Guest guest Posted November 7, 2007 Report Share Posted November 7, 2007 Judy, They have just finished this process here and we await results. Like you, as a group of Hv’s we are deeply skeptical of the outcome. Noy From: [mailto: ] On Behalf Of Judy Kara Sent: 07 November 2007 11:32 Subject: Meridian As Health Visitors teams we are just having our work evaluated by a company called Meridian, by means of number of face to face contacts, distances travelled, time between visits, paper work etc (it seems to be a time and study evaluation and does not take into account quality). I was wondering if anyone else has been through the Meridian process and what were the outcomes for you? We have been assured that no redundancies will be made but needless to say there is some scepticism regarding this! Judy Kara HV Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2007 Report Share Posted November 7, 2007 Dear Judy Where are you working - because I think it was Meridian who have just completed Central Lancashire's service audit. Although not a practitioner in the trust I can put you in touch with some of the HVs if you like. From: [mailto: ] On Behalf Of Judy KaraSent: 07 November 2007 11:32 Subject: Meridian As Health Visitors teams we are just having our work evaluated by a company called Meridian, by means of number of face to face contacts, distances travelled, time between visits, paper work etc (it seems to be a time and study evaluation and does not take into account quality). I was wondering if anyone else has been through the Meridian process and what were the outcomes for you? We have been assured that no redundancies will be made but needless to say there is some scepticism regarding this! Judy Kara HV No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 7, 2007 Report Share Posted November 7, 2007 Dear Judy and allI hope the 'basic requirements' for a funding model for health visiting, published in the November edition of Community Practitioner, will help to offset some of the wilder speculations of management companies that have no understanding of what is involved in practice. I wrote the final version of the paper, but the model was developed after several months discussion and collaboration with lots of practitioners (including on Senate), so I think it does have quite good 'sign-up' from health visitors; I will be interested in any other feedback. A second paper about implementation and impact is due to come out in next month's journal. Of course, those who would prefer to deliver a cut-price service may have no interest in what constitutes agreed 'good practice,' but the idea is just to set a marker against which assessments (e.g. of what constitutes a reasonable time to spend on home visits; what dilution of skillmix is acceptable etc.) can be genuinely made. I hope it helps. It is worth bearing in mind the Healthcare Commission, as well, who have started to become quite interested in the excessive risks around the health visiting service. They attended the CPHVA conference and I was sorry to have missed Maddie Blackburn's paper. Did anyone else hear her?best wishesOn 7 Nov 2007, at 11:31, Judy Kara wrote:As Health Visitors teams we are just having our work evaluated by a company called Meridian, by means of number of face to face contacts, distances travelled, time between visits, paper work etc (it seems to be a time and study evaluation and does not take into account quality). I was wondering if anyone else has been through the Meridian process and what were the outcomes for you? We have been assured that no redundancies will be made but needless to say there is some scepticism regarding this! Judy Kara HV sarahcowley183@...http://myprofile.cos.com/S124021COn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2007 Report Share Posted November 8, 2007 this company has actually management to faclitate numerous redundancies with district nursing across the trust. the company had aprroached via E mail our director and when she did not respond the company actually threatened to contact the chief exc with thier proposals how to make mass savings regards ReetaJudy Kara <lushrestaurant@...> wrote: As Health Visitors teams we are just having our work evaluated by a company called Meridian, by means of number of face to face contacts, distances travelled, time between visits, paper work etc (it seems to be a time and study evaluation and does not take into account quality). I was wondering if anyone else has been through the Meridian process and what were the outcomes for you? We have been assured that no redundancies will be made but needless to say there is some scepticism regarding this! Judy Kara HV __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2007 Report Share Posted November 8, 2007 Hi , I am based in Sussex. It would be interesting to see what others thinmk of the process and outcomes. Judy Kara Meridian As Health Visitors teams we are just having our work evaluated by a company called Meridian, by means of number of face to face contacts, distances travelled, time between visits, paper work etc (it seems to be a time and study evaluation and does not take into account quality). I was wondering if anyone else has been through the Meridian process and what were the outcomes for you? We have been assured that no redundancies will be made but needless to say there is some scepticism regarding this! Judy Kara HV No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21 No virus found in this outgoing message.Checked by AVG Free Edition.Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21 Answers - Get better answers from someone who knows. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2007 Report Share Posted November 23, 2007 Hi judy we have underegone MERIDIAN in Sheffield and as a result had a reduction in overall establishment of 10 posts, although the origional figure from their staff was much larger. The process seems to go something like this_ you complete your time and motion study, they identify overall activity levels which allows you to compare individual activity levels for staff. Once this is completed they identify how you can increase overal activity levels which could be utillised for extra face to face or for new activities e.g. public health. The sting follows, but if you increase face to face activity with staff you could then reduce your workforce and still deliver your existing service. They then give you a figure re whole time equivilent posts that could be lost. This is very attractive to PCT's wishing to balance the books and identify where they can disinvest.Less staff, more productivity and a saving opportunity without reducing the quality or quantity of the service. Of course those of us with experience of delivering services know it isn't that simple.This approach seems out of step with all the National drivers for change that are focusing on producing better outcomes for children and integrated practitioners in teir 1 and 2 services. We are implementing co-located multi-agency teams in Sheffield and this also places extra responsibilites and pressures on the health visiting practitioners which isn't acknowledged in the MERIDIAN work.I would be very sceptical about any PCTs motive, particularly if they have savings to make. best wishes Gail - In , Hayri Kara <lushrestaurant@...> wrote: > > Hi , > > I am based in Sussex. It would be interesting to see what others thinmk of the process and outcomes. > > Judy Kara > > > > > > > Meridian > > > As Health Visitors teams we are just having our work evaluated by a > company called Meridian, by means of number of face to face contacts, > distances travelled, time between visits, paper work etc (it seems to > be a time and study evaluation and does not take into account quality). > I was wondering if anyone else has been through the Meridian process > and what were the outcomes for you? We have been assured that no > redundancies will be made but needless to say there is some scepticism > regarding this! > Judy Kara HV > > > > > No virus found in this incoming message. > Checked by AVG Free Edition. > Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21 > > > > No virus found in this outgoing message. > Checked by AVG Free Edition. > Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21 > > > > > ___________________________________________________________ > Answers - Got a question? Someone out there knows the answer. Try it > now. > http://uk.answers./ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 23, 2007 Report Share Posted November 23, 2007 Hi Gail Good to see you on SENATE - how is it all going Margaret Meridian> > > As Health Visitors teams we are just having our work evaluated by a > company called Meridian, by means of number of face to face contacts, > distances travelled, time between visits, paper work etc (it seems to > be a time and study evaluation and does not take into account quality). > I was wondering if anyone else has been through the Meridian process > and what were the outcomes for you? We have been assured that no > redundancies will be made but needless to say there is some scepticism > regarding this! > Judy Kara HV> > > > > No virus found in this incoming message.> Checked by AVG Free Edition.> Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21> > > > No virus found in this outgoing message.> Checked by AVG Free Edition.> Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: 07/11/2007 09:21> > > > > __________________________________________________________> Answers - Got a question? Someone out there knows the answer. Try it> now.> http://uk.answers./> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2007 Report Share Posted November 26, 2007 Hi Margaret,the challange of integrating services across a large city is an intersting one! I've learnt a lot about what is really important for all services that are entering into this type of re- configuration and that is to be well organised, well represented at all levels within the new organisation and to have their leadership roles well defined before they enter the proccess. Service strategies need to be much more well defined as the interface between contrasting cultures and service delivery are brought sharply into focus. It has been complicated here and I am sure elsewhere in the country by the emalgamation of 4 PCT's and the changing leadership roles within the new PCT and the health visiting service. We have generic multi-agency managers for the teams that are partially co-located and the traditional leadership roles provided by previous heads of the health visiting services were re-configured on integration.This was difficult for the service and the requirements re clinical governence, quality of service delivery, workforce development etc were underestimated. We now have a senior manager on secondment for a year and 2 lead roles combined with a team manager role for both health visiting and school nursing in recognition of this. I have started to look at organisational development accross the multi-agency agenda and feel it is the most important aspect to get right for services undergoing change and integration.We had single service frameworks in place but you need to have integrated frameworks that bring managers, HR personnel, staff representation together right from the very beginning.It's hard for everyone but policies need to be in place to ensure that all the single strategies fit togther at a strategic and operational level. The Children's agenda is moving at a very fast pace and I think its easy for the health visiting service to fall behind.I think of all the services we have working together it is the health visiting service which is experiencing the most challenge as the drivers for change are far reaching and much more complex.Practice based commissioning v children centre development, multi-agency integration, the health visiting review, draft NICE guidlines for maternal and infant health WOW! all within a Children and Young Peoples Directorate that has strong performance measures around school attainment and safeguarding. We are having an away day for the health visiting service which I am supporting but its hard when the PCT have also disinvested following MERIDIAN. I did go to the conference this year feeling re-invigerated! If any one else is entering into whole scale integration, please feel free to get in touch. Gail > > > > Hi , > > > > I am based in Sussex. It would be interesting to see what others > thinmk of the process and outcomes. > > > > Judy Kara > > > > > > > > > > > > > > Meridian > > > > > > As Health Visitors teams we are just having our work evaluated by a > > company called Meridian, by means of number of face to face > contacts, > > distances travelled, time between visits, paper work etc (it seems > to > > be a time and study evaluation and does not take into account > quality). > > I was wondering if anyone else has been through the Meridian > process > > and what were the outcomes for you? We have been assured that no > > redundancies will be made but needless to say there is some > scepticism > > regarding this! > > Judy Kara HV > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG Free Edition. > > Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: > 07/11/2007 09:21 > > > > > > > > No virus found in this outgoing message. > > Checked by AVG Free Edition. > > Version: 7.5.503 / Virus Database: 269.15.24/1115 - Release Date: > 07/11/2007 09:21 > > > > > > > > > > __________________________________________________________ > > Answers - Got a question? Someone out there knows the > answer. Try it > > now. > > http://uk.answers./ > > > Quote Link to comment Share on other sites More sharing options...
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