
individuals and communities is a
priority for health and social care.
Extensive policy initiatives and
considerable guidance provide a range of
frameworks within ambitious visions
projecting both World Class
Commissioning for organisations and the
potential for highly personalised and
localised responses through
Personalisation (Putting People First
January 2008) and Practice Based
Commissioning.
We are working with colleagues across
regional organisations to bring together
partners to harness the potential for
coherent and coordinated approaches to
support the development of;
• commissioning systems for
communities
• commissioning teams across agencies
and disciplines, and
• commissioning capability in individuals.
Programme lead: Carrie Morgan
Activities have included joint planning and
delivery of events on:
• Joint Strategic Needs Assessments
• Commissioning and LINks, and
• Social Enterprises for health and social
care.
Effective commissioning for
mental health
This year’s programme builds on an
approach and style which commissioners
have valued and found effective in
developing their knowledge, skill and
confidence.
What has worked for them?
“Quality discussion on
complex issues”
“Flexibility in responding to need and
new agendas”
“Examples of good practice and
innovation across the region”
24
 Commissioning

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 ,
programmes
• 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
improvement.
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

25

have worked in partnership to design a
short course offering health and social
care Third Sector organisations an
opportunity to develop their understanding
of commissioning as a whole and to
develop “readiness” to being
commissioned in the future.
Evaluation shows that we have been
successful in helping people to
understand better the health and social
care reform agenda, and in becoming
more familiar with the concepts, policy
and language to do with commissioning.
People also have a better understanding
of what commissioning for outcomes
means, and the implications for their
organisations.
Commissioning
Participants valued the opportunity to
learn from others, applying their learning
to their own organisation, the clear
presentations and guidance, useful
examples and group participation. Some
organisations felt that the course enabled
them to really push ahead with developing
their plans to become world class
providers.
The course is being written up to provide
a workbook for the wider voluntary and
community sector to use to improve and
develop their understanding of
commissioning.
Workstream lead: Rebecca Hardwick
26
 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
important things we should do.
Findings from last years IPSOS MORI
survey show that the majority of our
stakeholders say that we support positive
outcomes in health and social care
services in the South West. But what you
think? Your views are important to us and
there are a number of ways that you can
have your say. We will do our best to listen
to what you say and implement any
improvement suggestions where
appropriate.
Talk to one of our team
Get in contact with one of our team to
share your views in person. Use the
contact list on the next page to identify
the most relevant team member.
Complete our stakeholder survey
Our online stakeholder survey will take you
less than 2 minutes to complete.
www.southwest.csip.org.uk/stakeholder-
survey
Write an email
You can provide your feedback by email to
infosw@csip.org.uk.

Contact us
Tel: 01278 432 002
Fax: 01278 432003
Email: infosw@csip.org.uk.
Web: www.southwest.csip.org.uk

Regional Director: Paddy Cooney 07957 153139 paddy.cooney@csip.org.uk

Deputy Director and mental health lead: Kate Schneider 07973 732766
kate.schneider@csip.org.uk
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 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
diane.bardsley@csip.org.uk
Sarah Joy Boldison Development Consultant Mental Health Workforce 07775 684776 sarah.joy-
boldison@csip.org.uk
Francine Bradshaw Development Consultant Race Equality 07775 684785
francine.bradshaw@csip.org.uk
Leeanne Caldwell Programme Support Officer Mental Health 01278 432002
leeanne.caldwell@csip.org.uk
James De Pury Project Manager Mental Health Act Implementation 07908 098036
Alan Howard Development Consultant Acute Care 07876 453407 alan.howard@csip.org.uk
Miriam Morgan Race Equality Lead 07920 213901 miriam.morgan@csip.org.uk
Mark Norman Service Improvement Lead and Dual Diagnosis Lead, 07990 528836
mark.norman@csip.org.uk
David Pennington Development Consultant MH Legislation/IAPT 07799 627244
david.pennington@csip.org.uk
Kate Schneider Deputy Director and Mental Health Lead 07973 732766 kate.schneider@csip.org.uk
Louise Sheasby Temporary Programme Support officer, Mental Health and IAPT, 01278 432002
louise.sheasby@csip.org.uk
Alex Stirzaker Developmment Consultant IAPT & Personality Disorders 07920 502250
alex.stirzaker@csip.org.uk
Trish Stokoe Development Consultant Social Inclusion and Wellbeing 07768 421669
trish.stokoe@csip.org.uk
Amanda Williams Project Manager Mental Capacity Act 07825 843356
amanda.williams@csip.org.uk

Commissioning
Rebecca Hardwick Development Consultant Third Sector Programme and Commissioning 07768
612736 rebecca.hardwick@csip.org.uk
Carrie Morgan Senior Development Consultant Commissioning 07900 905487
carrie.morgan@csip.org.uk

28
 Our team

Jane Rawlinson Programme Support Officer, Children and Families and Commissioning 01278
432002 jane.rawlinson@csip.org.uk

Social care, older people and learning disability

Emma Bullen Temporary Programme Support Officer 01278 432002 emma.bullen@csip.org.uk
Sandy Clarke Physical and Sensory Impairment Lead 07889 209083 sandy.clarke@csip.org.uk
Amanda Cheesley Regional Change Agent Older People 07810 658284
amanda.cheesley@csip.org.uk
Nye Harries Regional Change Agent Older People’s Services 07775 897428
Nye.Harries@dh.gsi.gov.uk
Kay Russell Regional Change Agent Older People 07776 453489 kay.russell@csip.org.uk
Sue Turner Regional Advisor VPST 07866 715742 sue.turner@csip.org.uk

Children and families

David Goodban Regional Development Worker, CAMHS 07787 510232 david.goodban@csip.org.uk
Shoba Manro Service Improvement Lead, CAMHS 07748 656939 shoba.manro@csip.org.uk
Linda Parker Regional Change Agent Children and Families 07920 711007 linda.parker@csip.org.uk
Jane Rawlinson Programme Support Officer, Children and Families and Commissioning 01278
432002 jane.rawlinson@csip.org.uk

Health and social care in criminal justice programme

Faye Brazier Programme Support Officer HSCCJ 01278 432002 faye.brazier@csip.org.uk
Lynn Emslie Lead, HSCCJ 07899 968190 lynn.emslie@csip.org.uk
Sue Staddon Project Manager Court Pilot Project 07917 593470 sue.staddon@csip.org.uk

Other leads
Richard Byng GP Advisor
Steve Onyett Senior Development Consultant Leadership 07771 908812 steve.onyett@csip.org.uk

Support team
Jean Alger-Green Business Manager 01278 432002 jean.alger-green@csip.org.uk
Julie Armstrong-Butler Business Support Officer 01278 432002 julie.armstrong-butler@csip.org.uk
Carol Prescott Information Officer 01278 432002 carol.prescott@csip.org.uk

29
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Creative Commons attribution license. Full attribution details can be found at www.southwest.csip.org.uk/
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