Enough Is Enough
Time4Change!

Contributions to good practice

• Co-author of 'commissioning in a personalised system: experiences from the Cornwall Change Team' a chapter in Personalisation by OLM-Pavilion 2009
• Author of 'Home' a chapter in Personalisation and Learning Disabilities by Pavilion 2011
• Co-developer of a housing/tenancy toolkit with Housing Options 2011
• Co-developer of Cornwall People First Quality Checker service
• Creator of Keys - Citizenship for All quality toolkit
• Contributor to on-line learning resource Open Future Learning
• Co-Owner and Operational Director of Beyond Limits Plymouth (2011-2014)
• Columnist for Learning Disability Today (2010-2016)
• Returning Home (Piloting Personalised Support) and Getting There (Lessons from Devon & Plymouth's work to return people home to their communities from Institutional placements) By Simon Duffy both reports were written about Beyond Limits which I co-owned and operationally ran until 2014
• Citizenship - a guide for providers of support (2016) published by the Centre for Welfare Reform  
• Progress on Personalised Support (2017) published by the Centre for Welfare Reform

Current Positions

• Director at I'm Out of Here Ltd
• Regulation, Health and Social Care Consultant for Enough is Enough Time4Change
• Advisor at You Know
• Associate at NDTi
• Associate at In Control
• Article writer for Community Living
• Fellow of the Centre for Welfare Reform
• Member Learning Disability England
• Specialist Advisor for CQC
• Member Citizen Network
• Non-Executive Director Brook Housing Plymouth
• Care & Treatment Review Chari and Clinical Expert
• Member of Expert Advisory Group for Looked After Children & Young People with Mental Health Needs

I'm Out of Here Ltd 2016 - today
I am co-director for a Company formed of self-employed Associates who were formed after beng asked by NHSE London to facilitate Life Plans for people who were currenlty in specialist Hospitals to help develop good person centred plans so that a house, help and whatever was needed could be commissioned to enable them to get a good life when they got out. I'm Out of Here are currently commissioned by NHS Specialist Commissioning South to do a similar project for 100 of the people they fund in Specialist Hospitals across the Country. We also work with a range of Local Authorities and CCG's helping plan with people who need a good plan.

Enough is Enough Time4Change 1/12/14 - today
I currently work in the positions above some of which are paid, many of which are voluntary posts. Thoughout 2015 and early 2016 I worked on two projects for the NDTi and In Control supporting Local Authorities and CCG's to invest in good person centred life planning and individual budgets (social care, health and education) for children and young people. I have also done extensive work across the Country for CCG's planning with indiviudals (both children and adults) who are still stuck in Assessment and Treatment Units. I was a member of the NHS England Core Reference Group which developed 'Building the right support - a national implementation plan'. As a member of 'I'm Out of Here' I am working with NHS England and the London Boroughs supporting the discharge of people from ATU's. I am also a Clinical Expert for Care & Treatment Reviews.

Beyond Limits 1/3/11 - 30/11/14
I was co-owner and Director at Beyond Limits. Beyond Limits was formed as a project with NEW Devon CCG and planned with over 20 people, out of area, in Specialist Assessment & Treatment Units and developed services in Plymouth. Beyond Limits is a support agency registered with CQC in Plymouth. ! set the organisation up with Doreen Kelly from Partners for Inclusion. Everyone was supported through an Individual Service Fund. People had their own homes some of which where shared ownership. By the time I left in November 2014 Beyond Limits had been chosen by the person, and we had contracts agreed with NEW Devon CCG for 11 people; 6 people were home being supported in Plymouth, 3 people had teams working with them in Hospitals whilst they were waiting for their homes to be ready and 2 people were being worked with to set up the bespoke services they needed to come home. I operationally managed and was registered manager for a team of 60 workers facilitating individual bespoke services for people to live in their own homes. I worked with the police, housing, acute hospital, Livewell Southwest and NEW Devon CCG to make this happen. I also worked alongside the Winterbourne JIP and Improving Lives Team nationally to share good practice and spoke at many Conferences and facilitated workshops on planning and good practice for supporting people who challenge services around the Country. None of this could have happened without the involvement of the people, families, support workers and professionals involved. It was a true team effort.   

United Response 1/2/10- 28/2/11
I worked as a Senior Area Manager for United Response covering Cornwall and Plymouth this includes being responsible for operational and financial management of a team of over 100 workers and development of the business. I was specifically asked to undertake a review of the quality of the service and advice on future development requirements in this time.

Independent Consultant 2009-2011
I did independent consultancy work for the Housing & Support Alliance, private care and health organisations, Bournemouth & Poole PCT, Guinness Trust, European Lifestyles, NDTi and large mainstream housing and support providers.

Bournemouth & Poole PCT 2009-2010
I was head-hunted by Bournemouth & Poole PCT to join the Pan-Dorset Campus closure project to operationally manage a multi-disciplinary team of 10, working to move 50 people with learning disabilities into their own homes with domiciliary support. As well as providing strategic expertise and professional advice to the overall Board and providing training to Dorset Healthcare Foundation Trust. During this time I updated the provider selection process used successfully in Cornwall and developed a 'personalised' Commissioning process, for which there was interest shown by several Local Authorities.

Cornwall & Isles of Scilly PCT 09/08- 03/09
Improvement Manager for Cornwall & Isles of Scilly PCT a bespoke position developed to enable Me to continue to raising the quality of services for the 200 people with learning disabilities who had moved out of NHS provision in Cornwall.
I continued to be involved with CSCI in an advisory role regarding their User Involvement activity and in 2009 chaired their first National User Involvement Communication Conference.

Change Team (Cornwall NHS Partnership Trust) 2007-2008
I was part of the external multi-agency Change Team in Cornwall who successfully lifted Special Measures from Cornwall Partnership Trust (CPT). One of my main responsibility was to support CPT to become registered as 3 branches of a domiciliary care agency and achieve acceptable ratings with CSCI and to then procure and support the development of a high quality provider market in Cornwall who took over the support of the 200 people formerly supported by CPT. I oversaw the transition process and worked on changing culture within health, social care and provision in Cornwall.

Commission for Social Care Inspection 1/7/02- 9/08
I worked for CSCI for 6 years, 2 years of which I  was seconded to the Change Team in Cornwall. I worked as a regulation Inspector working specifically with people with learning disabilities and mental health needs. I  was heavily involved in developing User Involvement and was part of the Regional and National implementation Team for tools like Easy read reports and Experts By Experience. I  was given the opportunity to do a Masters in Health & Social Care Regulation in 2006 and used my dissertation to develop the involvement of people with learning disabilities with little or no verbal communication in Inspection. I  developed a toolkit using Talking Mats which was used within the Commission and influenced policy and process.

Devon County Council 1993-2002
I started my social care career as a Social Worker and remains registered with the GSCC. I was also an Approved Social Worker and was involved in closing residential care homes for people with learning disabilities and helping them move into their own homes with support as far back as 1994.