Tuesday, 3 June 2014

A local partnership with global impact

John Walsh, of York Street Health Practice, discusses his recent trip to Prague as part of a learning programme on street work...
 
In May I joined a group of students and academics from Leeds Metropolitan University (LMU) to travel to Prague to take part in and work to develop a powerful and innovative learning experience. This was the intensive learning programme on street work between four universities, LMU, Barcelona, Amsterdam and Prague, to which the project forms part of a three-year Erasmus-funded Intensive Programme (IP), which initially began in 2013.
 
The Leeds teaching programme, which is led by Darren Hill and Dr Erika Laredo from LMU, creates the space for 40 students from across the four universities to work with academics and practitioners on street work, research, theory and practice. The students come from a range of backgrounds including social work and youth work and had all done preparatory work on issues of homelessness, addiction and social theory. 

This was a great example of how Leeds, in all it's rich complexities of academics, practitioners, students and former service users, could come together to learn and debate options and approaches across countries. Darren Hill, senior lecturer in social work at LMU and co-organiser of the programme, summed up well what this meant: "The students and staff will be studying international street work, visiting homeless projects in Prague, designing research proposals and sharing their skills and experiences. We hope that it will encourage the students to go into masters degree level study and move into street work practice. By drawing together a range of academics and professionals across a variety of disciplines, we aim to address the new knowledge and skills that professionals working within a street context will require over the next decade." More details about this can be found on the LMU website.

My memories of the two weeks are positive and plentiful, with particular things standing out. One was that the Prague conference on the ground was run and overseen by just one person - Barbara Janikova. Barbara is lecturer in the Department of Addictology, First Faculty of Medicine at Charles University in Prague. I was amazed at how one person supported us all and organised the operation on the ground, day after day. She was always there helping students and staff and we were all inspired by her. On the last day at the final meal, we were able to celebrate her and all she had done for us. While it is true that Barbara is an extraordinary person, it showed me again how one person can make a massive difference. It is a lesson I see often in the NHS and elsewhere, that it is really the people that matter. If we get the right people, people of care and vision, all the rest can follow. Without this, I think we run into real problems.

During the two week teaching experience, Jo Smith, my colleague from Leeds Adult Social Care, and I took part in different sessions. Jo is a mental health social worker for the homeless and works in the Mental Health Homeless Team, which is part of Leeds City Council, as well as in the CRI Street Outreach Team. Each day we ran sessions to encourage the students to meet and take part in interactive work; this was to support cross national discourse, discussion and work.

We worked with tutor groups looking at different aspects of teaching and research. My group looked at drug issues and visited an inspirational project, which works with those with drug problems in the city of Prague. It was interesting to hear about their challenges and work and it struck me how in Leeds, we are very fortunate to have built and continue to build strategic alliances for the poor and the vulnerable. These alliances see inclusion as not just including marginalised groups but address how a whole city can and should develop positive health and wellbeing agendas, vision and practice. This allows the generation of work from the bottom up and top down to occur and really start to change things. Two examples of this are the Leeds Health and Wellbeing Board Vision and the innovative work around homeless hospital discharge work (Homeless Accommodation Leeds Pathway (HALP), which Leeds Community Healthcare NHS Trust and York Street Practice have been key workers in). One person (who has extensive experience in services and service development) and attended the HALP launch in January commented to me recently how, when they attended the launch event, they were impacted by the incredible positive energy in the room and how everything was joined together, from the streets to strategic levels.

We used a variety of forms to teach and share in the two weeks. One interesting format was a staged debate between myself and my friend and colleague, Dr Asun Llene Berne, professor of Theory and History of Education at the University of Barcelona. I was asked to take the proposition that in times of austerity research should not be funded and the funding should go into practice and services. Asun argued that practice without research is lost, hence funding was necessary. The debate took place and we both presented our cases. I was struck by the high level of discussion, reflection and co-learning that the debate and the overall teaching experience created.  I believe with Darren, Erika, Asun, Barbara, Jo and other good colleagues such as Sue Lindsay, we already see international and innovative ways of learning and practice emerging. This offers new possibilities of health and education working in positive partnership to generate quality research, an improved discourse on the needs of our most vulnerable people and the evolution of the most compassionate and effective care possible.

Colleagues at LMU have written an article on York Street Health Practice (click here to read). In it they have a fantastic quote that this a is local partnership with a global impact. I hope we can build this into a living ongoing experience, which can generate a new international dynamic model  of collaborative work, research and practice. I'm proud that Leeds Community Healthcare NHS Trust are involved in something so potent and promising.
 
John Walsh
York Street Health Practice

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