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PSIP 6 Test 2
Aims and Objectives:
Using the Model for Improvement (Langley et al 2009) I have been able to
clarify the issue as follows:
Q1: Aims - what am I trying to accomplish?
My aim is to improve the knowledge and understanding of personality
disorders of social workers working in children's services front line teams.
The purpose of this would be to improve the outcomes for children, young
people and their families by a more effective working relationship with
parents in particular. Whilst the literature search did not reveal anything
that specifically addresses this issue there is evidence that such training
would be of benefit to both families and their social workers due to the
higher prevalence of involvement with child protection services where
parents have personality disorders and high levels of 'burn-out' by social
workers which the literature suggests can contribute to poorer outcomes
for families.
Q2: Measures - How will I know that a change is an improvement?
Ultimately there would be a reduction in the number of children becoming
subject to the initial child protection proceedings and/or a reduction in the
time they remain under safeguarding processes, however, due to the
small scale of my SIP and time constraints it will not be possible to
measure this. Therefore I will focus my SIP on evaluating social workers
levels of confidence and skills in managing the behaviours presented by
parents with personality type disorders through either a 'before' and 'after'
questionnaire or focus group.
Q3: Changes - What changes can I make that will lead to or result
in an improvement?
Through the literature review, my experience of working in front line
children's teams and my conversations with the local authorities training
PSIP 6 Test 3
Section one
Describe context: Role location, seasonal.
Key drivers for change/issue: White papers, increased demand acute
hospitals, transport infrastructure, population increase, patient choice,
local hospital infrastructure.
Personal approach to service improvement
Primary data input: Small virtual focus group with local team, debating
possible options, staff skills opinions/competence/concerns. Unable to
perform face to face focus group due to work patterns - to enable a focus
group the whole team will need to be involved (but only three
practitioners); use of technology? Small audit review of attendances of
agreed suitable patients to check for viability of a service post focus
group.
Expected impact strategy for treating fractures within the community
hospital- decreasing referrals, increasing easier local access for patients.
MFI:
1: Increase locally available services; decrease clinic referrals
2: Measure through focus group and audit is there a viable need?
3: What might work? Fracture clinic/multidisciplinary team
responsibility/same day discharge.
PSIP 6 Test 4
PSIP 6 Test 5
What am I trying to accomplish?
Improved clinical supervision and access to a community of practice
end.