I have blogged previously about purpose and it’s time to move on to the detail – where the devil lies (alongside salvation) . The question is how do we recruit, train, support and retain an effective workforce? A workforce with the knowledge, skills and experience to change lives and systems alongside people with complex needs including homelessness, offending, substance misuse and mental ill-health. One that supports people to overcome barriers to services and engagement. A workforce that is genuine and honest about the collaborative involvement of individuals with lived experience.
It is a big ask to come up with an exhaustive list of what the workforce does and how it goes about its tasks. Anyone that has spent time drawing up job descriptions knows the lengths you can go to trying to capture everything. Equally, they know the struggles of seeking to be both precise and concise. Perhaps that’s why so many job descriptions are rarely used in guiding day-to-day work and are only got out either when there is a vacancy or a workforce problem. In projects like Fulfilling Lives (Multiple Needs) the issues are compounded because many of the roles are evolving and breaking new territory.
Helen Gavaghan, Senior Engagement Worker at Inspiring Change Manchester (ICM), gives an inkling of some of the things workers do to support people to think about change. She says some ‘traditional’ approaches need challenging and staff freed up to be open about working with both their own and their client’s lived experience. She concludes by suggesting learning about what it is that staff are doing is collected and brought together as a tool-kit for other practitioners.
In the Fulfilling Lives (Multiple Needs) projects, when considering the learning that is being fed back overall, I feel there could be more detailed examination of what the frontline project workers do that makes a difference to people’s lives. I believe that there is some valuable learning that could be collected and shared and, if it isn’t, may be lost. General explanations of the approach, such as “building trusting relationships” and “avoidance of judgement” are fine – but I believe are in no way getting down to the specifics and nuances of the great work that is going on.
Vic Citarella delves further into the significance of ‘purpose’ for service users and the workforce in the Big Lottery Fulfilling Lives (Multiple Needs) projects.
Indications are emerging from evaluations that the ‘purpose’ of each Fulfilling Lives project is very important in generating value and ownership. For beneficiaries, engaging in meaningful activities appears to create a vital sense of purpose. Equally for the workforces involved feedback suggests that the ‘purposeful’ nature of job roles generates added value and personal motivation. In my last workforce blog, I suggested that the value stemmed from four sources:
- Meaningful service user engagement
- Concepts of open-endedness and persistence (turned into practice)
- The ideas around psychologically informed environments (PIE) and the like
- Systems Change
In focussing on workforce matters in this series of blogs I have therefore dug a bit deeper to address questions such as: what is the purpose of purpose? How is purpose agreed, described and refreshed? What is it about the four sources which users and workers value that drives them on to achieve their goals?
Sarah Robinson (CFE) and Wayne Richmond and Nicola Plumb (Blackpool Fulfilling Lives) share their reflections on a National Expert Citizens’ Group Workshop
On Monday 28th and Tuesday 29th November 2016 CFE facilitated a two day workshop for the National Expert Citizens’ Group (NECG). The NECG is a group of individuals with lived experience of multiple needs; the group is formed by representatives from each of the 12 funded Fulfilling Lives project areas. The Monday was a training and planning day for the experts by experience. The day focused on training delegates to chair meetings/events and facilitate workshops at events. It was an opportunity to build the confidence and skills of the experts. The activities used to test their skills focused on deciding the direction of the NECG over the next 12 months.
In the first of a series of blogs, Vic Citarella considers the crucial role of the workforce in Fulfilling Lives for people with multiple and complex needs. Vic is keen to start a dialogue with projects on this topic. You can get in touch with him using the details below.
“The CFE and University of Sheffield 2nd annual report into the national evaluation of Fulfilling Lives: Supporting people with multiple needs programme has chapters on ‘interventions and approaches’ and on ‘working the frontline’. The report says it raises as many questions as it answers but without doubt it pinpoints the workforce and what they do as the mission critical factor in the projects. More is promised by way of research and future evaluation. That means, among other things, dialogue with the practitioners, the managers, the stakeholders and the customers of the services.
In the hunt for a bike for my daughter the typing of “kids bikes” in Google returned just shy of 78 million results in less than one second! After years in research I still find it extraordinary the number of sources of information that are returned when performing any internet search (“kids bike bells” a meagre 1.5 million returns in 0.76).
Chatting with friends over the weekend the topic turned to the works of Keanu Reeves (don’t ask) and his big break: the film Bill and Ted’s Excellent Adventure (1989!). We all agreed that the central philosophy of ‘Be excellent to each other’ was a pretty sound one.
I am part of the National Expert Citizens Group (NECG). This is a group which draws people from all twelve Fulfilling Lives areas together to learn and try to influence on issues which are important to us. We all bring our own skills and expertise but the one thing that we have in common is that we all have lived experience of multiple needs.
On Friday 29th January we came together in Stoke-on-Trent to meet with Home Office representatives and Public Health England. On the agenda: The National Drug Strategy Review due to be published in March 2016.
It’s coming up to the end of the year so I thought I would take some time to reflect and take stock. I started my role in January excited. The pioneering nature of the Fulfilling Lives programme interested me but above all was the hope that lives would be transformed both during the life of the project and in a real on-going way into the future. The opportunity to take any part in this, however small, seemed both a privilege and a responsibility.
‘What’s in a name? That which we call a rose, by any other name would smell as sweet.’
Romeo and Juliet (11, ii,1-2)
Shakespeare’s Juliet knew that Romeo’s surname did not take into account all the things she loved about him; he was more than his name. Yet, in order to make sense of our world, we continue to ascribe names and definitions to everything, perhaps forgetting that they can never truly encompass everything that something is.
Events like the National Multiple Needs Summit (22nd April 2015) are always a great opportunity for evaluators like me to have our beloved measures and outcomes illuminated by the personal touch of human experience. Over 300 delegates filed into the circular grand Assembly Hall of Church House in Westminster taking in the impressive glass dome and oak panelled walls. The building was used by the two houses of parliament during the second world war and has echoed to many an historic speech, including Churchill announcing the sinking of the Bismarck, no less.
I am the Communications Lead for the National Expert Citizens Group and the Independent Futures (IF) Group in Bristol – we are the advisory group of people with lived experience of multiple and complex needs. We are equal partners for the Fulfilling Lives project, a Big Lottery funded initiative to see how we can help individuals who keep falling through the gaps in the system. It is evident that many who come under this category – who have experienced at least three out of the four problem areas; mental health, substance misuse, homelessness and offending behavior, are still bouncing from service to service not getting their real issues dealt with properly. Having had hard earned street level experience of accessing these services means that our voice matters. Increasingly we are not only asked to contribute but actions are being taken as a result of what we say.
When we first began working on the Fulfilling Lives: Supporting people with multiple needs evaluation, a question we asked was ‘how many people are affected by multiple and complex needs?’ It seemed like a simple enough starting point. Two years on we’ve learnt very little is simple in trying to address issues that are inter-related and mutually reinforcing, particularly when the service response is too often inflexible and designed to address single issues only. The disconnected nature of support is reflected in the data which can provide an indication of levels of homelessness, offending etc, but not how these commonly related issues overlap. However, a recently published report from LankellyChase Foundation goes some way to addressing this and helping to answer that first, not so simple question.
What’s the collective name for a group of evaluators? A measure of evaluators perhaps? Or how about a puzzling of evaluators? A squabbling of evaluators? Hopefully not the latter.I recently met with fellow evaluators working on strategic investments funded by the Big Lottery Fund. The investments vary from the very young (A Better Start) to old (Ageing Better), from specific needs (NEET young people) to multiple needs (homelessness, substance misuse, offending and mental health). However, there is much common ground in relation to evaluation, with those involved seeking to measure the true impact of those investments and find out ‘what works’, for whom and in what circumstances. Continue reading
This guest blog is from Service User Engagement Co-ordinator Justin Nield. Justin has been working on the Fulfilling Lives: supporting people with Multiple Needs Blackpool Programme funded by the Big Lottery.
I haven’t always been a Programme Co-ordinator and I lived with Multiple and Complex needs for most of my adult life. I spent over 20 years in active addiction, suffered with enduring mental health issues and ended up living on the streets, frightened, confused and vulnerable. Continue reading
I recently spent an informative and enjoyable afternoon at the CLINKS event “Justice Data Lab – one year on”.
The Justice Data Lab is an exciting step forward in making use of government data to better understand what works in reducing reoffending. It is part of a wider, ambitious project led by NPC to open up government data to the not-for-profit sector to help them understand the impact of their work.
A key, but challenging, element of the Fulfilling Lives: Supporting people with multiple needs evaluation is using administrative data, on offending, benefits, use of health services and so on to estimate the cost of supporting people with multiple needs, and evidence the impact of the programme. So we will be keeping a keen eye on how this work develops over the coming months and years and considering ways the evaluation might benefit from it. Continue reading
It is, perhaps, self-evident that people with complex needs frequently require correspondingly multiple and complex responses…. wrote Henwood and Hudson in their 2009 CSCI study Keeping it personal. Now as Carers’ Week passes we have, in the Care Act, the strongest rights yet for carers. When put together with the duty of assessment for young carers, in the Children and Families Act, the legislative framework is suitably reflective of the very complexity identified for policy makers five years ago. It is a challenge for the Fulfilling Lives: supporting people with multiple needs evaluation to explore, understand and share how project investment resolves the problematic issues of real life complexity. Those involved in caring relationships shaped by homelessness, criminal behaviours, substance misuse and fragile mental health are potential benefiting contributors to making the most of that significant investment. The evaluation process has to identify both the benefits and contributions of carers to the success of Fulfilling Lives. Continue reading
The parliamentary ‘ping-pong’ is over, amendments agreed between the Lords and the Commons and the Care Act has Royal Assent. Everyone – local authorities, NHS bodies, public, voluntary and private organisations – are busy assessing the potential impact of the new law on what they do. How will it help/hinder; what are the gaps; what are the costs; what will we do now and what can wait; which clauses take priority; who is going to do what and how will we cope? The questions go on and the project and risk management training is put to the test. Projects will be making similar judgements themselves and the national evaluation team too will be considering how it might impact on our work on Fulfilling Lives; Supporting people with multiple needs. Continue reading
Big Lottery Fund today (12th Feb) announced the 12 areas that will receive a share of the £112 million Fulfilling lives: supporting people with multiple needs fund. Congratulations to all those projects that have worked so hard to get here.
Although the projects are only being announced today, CFE has been involved for almost a year now and as Jon Adamson said in his blog of last September, it’s great to have been involved so early in an evaluation. So what has this early involvement enabled us to achieve? One of the main things we’ve been working on over recent months is developing a common data framework which is designed to ensure that all of the 12 project areas are gathering comparable and consistent data. This will enable us to combine it to understand what’s been achieved at across the initiative as a whole, as well as for each type of activity projects are implementing. We’ve also been working to make connections with national agencies that hold administrative data on prior service use. We would like to use this data to evidence changes in service use over time, and therefore potentially identify long-term savings for the public purse, resulting from people participating in the initiative. We’ve also been developing our thinking and plans for measuring the counterfactual or what might have happened without the initiative; this will help us to attribute any outcomes we see to the work of the funded projects. Continue reading
I joined the evaluation team for the BigLF funded ‘Fulfilling Lives – Supporting people with multiple needs’ in January 2014. As a result, my first contact with any of the projects delivering the initiative was at the launch of the learning activities on 22nd January. Continue reading