Title
Contents
Acknowledgements 7
The Authors 8
Abbreviations 9
Summary 10
1. Introduction: background, objectives and research methods 16
1.1 The Incapacity Benefit reforms - Pathways to Work and the Condition Management Programme 16
1.1.1 The Condition Management Programme 17
1.2 Research design and methods 18
1.2.1 Research aims 18
1.2.2 Sampling and recruitment 18
1.2.3 Data collection 19
1.2.4 Data management and analysis 20
1.2.5 Reporting 20
1.3 Report structure 20
2. Referral processes and decision-making around the Condition Management Programme 21
2.1 Referral route to CMP 21
2.1.1 IPBA led referral 21
2.1.2 Customer initiated Jobcentre Plus contact or referral 22
2.1.3 Referral initiated by other professional 22
2.2 Prior awareness 22
2.3 Initial views and understanding of CMP 22
2.3.1 Purpose 23
2.3.2 Content 23
2.3.3 Practical arrangements and setting 23
2.4 Decision-making to attend CMP 23
2.4.1 Non-attenders 23
2.4.2 Attenders 24
2.4.3 Attitude toward support, current situation and needs 25
2.4.4 Influence of IBPA 25
2.4.5 Perceived potential personal benefits 26
2.4.6 Facilitators to the decision-making process 26
2.5 Arrangements for first meeting/assessment 27
2.6 Chapter summary 27
3. Methods of delivery and experience of the Condition Management Programme 28
3.1 The assessment process 28
3.1.1 Content of the assessment session 28
3.1.2 Support offered 29
3.2 Customer views on methods of delivery 30
3.3 Content and experience of CMP 32
3.3.1 Introductory session for groups 32
3.3.2 Content of sessions 33
Condition management 33
Pain management 33
Dealing with stress and anxiety 34
Assessing mental health and setting goals 35
Discussions on health and well-being 35
Counselling 36
Relaxation 36
Confidence building 37
Healthy living 37
Work 38
3.4 Location and staff 39
3.4.1 Location 39
3.4.2 Understanding of staff background 40
3.4.3 Views on staff 41
3.5 Chapter summary 43
4. Completers and non-completers of the programme 45
4.1 Length of programme and attendance 45
4.1.1 Views on length among completers 46
4.2 Reasons for not completing CMP 47
4.2.1 Perceived inappropriateness of CMP 47
4.2.2 Location of CMP 48
4.2.3 Issues external to CMP 48
4.3 Final CMP session 49
4.3.1 Next steps 49
4.3.2 Marking the end of CMP 50
4.3.3 Feedback 50
4.4 After CMP: what happened next 50
4.4.1 Completers 50
4.4.2 Non-completers 51
4.5 Chapter summary 53
5. Impact of the Condition Management Programme and fit with other provision 54
5.1 Customer expectations of returning to work following CMP 54
5.1.1 Unable to work 54
5.1.2 Not yet work-ready 55
5.1.3 Work-ready 55
5.1.4 Working 56
5.2 Impact of CMP on progress towards work 56
5.2.1 No impact on move towards work 56
5.2.2 Some impact on move towards work 57
5.2.3 Direct or indirect impact on return to work 57
5.3 Experiences and impact of Pathways to Work and fit with CMP 58
5.4 Impact of CMP on quality of life 60
5.4.1 Confidence and self-esteem 60
5.4.2 Understanding and managing health conditions 60
5.5 Impact of other health service support and fit with CMP 62
5.6 Sustainability of impacts 63
5.7 Chapter summary 64
6. Overall views on the Condition Management Programme, what is working well and gaps in the programme 66
6.1 Reflections on the aim of CMP 66
6.2 What works well and suggestions for improvement 67
6.2.1 Referral 67
6.2.2 Focus and purpose of health management 68
6.2.3 Delivering CMP 69
Mode 69
Location 70
Staff 70
6.2.4 Tailoring CMP to meet individual needs 70
6.2.5 Impact of CMP 71
6.2.6 Ending CMP and support post-CMP 72
6.3 Chapter summary 73
Appendix A: Approach letter 75
Appendix B: Screening questionnaire 77
Appendix C: Topic guide 84
Appendix D: Framework for analysis 93
References 99
Table 1.1 Achieved sample of CMP participants 19
Table 2.1 Reasons given for not attending CMP 24
Table 4.1 Health conditions of attenders, non-completers and completers of CMP 47