Implementation NetworkWood Quay Venue, Dublin 8

18 November 2015

© The Centre for Effective Services 2015

Welcome and Introduction

Nuala Doherty, Centre for Effective Services

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Objectives of Meeting

• Share knowledge and experience of implementation based on

case studies

• Exchange information on upcoming implementation events

or relevant initiative

• Present findings and discuss the Review of the

Implementation Network

• 10th Meeting of the Implementation Network since its

establishment in 2011

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Chatham House Rules

Chatham House Rules apply

i.e. participants are free to use information received

at these meetings, but neither the identity nor the

affiliation of the speaker(s) may be revealed

Encourage openness, sharing of information

Create ‘a safe space’ for honest dialogue and learning

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Agenda

1. Welcome and Introduction (Nuala Doherty, CES) 10.30 – 10.40

2. Case Study Presentations 10.40 – 11.40

– Probation Service of Ireland - Experience of implementation

– Barnardo’s Northern Ireland – An organisation wide approach to

implementation

3. Group Work / Table Discussion 11.40 – 12.10

4. Questions and Answers with Case Study Presenters 12.10 – 12.40

Lunch 12.40 - 13.10

5. Review of the All Island Implementation Network 13.10 – 14.40

‒ Presentation on findings and propositions Owen Keenan, Middlequarter

‒ Observations, contributions and discussion

6. International updates and next steps 14.40 – 14.50

7. Close 14.50

Case Study Presentations

Implementation Network

November 2015Probation Service, Haymarket, Dublin

The Probation Service ‘Experience of Implementation’

Introduction

• Overview of Probation Service

• Use of Programmes in Probation Service

• PDU/Bridge Case Study

• Learning from an implementation framework

Saragh McGarrigle – Probation Officer

David Williamson – Senior Probation Officer

• Reduce level of Crime

• Increase Public Safety

• Reduce likelihood of reoffending

• Make good the harm caused by

crime

• Manage Court Orders

Probation Service Role

Partners

Probation Service overview

Probation Team or Sub Team Office

CBO/Contact Office/Other

8,500 offenders

in the community

395 staff

€37.3 million budget

42offices

(+prisons)

Probation Service Offices in Prison

How we do it

General principles

Social Work ethos

Risk Assessment tools

Level of intervention = Level of risk

Intervention to target identified risk factors

Use of specialised programmes

Multi Agency

Periodic review of progress

Cost Effective

The programmes context

In order to achieve reductions in offender recidivism in the range of10% to 50%, programmes implemented within probation and parole must adhere

to specific principles for effective intervention.

Paparozzi What Works debate

Programmes found to be effective

Provide measurable outcomes

Wide application – offence type, location

• IN IRELAND

Programmes used in the service since 2000 – sex offender, group work programmes, local initiatives

Examples: Choice & Challenge, Alcohol Awareness, Alcohol & Offending, Anger management, Living with Life

Programmes Team

Bridge/PDU

• History of using accredited programmes & designing programmes

• Some experience of evaluation of programmes

•Established culture of CBO working in Partnership with Probation Team

Programme Process - 1

•Programme target area identified by Probation Service

•Options reviewed – Revise existing programme, utilize external programme, in house design

•Proposal put to Probation Service

•Direction on preferred option

Programme Process - 2

•PDU – Design/revises/reviews selected programme

•PDU team deliver programme to identified group

•Programme and process evaluated by Bridge

•Programme revised by PDU

•PDU lead pilot of programme with identified Probation Teams

•Pilot evaluated by Bridge and report to Probation Service

•When Programme Approved•Final revision, •Published and distributed

Evaluation Process

Process evaluated – content/ PDU interaction/Deadlines etc

What measures of effectiveness were selected and uilised

Feedback obtained by quesionaires and interviews

Feedback from – staff, participants

Ongoing monitoring

Support Role

SMT presentation

Regional meetings and presentations

Team meetings and presentations

Individual contact and support

Developing a centre of excellence

Programme Implementation

1.Exploring & Preparing

•Strategic Goal Set: Implement identified programmes nationally

•Informed by best practice/ outcomes focused/ value for money

•Consultation with C.B.O., Bridge

•Plan lead by identified team

•Resources reconfigured to support plan

• Could have benefited from:-wider consultation of stakeholders at this stage-Leaders with knowledge of implementation theory

2. Planning & Resourcing

• Stakeholder consultation extended when programmes piloted –

included both practioners and offenders

• Use of peer support at pilot stage – impliementation champions

• Staff skills/readiness at different stages

• Availablity of PDU team to individual staff was core

• Difficult to have realistic timelines for implemntation plan initally

• Organisational culture – resistence to move from professional

autonomy to ‘manulaised’ approach

• Need for national communication strategy at this stage

3. Implementing & Operationalising

• Progamme Implementation Plan 2015 – 2016 focused on this stage

•Staff capacity – skill development- overcome obstacles - support

•Imbedding within the current policies, structures, organisational culture

•Imbedding within current assessment and supervision appraches

•Clear communication flow up ad down, active and passive

•Communication of programes to offenders, families, partner agencies

•Review and evaluation as part of plan

4. Business as Usual

• Some programmes are at this stage

•Programme Implementation Plan 2015 – 2016

• When plan is completed, we should be at this stage……

www.probation.ie

An organisational

implementation journeyJulie Healy – Head of Programmes

Michelle Harris – Implementation Manager

The road less

travelled….

Outline

• Barnardo’s Northern Ireland context

• Implementation stage and activities

• Reflections on implementation journey

• Future plans for implementation

• History of promoting evidence based

practice

• Building on focus on ‘standards’ towards

outcomes and effectiveness

• Traditional structure

• Culture of management and compliance

Key milestones

•Voluntary funds commitment to policy and

research, ‘what works’ across UK

•Policy & Practice Series launched in NI

•Strategic decision to increase work in schools

• Investment in Incredible Years Programme

•Atlantic investment and support

•GIC experiences

•BIG ‘Realising Ambition’ investment

Where are we now?

• UK wide outcomes framework

• More robust effectiveness measurement

• Emphasis on data driven decision making

• Increased practitioner knowledge and

interest in implementation

• UK wide replication of evidence based

programmes,

Numbers and

Stories

Some numbers

(and stories)• Over 20,000 children and young people

• Numbers of teachers trained

• 22 programme manuals adapted

• More robust effectiveness measures

• Emphasis on data driven decision making

• Increased practitioner knowledge and interest

in implementation

• UK wide replication of evidence based

programmes.

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Performance Assessment

Coaching

Training

Selection

Systems

Intervention

Facilitative

Administration

Decision Support

Data System

AdaptiveTechnical

Leadership

Core

Implementation

Components

Source: Slides presented at Implementation Masterclass, Dublin, May 2011, Karen Blasé and Dean Fixsen

Leadership Drivers

• Permission to do things differently

• Anticipating failure

• Stopping when things didn’t work

• Engaging and sharing

• Advocate at UK level

• Recruitment & Selection

• Training – professional development

• Flexible, part-time workforce, working

across more than one project

Competency Drivers

Organisational Drivers

• Recruitment and people systems

• Decision support data system

• Influencing UK Barnardo’s policy

• Communication

The challenges we

face

Some Challenges

• Role of Barnardo’s NI in UK organisation

• Traditional perception as a social work

organisation

• Hearts and minds

• Professional integrity

• Manual versus relational

• Understanding evidence

Some Enablers

• Leadership

• Funding – flexibility & support

• Wider networks (island and global)

• Internal momentum & interest in

implementation

• Collecting and utilising data

• Dedicated resources – Policy, research and

information management

Reflections from a

returning implementation

traveller

“Everyone thinks of

changing the world, but

no one thinks of changing

himself”Leo Tolstoy

What’s changed?

Language –from evidence to implementation

Understanding

Practice

Conversations

Roles

Results

Opportunities

Perceptions

Numbers and Stories

What’s remained?

Values

Integrity

Standards

Focus on children, young people, families

and communities

Numbers and stories

Respect

And finally ….

Some useful learning …….

How not to…

Thank You

julie.healy@barnardos.org.uk

michelle.harris@barnardos.org.uk

02890 672366

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Group Work – Questions for discussion

1. What advice do you have for The Probation Service as they progress the implementation of national programmes?

2. What are the organisational challenges associated with adopting the learning from implementation science?

3. What learning have the presentations offered for your own work?

Questions and Answers

Case Study Presenters David Williamson, The Probation ServiceSaragh McGarrigle, The Probation ServiceJulie Healy Barnardo’s NI Michelle Harris, Barnardo’s NI

Review of the All Island Implementation Network

Owen Keenan, Middlequarter

REVIEW OF THE ALL-ISLAND IMPLEMENTATION NETWORK

MIDDLEQUARTER LIMITED

OCTOBER 2015

PURPOSE OF REVIEW

To…

• Understand the benefits, achievements and limitations of the Network

• Identify options for the next phase of development of the Network

• Decide the future focus and structures for the Network

Period of Review: June to September 2015 with report for discussion by Steering Group in October

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OUTPUT REQUIRED

A short report that would outline:

• An assessment of the achievements and limitations of the Network

• Learning from implementation networks internationally and other networks in Ireland/Northern Ireland

• A number of options to be considered for the next phase of the Network

• The future focus and structures for the Network

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METHODOLOGY

• Briefing & documentation

• Phone interviews with twelve members between 30th June and 3rd July, and between 4th and 21st August

• Online survey of members using the SurveyMonkey tool

• Phone interviews with leaders of the Danish, Netherlands and United Kingdom implementation networks

• Phone interviews with the All-island Food Poverty Network and with the All Ireland Institute of Hospice and Palliative Care

• Ongoing contact with CES personnel for additional information, clarification, updates and support

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LEARNING FROM NETWORKS• Definition: a grouping of individuals, organisations and agencies

organised on a non-hierarchical basis around common issues or concerns, which are pursued proactively and systematically, based on commitment and trust (WHO)

• The characteristics of Networks– Knowledge networks– Value networks– Communities of practice

• European Implementation Networks– Danish Implementation Network– Netherlands Implementation Collaborative– UK Implementation Network

• All-island Networks– All-island Food Poverty Network– All-island Institute of Hospice and Palliative Care

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MEMBERS’ FEEDBACK

• 39 members completed online survey (51%)• High level of satisfaction with Network meetings’ content &

organisation• High level of satisfaction with role of Steering Group and CES• Some suggestions that a partnership with Government

departments would be strategically advantageous• In spite of positives, strong sense that Network needs to

evolve• No support for Network becoming an independent entity• Preference for membership fee, if introduced, on corporate

rather than individual basis• Otherwise no strong consensus on key issues and challenges

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ISSUES & PROPOSITIONS

• Purpose of Network – to deepen members’ implementation skills or to promote awareness and standing of implementation science?– Promote & increase reach of implementation science; – Extend approach to policy & delivery of all mainstream human services

• Membership development – Establish strategic links with Government – Focus recruitment on mainstream public agency providers & researchers – Engage with other networks

• Leadership– Clarify respective roles of CES & Steering Group;– Keep status of Network under Review as it evolves

• Steering Group – Make role and functions explicit – Clarify arrangements for size, representation, appointment & retirement

of members

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ISSUES & PROPOSITIONS - continued• Seniority of Members

– Clarify respective roles of Network & Learning Communities;– Network to comprise members with decision-making authority & focus

on strategic aspects of implementing reform; – LCs to focus on deepening implementation understanding & skills

• Focus & content of meetings– Importance of continual consultation with members balanced with focus

on achievement of strategic aspirations

• Diverse convenings– Network needs to engage with members whose interest is not facilitated

by current arrangements; – There is a need to provide other ways and means of engaging and to

consider uni-jurisdictional meetings

• Membership fees– No principled objection to membership fee though preference for

corporate fee; – Needs to be linked to the Network’s strategic development and value

proposition

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CONCLUSION

• The Network is a beneficial forum but needs to continue to provide value & to grow and develop

• Potential contribution of implementation science to mainstream human service delivery & public sector reform agendas

• Key questions identified for the Network’s future strategic development

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Review of the All Island Implementation Network

Owen Keenan, Middlequarter

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Observations, contributions and discussion

1. Does the review resonate with you?

2. What should be the purpose of the Implementation Network?

3. What activities/processes should the Network use to deliver on its purpose?

4. What mix of members should the Network aim for (number, sectors, and seniority etc…)?

1.

Implementation Events and Initiatives

GIC and GIIEIC

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Global Implementation Conference 2015 - recap

• 26 – 28 May 2015

• Trinity College Dublin and Dublin Convention Centre

• 471 attendees from across all fields of implementation

• 25 Countries

• 34% from Ireland and Northern Ireland

• 66% attendees were somewhat satisfied or completely satisfied with the overall conference (increase from 2013)

• Favourite plenary from feedback forms was Leo Varadkar

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Global Implementation Initiative (GII) – website

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Global Implementation Initiative (GII) – Next Steps

• Global Implementation Society ‒ help define, support, and expand professional roles related to

implementation in human service organizations and government systems.

• Global Implementation University‒ committee will continue to organize efforts to establish coursework,

certificate programs, and degree programs to strengthen professional knowledge, skills, and abilities in the field of implementation

• GIC 2017

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European Implementation Collaborative (EIC):

• EIC website – www.implementation.eu NOW LIVE!

Make links and exchange learning on implementation science and practice - working with individual

country and regional implementation initiatives.

‒ ‘Go to’ portal for individuals/organisations interested in EIC‒ Repository of information –articles, toolkits, reports, case studies, videos and events ‒ Host webinars ‒ Country/Regional Implementation Network Pages

• Keep in touch

‒ Become a member on the EIC Website

‒ Social media: become part of EIC LinkedIn Group ; Follow us on Twitter @implementEIC

• Next Webinar - 12 midday, Wednesday 2 Dec 2015 – www.implementation.eu

Effective Strategies for Implementing Innovation in Health & Youth Care - An EIC and NIC Webinar

Presentations by:• Dr Fabiana Lorencatto, City University London on ‘Developing interventions to target identified barriers and

enablers to change: the Behaviour Change Wheel guide to intervention development’.

• Dr. Barbara Regeer , Athena Institute for Innovation in the Health and Life Sciences, VU University Amsterdam on

emerging innovative strategies for (sustainable) development

Next steps and close

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Next steps

• Implementation Network Steering Group to take today’s discussion on the review of the Network and formulate specific proposals on purpose, membership, activities, governance of the Implementation Network – in early 2016

• Next Network Meeting – likely to be April / May 2015 – subject to Steering Group deliberations on activities (including meetings)

• Feedback on today, please

• Thank You!