Islands in the sun

When I became Vice President in 2010 I decided to commit to support the island authorities to feel better involved with ADSW so I agreed to go to a meeting with the three Directors in Glasgow. (Apparently it is the most convenient location for all three.) I have tried to keep my word this year and two of the three CSWOs have changed as both Gillian Morrison and Ann Williamson have retired, to be replaced by Caroline Sinclair in Orkney and Hughina Leslie in Shetland.

So that is the backdrop, and on 11th January I had dinner with Peter Hay of Birmingham and Ian Macaulay of Western Isles in advance of the Integration Seminar we were all to attend the following day. Over dinner I agreed to go out to the Western Isles to meet staff and take some of the debate to Stornoway and a date is fixed for 26th April. The following day at the seminar which was attended by a good number of representatives from CHCP Directors, I was invited to visit the Shetland CHCP as a gentle challenge to the ADSW reported position on CHCPs as being 'broken'. Of course I agreed and last week I travelled to Lerwick as Christine Ferguson's guest for a whistle stop tour.

ADSW's position on integration was not so much that CHCPs were broken, it was more that, as sub committees of Health Boards they are not consistently successful at fully involving local authorities to meet social care needs. ADSW has sought evidence on what works and has promoted a policy whereby a framework of policy and outcomes are set nationally and  delivery arrangements are determined are locally, accountability is joint and budgets are integrated.

So in unfeasibly warm sunshine I set off for the Shetland Islands with no real expectations other than that I would meet some good colleagues who I normally see only once a year at conference.
On arrival Christine drove me to Kantersted to meet the combined senior management team (see picture below). The welcome was warm and the mood was enthusiastic as we ranged over topics from primary care to learning disability, mental health to CJSW.

On the Monday evening I dined with an old Borders colleague, Ralph Roberts, now CEO of NHS Shetland, together with the chair of the CHCP, the chair of the Adult Protection Committee and the Director of Public Health. Once more it was a good exchange of ideas and I was confronted once more by the similarity of our challenges across Scotland - and the necessary difference of our solutions - Shettleston isn't Shetland!

Tuesday dawned with bright, warm sunshine once more and I met Helen Budge, Director of Education, the combined occupational therapy team, the community mental health team and Ann and Hughina. Ann, who many of you know, retired in January and now works part time for Alzheimer's Scotland and she has been replaced by Hughina. At the same time, the CSWO role has moved from Community Care to Children and Families and we discussed the significance of the move, the way in which the role is manifested in Shetland and the importance with which it is seen by the Council.

The visit was over all too soon but not before I had seen for myself the value of local determination, local arrangements to deliver national objectives. The model here works well and is well supported but there are aspects that wouldn't suit us in Borders - why should they - but they work for Shetland and I was very pleased to experience it.

Earlier in March, together with Pat Watters I was a guest speaker for Moray Council at a staff seminar held at Elgin City FC. Sandy Riddell is on the brink of a major re-structuring and asked us along to give thoughts on the integration agenda. Once more, a different council, different context, different agenda and a structure designed to meet local circumstance and it struck me as being well supported and well put together.
These forays around Scotland further convince me of the value of the local approach.

Andrew

The Minister, the revolutionary and the quiet revolution

2012 may be remembered for many things – Olympic Games in London? Queens Diamond Jubilee? European Championships? All the above probably, but I had a part in a small event last week that I hope signifies another, more durable reason to remember this year because on March 1st at the Dynamic Earth in Edinburgh, Minister of Public Health, Michael Matheson MSP launched the Social Care (Self-Directed Support) (Scotland) Bill once more into the Scottish Parliament.

The momentous nature of the event was somewhat dulled by the absence of the Bill itself which was not cleared for publication until two hours after the event concluded. However it was a colourful and eventful morning. The speakers were required to reveal something about themselves – I said I had something in common with Jimi Hendrix, Paul McCartney and Barack Obama – left handed. However Minister Matheson revealed that he was the only foreigner to attend the funeral of Che Guevara in Cuba where his body was interred some twenty years after he was killed in the Bolivian jungle. He apparently attended the ceremony at which Guevara was laid to rest in a mausoleum in the central Cuban city of Santa Clara, site of Batista's final defeat. Fancy that!

The event involved some ‘speed dating’ as delegates moved around 6 or 7 tableaux where they were engaged by different speakers and stimuli. Pam Duncan gave a breathless and perfectly timed six minutes on what SDS means to her. Elsewhere we had to ‘make our mark’ with a finger print to demonstrate commitment.

Why do I go into such detail? Because I was the only Director present and was keen to ensure that the event was registered by us all.

As for the Bill itself, it was available online by Thursday and as you might expect it is similar to the version tabled prior to the dissolution in 2011. The four options for SDS are:
Option 1: the local authority makes a direct payment to the supported person in order that the person can then use that payment to arrange their support.
Option 2: the supported person chooses their support and the local authority makes arrangements for the support on behalf of the supported person.
Option 3: the local authority selects the appropriate support and makes arrangements for its provision by the local authority.
Option 4: a mix of options 1, 2 and 3 for specific aspects of a person‘s support. This is to recognise that some individuals may wish to take one of the options for particular aspects of their support needs, but to receive their remaining support under one or other of the remaining options.

The Bill makes clear that the authority must give the supported person the opportunity to choose one of the options for self-directed support unless the authority considers that the supported person is ineligible to receive direct payments.

Published alongside the Bill is the Financial Memorandum which states in paragraph 67 that:
The purpose of this Bill is to underpin the aim to deliver choice and control for those who receive social care and support as set out in the Scottish Government‘s 10-year National Self- Directed Support strategy. The specific impacts of the Bill provisions themselves are relatively narrow. However, there are a range of costs associated with transforming culture, systems and approaches to social care provision (my italics) in response to the Bill and the wider Strategy.

The table beneath reveals £682,000 over two years for workforce development and £73,000 available in 2013/14 for joint working with NHS.

A further £42m is available over 3 years for costs indirectly associated with Bill implementation – transformation etc.

So, it is clear that SDS is underway for parliamentary consideration as a default option for the provision of support and could well become a deal changer.

In my speech at the event I quoted from our manifesto, Challenging Systems, Changing Lives:

“If Self Directed Support legislation is passed with the presumption that this will be the norm, it would be possible to deliver an entirely new contract with people who need our assistance; a contract that empowers them to make choices and allows our focus to centre on enablement, protection and continuous improvement.

We know that this will not happen overnight and may meet with some resistance, but the Association recognises a duty to lead, to secure resources and to fulfill the statutory obligations of local authorities: “to promote social welfare by making available advice, guidance and assistance on such a scale as may be appropriate for their area...” [Section 12 Social Work (Scotland) Act 1968]”

I hope we are all preparing to be a part of this quiet revolution.

“It is difficult stuff and the demand is instant, urgent and problematic”

Post: January 2012

A two week break at Christmas was perhaps a little too much for me. I spent half of Christmas Day in a windy field with eight firefighters and a vet trying to rescue my daughter’s pony from a quagmire and later had to deal with a flooded kitchen and replace our washing machine! So when the call came to return to work it seemed like a good idea.

However, the return has been characterised for me by a series of high profile press stories and as these are events we all have to deal with, I thought it might be appropriate to make this the topic of my first blog for 2012. The  media demands for a leader in social work are many and varied and can be the most vital task we undertake in explaining our work.

Since becoming President last May I have had to write opinion pieces for national papers, write for professional journals, be interviewed on Newsnight twice - regarding charging and the ethics of care. I have been interviewed on The Politics Show regarding welfare reform but until now I haven't had to deal with that most difficult of  challenges. responding to a child death.

I was up early on the 12th January to prepare for our seminar on integration in Edinburgh. At breakfast in my hotel I saw the newspapers which were filled with pictures of the squalid, degraded house in Paisley where amid accumulated rubbish and detritus the remains of the infant Declan Hainey had been found in 'a semi-mummified state'.

I was aware that his mother was to be sentenced that day and wondered what might be expected of ADSW. The tragic events leading to Declan's death have been much in everyone’s mind. A serious case review has been conducted but is not yet in the public domain. The responsible agencies and partnerships have to explain what has occurred and to justify the actions taken. A joint press statement by the Health Board and Council described how their efforts had been thwarted by Hainey 'deliberately avoided contact by lying to social work and health staff".


Renfrewshire Child Protection Committee has an independent chair, and those of you who have seen any of the coverage will appreciate the value of an independent person being able to articulate the key issues. This is difficult stuff and the demand is instant, urgent and problematic.

My phone went as I set out from my hotel to walk down Haymarket to COSLA. It was Jane Devine, the BBC had called, I have 30 minutes notice of a need to take part in a phone in on BBC Scotland – Call Kaye.

The theme “what can we expect from our system to try to protect children” I have twice appeared on this show previously but this was the first such occasion to deal with a real and present, emotionally charged issue. I sat in the ADSW office (immediately prior to our integration seminar), switched on the radio and it was immediately apparent that passions were roused and once more the Scottish public transferred their frustration, anger and passionate fury from the murderer onto the public agencies who were there to protect.

It is entirely understandable but very difficult to respond to and as I listened in I could hear Ruth Stark making  the case for social work practitioners in child protection on behalf of SASW but I was concerned to think how I could say something valuable, something that might introduce balance to an emotional debate. I was asked:
‘Are we drowning in the system?’
Has it become to big, too overbearing?’
Is the danger that nobody takes responsibility?’.
‘No it isn’t that the system is too big, these are complex circumstances, these cases hold up a mirror to society, shine it in a dark corner and people don’t like what they see’”
‘Yes, someone has been held to account and today they will be sentenced to life in prison.
‘No, we can never guarantee to the people of Scotland that we can protect every child, whether it be the GP, the health visitor or the social worker, we all rely on information and public support.”

It was challenging and I was keen to introduce some fairness and balance. My intention is always to explain, to represent social work fairly, to give context.

Nearer to home, in my own authority, a 3rd sector home for older people with dementia has been making the newspapers with a snowballing story. A series of allegations have made the front pages of our local press for three weeks and have also been reported by the BBC and the Herald.

How does a CSWO respond in these circumstances?  it is not directly run by the authority but we purchase nearly all the places. Furthermore, the CSWO or Director is looked to for a complex set of leadership behaviours; to establish necessary action, to liaise closely and effectively with the provider, the regulator and elected members, to provide contingency plans and above all, to secure the safety of the resident population.
When I led the work to develop new guidance on the role of the CSWO a couple of years ago, I made a particular point of giving the role a territorial as distinct from a departmental or local authority parameter. It always struck me that we have this wider leadership expectation and that we should deploy it sparingly but confidently.

Accordingly I went before my Council in  private session last week and gave them a comprehensive briefing on a service we do not manage or control and I assume a leadership role in its resolution. It is a role that has its roots firmly in the Social Work (Scotland) Act 1968 and one of the many advantages of Scottish social work that we should jealously guard.   

Andrew

28th January 2012