23 July 2014 Benet Middleton General assembly 19 July 2014 Write up of morning session on Governance Report What would change? The attendees were asked to identify one thing that would be different if UKCP were operating in the way they would like. The facilitator has grouped the comments under some broad headings below: Raised profile and influence for UKCP “UKCP to have a greater profile in… [?] speak out in linking social/political issues (eg immigration polices – benefit cuts) with mental wellbeing” “Greater publicity competing with BACP and BABCP” “Better known outside” “well known” “An organisation that promotes itself and supports its members” “have more political influence and voice in Nice guidelines (more political clout in this work)” “Greater voice to Government and public” “politically engaged and responsive to what’s going on in mental health” “Other psych’s would think better of it – ie colleagues” “Be confident” Related to the “The organisation that publicises psychotherapy as a gold standard” above were Raising the profile as the quality standard for mental health support” various “Higher status for Psychotherapy” comments on “The leading organisation for public to come to as/when feeling the need for promoting support” psychotherapy “Promoting psychotherapy more effectively to government agencies” “UKCP would discover its intellectual passion about the identity of psychotherapy” There were a “Transparent” range of “Cleaner and more transparent processes with less obfuscation” comments “Transparency of: decision making process; communication; organisational about the need structure” for “The process of decision making will be clear and all parties will follow it efficiently effectiveness, and effectively” clarity, “easier to get decision made” transparency “Clarity over who to go to, to answer queries” and greater Simpler and more focused on psychotherapy” simplicity “Transparent, clarity, invisibility” “Simplification” “Clarity of role and function” “Clearer/simpler regulatory framework re Accred/Reaccred etc “Effective” “Change to a let’s do it culture from let’s think about it” “the general air of frustration and impotence would be lessened” “I would understand the thrust of the organisation and its values” “clear transmission of policies from the top (exec) through the organisation so that every member understands UKCPs position” Closely related “get out of the way just maintain the register” were comments “less regulation” on UKCP’s role “Trade union style able to give advice to OMs ... [?]...and support psychotherapy 1 23 July 2014 and structure Several comments related to the need for greater agreement and less in fighting Relationship with members and ability to listen was raised Benet Middleton perspective” “The issue of/notion of organisational members would disappear!” “Member services” Splitting roles of membership organisation and regulation – clearer accountabilitybetter democracy” “Membership cards [?]” “At leadership level there is one person focusing on DE and voice of membership in this” [assume Diversity and Equality] “Make it easier to get individual registration” “Non- members to do the reaccreditation” “We would be able to reach consensus/agreement and make the changes we want to” “Move forward together” “Harmonious interactions” “More inclusive of modalities rather than each modality just fighting their own corner” “Respect between staff and members” “Less destructive opposition” “More discussion about different modality [and?] emphasis on overall development” “Organisation I’d trust to understand if I needed support” “Less geocentral? More support for regions” “Genuine enfranchisement of members” “In touch initial listening is difficult – like now” “There would be a seamless journey from training to expert members in modality protected groups” Following a presentation on the governance report the group were asked two questions: 1. What do you think of the report? Where do you agree or disagree with the report? 2. What does your table believe are the priority areas or issues to address? (Either in the report or not) Can you make recommendations on these? Can you rank them in order of importance? The report The facilitator asked for an indicative show of hands (this was not a general meeting and was not making a formal decision) on the following two options to enable the Board to decide their next steps: The report is fine as far as it goes – but there is more that is required We should rip the report up and start again There was a clear majority of those in the room who supported the former but with a number of people in favour of starting again. This view was repeated again the prioritisation exercise with a number of people indicating they would like the process to start again. It is probably a fair representation of the group that while overall they would support the report – this was only be on the understanding that more fundamental questions are addressed. 2 23 July 2014 Benet Middleton Priority areas The facilitator then asked people over their lunch break to indicate where they felt the priority areas lay for further action based on the table feedback. Participants were given red dots for those areas they supported and blue dots for the areas they thought were less important or they didn’t like. They were given more red dots than blue ones to encourage a more productive focus. There were no rules as to how the dots were used ie someone could put several dots by one issue. In some way this may be a clearer indication of the room’s feelings than any specific comments made during the discussion. The table below tries to group these together – the separation indicated by the questions has been ignored for this exercise. Of course there are different ways that these issues could be grouped – for example, while issues of diversity and equality came further down the list of priorities – they clearly relate directly to communication and trust. Likewise issues relating to defining the public interest could be seen as directly related to representational issues. Looking at where the votes fell the following appear to be the top five priorities of those in the room: Direct members The role of colleges Representation issues Promotion of psychotherapy and of the UKCP Issues around communication, trust and culture. There appeared to be little consensus on the issues during the discussions and the spread of blue dots indicates that some issues are seen as less important or liked less. Table of priorities grouped around headings Issue or priority Direct Members Direct members – sort this out Direct members/individual membership Direct members where do they fit in? Review direct members Missing from the report – the issue of direct members Issues of representation, reaccreditation and financial concerns of direct members Colleges and modalities Creating distinction between role and function of UKCP as a regulatory body and our membership of each modality. Modalities as Faculties not membership bodies with UKCP generic standards as the only regulatory standards Lack of coherence across colleges in standards Standardisation challenge What is the role of the colleges? Structure – Colleges? What for? Tribal and cumbersome Colleges feel alienated Senses of disconnection – colleges are... [?]..on the periphery 3 Like 20 10 3 Like less 12 7 7 3 2 4 16 2 2 2 11 1 1 23 July 2014 Benet Middleton Colleges and faculties – implications? What is the conflict of interest? Sort conflicts between colleges and centre – increase the feeling of representation between the colleges and the board Should colleges have more power and resources? Should we reduce the number of colleges? Colleges do we need them? How can you regulate and punish under one structure. Colleges provide shape. Should we increase the ability of colleges to function appropriately? Structure - colleges Colleges and modalities Promotion of psychotherapy and UKCP Promote the business of psychotherapy in the world in competition with other organisations particularly the BACP, the BABCP and the BCP Public profile Promotion of UKCP standards in eg NHS What is the marketing plan? Promotion of psychotherapy and psychotherapists Marketing Psychotherapy is good. It is a safe place that the public can benefit from. We give lots of cheap or free time compared to say lawyers Psychotherapy is an art a science and a craft Brand promotion Representation issues How can we strengthen different views at the top and representation at the top Not just about regulation, needs to include scope voices from consumers and members… …eg develop a parliamentary democracy Annual conference with voting rights Shift focus to putting more emphasis on UKCP being a representative voice for members – guidance as well as regulation Getting members involved in campaigning and engaged in discussions about campaigns Forum for debate(on larger scale) eg Joint college meeting Forum for debate – loss of AGM Two way mutuality and dialogue between UKCP and it members Better communication and trust UKCP, its OMs and Colleges need to respond to changes in the outside world more quickly and more effectively – and convey the information to members more effectively Develop a sense of being one organisation – review of what working well and what is not working well. Better two way communication between UKCP and colleges Report doesn’t address the functionality that exists in the organisation or trust building Policy needs to be thought through at all levels before it is implemented – eg reaccreditation of direct members Engagement with public, press and media – generated and included views of members to include OMs taking a stronger role as well as IMs Trust and communication are the most important issues 4 8 3 3 9 3 1 2 7 9 7 9 6 2 2 2 4 5 2 16 2 1 7 3 2 5 5 12 4 3 5 1 2 23 July 2014 Benet Middleton Tackle cultural issues – eg modalities integration Pay attention to stakeholders Structure and decision making Simplifying structure Clarify decision making process Need clear lines of reporting upwards and downwards Clear strategy will help us move forward The role of the CE in running the organisation Separating the role of the CE and chair and especially the “running” of the organisation including the finance function BACP - Centralised board, no modality issue, not diverse Use the governing structure that is empowered to govern Should we be a charity? Structure of UKCP; are we using the right model – for eg social enterprise, business model, trading arm? Consideration of volunteer work versus paid work in the UKCP structure Psychotherapy council – is it a good forum? Can it ever be? Psychotherapy council function Regional presence – psychotherapy council doesn’t work – need for member representation Member services and support Membership enfranchisement and services Members – more services; enfranchise the members; competitive offer; friendly organisation; pay attention to stakeholders Quality CPD events Important the UKCP promotes itself (one view that the report is unnecessary and we need to put more time and effort into PR Members interests – in terms of making a living Provide me with more support, guidance and clients Support advice and help to members Trainees and practitioners are not being prepared enough for the external world of work – improvements in training Need for seamless career cycle: NHS versus private practice, what does private practice mean in comparison? Member services and support OMs Duplication of function across colleges and OMs Clarify and strengthen OM representation in structure Missing from the report – the role and position of OMs in relation to the overall structure UKCP supporting training organisations OMs to open up their CPD to all registrants - mutuality and respect between modalities and recognising parity of other registrants both individual and organisational. Diversity and equality Strengthen diversity and embed into the culture, structure and work of the organisation Diversity, equality and inclusion – not enough needs to inform everything we do Also – diversity is missing from the report – no mention of the Diversity 5 7 8 2 2 1 3 1 7 3 2 2 1 1 2 5 10 1 2 2 2 1 7 3 2 5 1 4 3 1 6 5 1 6 1 23 July 2014 Benet Middleton Committee and how we embed diversity into the structure, functioning and output of the organisation Defining the public interest What is the public interest? Perception of the public interest includes psychotherapists Public benefit is that it regulates. Provides trained identified psychotherapists UKCP external affairs responds to both public interest and member interests Our focus and strategy What are our objectives Is the UKCP serving three masters? Members, the public, self-regulation Professional Association versus regulator - tension Write our objectives on more documents Outcome measures Our regulatory role UKCP as Gas safe – just be regulator/register Consolidation of the regulatory framework Regulatory role Important UKCP is seen by public as credible [?] Setting our standards Report Useful to have report as long as appropriate action is taken The report is as good as far as it goes – but there is a need to go further If public effectiveness is a key issue, is governance the most important thing to address in the report Support for a clearer governance structure, report seems thorough, positive (possibly not radical enough) A more fundamental view of the shape is required Have a radical approach start again Addresses the status quo Recommendations for change Report. Good – assumed fit for purpose or should we start again? Could we be more radical? Useful report, sensible, Do what you do better (and comply with law) Don’t just add – simplify CPJA structure offers good alternative to report 1 Specifics Website FaT IAPT Ambassadorial roles Costs 6 1 9 2 5 14 2 1 3 2 3 2 2 2 2 17 2 1 6 2 1 1