Be Inspired! Shirley Ayres Consulting

The regulation of social workers will be transferred to the Health Professions Council (HPC) according to the proposals published in the recent White Paper, Equity and Excellence: Liberating the NHS.

 “3.36 The General Social Care Council is an Executive Non-Departmental Public Body responsible for the regulation of social workers and social work students in England. It is anomalous as the only professional regulator answerable directly to the Secretary of State for Health.

3.37 We see no compelling reason why the General Social Care Council should remain as an Executive Non-Departmental Public Body in the arm’s-length bodies sector, and we see potentially significant benefits from putting the regulation of social workers on a similar footing to the regulation of health professions. This involves the regulator being funded through registration fees charged to those registered, set at a level to cover the regulatory functions. In this way members of a regulated profession buy into their professional standards, which are set independently of government, and have an incentive to ensure these are upheld throughout the profession.

Therefore, we intend to abolish the General Social Care Council and move the regulation of social workers out of the arm’s-length bodies sector to make it financially independent of government. We believe that in future, the most appropriate model for the ongoing regulation of the social care workforce is to transfer responsibility for these functions to the Health Professions Council, a well established and efficient regulatory body currently regulating over 200,000 registrants from fifteen professions. The Health Professions Council – which will be renamed to reflect its new remit – operates a full cost recovery scheme and currently charges an annual fee of £76 per year, which is considerably less than the likely registration fee if the General Social Care Council were to operate alone on a full-cost recovery basis.

3.39 The Health Professions Council has an existing comprehensive and cohesive system of professional regulation which would apply to social care workers. This differs from the General Social Care Council model in several ways:

• the Health Professions Council is solely responsible for setting standards of education and training for its registrants, whereas it is the Secretary of State’s function to ascertain what training is required to become a social worker;

• unlike the General Social Care Council, the Health Professions Council do not register students, though as part of the approval process the Health Professions Council requires all Higher Education Institutes delivering pre-registration courses to operate a fitness for practice system for students;

• unlike the General Social Care Council, the Health Profession Council does not in practice approve post-registration courses apart from those related to prescribing drugs, although it has the power to do so.

We anticipate that the differences would be explored through a review of social care regulation. The abolition of the General Social Care Council, the transfer of functions in relation to the regulation of the social worker workforce and related changes will require primary legislation. The timing of these changes is dependent on discussion with the Health Professions Council and the General Social Care Council to ensure an orderly transition.

Finally, the General Social Care Council is also responsible for the payment of Education Support Grants, and we propose that if this function is to continue it should transfer to another body.” 

There are a number of unanswered questions about what will  happen to the other functions of the GSCC including post-registration training and learning. The HPC only approves a “small number” of post-registration qualifications. The GSCC approves all courses offering a formal post-qualifying award and reviews them every five years.

 The HPC does not register students, suggesting there is “insufficient evidence” that it is necessary to protect the public. This is an important part of the GSCC’s remit, because social work students can be placed in frontline teams within weeks of beginning a course.

How does this fit with the recommendations of the Social Work Reform Board and the establishment of the new National College of Social Work? As always it is the details, which have not yet been published, which will clarify the government intentions and vision for the future role, remit and regulation of social work.  

http://www.communitycare.co.uk/Articles/2010/07/26/114983/GSCC-to-be-scrapped.htm

http://www.communitycare.co.uk/Articles/2010/07/26/114986/sector-leaders-shocked-and-surprised-by-abolition-of-gscc.htm

Tags: gscc, professional leadership in social work, regulation of social work, Social Work

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It is really refreshing to read about the contribution made by practitioners to the very challenging area of workload allocation and caseload management. Biri Yaya and Carolyn Cousins are qualified social workers, managers and published authors who take a keen interest in what really makes a difference to supporting front line social workers and practitioners.

This article shares the essence of two case allocation tools developed by the authors and implemented in a local authority. One of the most difficult aspects of front line management is knowing there is yet more work that has to be allocated to an over stretched team. The temptation can be to allocate to those who are willing, or will offer the least resistance. As all managers know, some staff will over commit and agree to take on more, while others will resist work – and these can sometimes be the very staff who the manager suspects are the least busy.

Many social work offices still rely either on a team meeting forum for allocation – where the overworked but committed social worker puts their hand up to take on more, much to the relief of the manager, while others rarely offer to take on anything new, or the alternative system usually relies on the individual manager allocating work based on their own judgment of capacity, gained from the self report of the social workers. Neither of these systems openly or transparently determines capacity.

The Weighted Case Limit sets a standard across all staff in a team or service, it requires a set case load limit and that case weighting be pre-determined. It allows for better informed judgment of worker capacity for allocation. It also helps define and distil the kind of caseload that can assist the worker’s professional development.

The Individual Capacity Planner is tailored to each worker and aims to assess spare capacity. Here work load capacity is determined using a quick case by case analysis, and rather than use case number ceilings the tool examines the amount of time required for each case. This model has been used both in safeguarding and family support contexts. This model relies on social worker report, but it does introduce some analysis and accountability, beyond a simple, ‘I’m too busy’ or ‘I can take another case’.

A systematic approach that takes optimum capacity in the notionally available time and impacting factors have proved to be effective methods of case allocation. Download the full report including an exemplar of caseload weighting here. Tried and Tested Workload Management Allocation Tools

The authors welcome feedback on these approaches and thoughts from practitioners who use them in different contexts.

About the authors

Carolyn Cousins (MSW, MEd (Adult), Dip. Mgt) is a social worker and adult educator who has worked across the statutory, voluntary and health sectors both in the UK and Australia. She is currently the Assistant Director of Education and Training at the Tavistock and Portman NHS Fountain Trust. ccousins@tavi-port.org

Biri Yaya, (PhD, M.S.W) is an experienced qualified social worker and team manager . He has published a number of peer-reviewed articles. biriy@aol.com

Tags: advanced social work practice, caseload management, encouraging innovation, professional leadership in social work, professional practice, Social Work, social work reform board

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What does it mean to be an advanced practitioner in social work and does this role include a professional responsibility for leadership? With the increasing focus on interprofessional and multi-disciplinary work in both adults and children’s services, comparisons will be drawn with allied professionals such as doctors, nurses, teachers and psychologists. The new roles of Approved Mental Health Professional, Best Interest Assessor, Independent Mental Capacity Advocates and Responsible Clinician detailed in the Mental Capacity Act. 2005.offer challenges and opportunities for social workers to  contribute their specialist skills and knowledge in a wider range of settings.

The Children’s Workforce Development Council strategy outlined in the Building Better Future – Next steps for the Workforce identifies the need to develop and pilot a framework for professional development for social workers, including those in specialist roles. This will set out the standards and competences expected at different career stages, provide a coherent career pathways, improved development planning and incentives for advanced social workers to remain on the front line.

The role of the advanced practitioner will be explored further in the 2nd UK Mental Health Social Work Continuing Professional Development Conference on Friday 11th July.2008. Social workers in mental health services require strong professional leaders to promote the values, skills and experience of the profession within multi-disciplinary environments. However, the concept of professional leadership in mental health social work is in its infancy and has not yet been universally adopted by employers. This conference will provide the opportunity for discussion and debate about this important subject. You can still book a place by downloading the forms here 

With 5 keynote speakers, 30 papers in 10 symposia and 2 lunchtime film shows the Institute of Psychiatry, Kings College, Making Research Count and the University of Bedfordshire are to be congratulated on providing such an extensive conference programme which will enable practitioners to reflect and share best practice in the mental health field.

The Professional Leadership symposium is one of ten symposia offered at the conference. The full programme can be viewed here This symposium will draw upon the experience of the MSc in Mental Health Social Work with Children & Adults programme at the Institute of Psychiatry in developing professional leaders amongst mental health social workers. The key elements of professional leadership will be explored along with a vision for its future in mental health social work. Because professional leadership also includes the development of new knowledge through original research, research conducted by an advanced practitioner is included to exemplify professional leadership in action.

S8 Paper 1: Professional leadership in mental health social work: what does it mean and how do we achieve it? 

Martin Webber – Programme Leader, MSc in Mental Health Social Work with Children & Adults, Institute of Psychiatry, King’s College London

Abstract

Mental health social work in England and Wales is characterised by uncertainty and low morale. The new Mental Health Act 2007 has opened up the Approved Social Work role to other mental health professionals leaving many to question what the unique contribution of social work to contemporary mental health services actually is. In the absence of a Royal College (provided for other mental health professions) or another authoritative body which defines and promotes social work practice in mental health services, it is largely up to individual practitioners to make and defend their contribution to multi-disciplinary teams.

In this paper I argue that professional leaders are in a strong position to promote good practice, develop the evidence-base for social work and help to define future roles for social workers within mental health services. Professional leadership is currently provided by advanced social work practitioners who can demonstrate an ability to offer advanced and reflective supervision, conduct original research and confidently assert the positive and unique contribution that social workers make to mental health services.

S8 Paper 2: Advanced practitioners: professional leaders in practice

Jack Nathan - Lead Consultant Adult Psychotherapist, South London & Maudsley NHS Foundation Trust, Course Tutor, MSc in Mental Health Social Work with Children & Adults, Institute of Psychiatry, King’s College London

Abstract

This paper will explore what it means to be an advanced social work practitioner in mental health services today. It starts by discussing previously published work by the presenter which looks at the way in which social workers can develop competency beyond Schon’s ‘knowing-in-action’ and / or ‘reflection-in-action’. For example, the essential elements of an advanced practitioner include:

• knowledge of theories informing social work practice;

• knowledge of the current evidence-base; and

• the development of new knowledge through original research, undertaken within the workplace.

These ideas will then be applied to contemporary mental health social work to identify the opportunities and challenges for professional leaders today and in the future.

Jack Nathans previous paper The advanced practitioner: Beyond reflective practice can be downloaded here. Advanced Practitioner (Jack Nathan)

S8 Paper 3: Professional leadership in action. Identifying the support needs of children whose parents have mental illness: a survey of mental health professionals’ attitudes in Kingston-upon-Thames

Karin Slack – Senior Practitioner in Social Work & Approved Social Worker, Royal Borough of Kingston-upon-Thames

Abstract

This paper reports on a study published earlier this year1 that was conducted by  practitioner as part of the MSc in Mental Health Social Work with Children and Adults programme at the Institute of Psychiatry. The study aimed to explore attitudes of mental health professionals in one outer London borough regarding support needs of mental health service users’ children, to test for associations between demographic and professional factors, and practitioners’ views and practices, and to highlight barriers to identifying/meeting the support needs of service users’ children.

All statutory mental health teams in the borough participated in a cross sectional survey. The response rate was 94 out of 150 (62.7%). The sample consisted of a diverse range of professionals, in both inpatient and community settings.

The study found that practitioners were in favour of supporting children. However, attitudes and practices were significantly associated with profession, setting, and whether the respondent was a care co-ordinator. Social workers were the least likely to indicate that it was not their role to do so. Few associations were found with demographic characteristics or experience. The perceived barriers to supporting children were highlighted in this study. Responding professionals considered supporting children important but did not necessarily consider it their role to do so. Training is needed to raise awareness about this issue.

We will be reporting on the key issues raised at the conference in the next week

Tags: institute of psychiatry, making research count, national conference, professional leadership in social work

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