a common assessment framework matthew fagg care services directorate
TRANSCRIPT
A Common Assessment Framework
Matthew Fagg
Care Services Directorate
What is the Issue?
• As part of consultation on IWC we heard concerns about the assessment process across all client groups:– Length:– Intrusiveness;– Lack of personalisation;– Repetition.
• Gershon programme – commitment to deliver £684 million efficiency savings by end March 2008;
• Early work suggests referral and assessment is a key area for delivering efficiency.
Progress to Date
• Improving assessment and care management already on the agenda;
• NSF for OP - commitment to implement SAP from April 2002;
• Where SAP has been implemented well very effective but, there can be barriers:– Organisational;– IM&T;– Failure to adopt a proportionate approach;– Lack of senior level leadership.
Policy Commitments?
• OHOCOS - commitment to develop a common assessment framework for adults.
• In context of improved LTC management which requires:– Recognition that individuals do not fall into
discrete categories;– A holistic view of individual’s circumstances;– Multi-agency approach;– Improved information sharing between
professionals.
Proposals
• Develop a common approach to assessment which will:
– Build on SAP and other national frameworks;
– Develop a single approach to all client groups; and
– Explore scope for simplification and greater consistency.
• Likely to focus on long-term care management (not short-term intervention)
• We are not proposing a single national toolkit.
Screening Assessment
• We are proposing that there should be a common, standardised, front-end to the assessment process;
• The initial assessment should be about screening for the need for further assessment/consideration of particular domains;
• A new national specification for a screening assessment would replace the SAP overview assessment; and– Consist of the 40 to 50 “items”; and– Take no more than 30 minutes to complete.
Possible Model
Contact
Screening Assess
Referral/Signposting
Specialist
Specialist
Specialist
Specialist
Readacross to FACS
Interdependencies
• Two key interdependencies:
– Ongoing work to implement personal health and social care plans
– NHS CfH are taking forward an ‘E-SAP’ project to scope the requirements for delivering integrated IM&T systems across health and social care;
• We need to ensure consistency across the three workstreams.
Next Steps
• Propose to convene a policy collaborative with representation from a range of stakeholders;
• ‘Buy in’ from stakeholders will be a key to successful implementation of a CAF;
• Members will take forward development of policy through a number of working groups;
• Deliverables for April 2007 likely to include:
– Guidance on Care Planning;
– Specification for a CAF; and
– Implementation plan.
Towards a CAF
Streamlined Assess (DWP)
CSED RAP Projects
Individual Budgets
Self-Assessment
CAF
Efficiency & H&SC interface
Info sharing between agencies
Scope to devolve assessment
Streamlined & transparent resource allocation
Builds on SAP
A range of projects will contribute to the development of a CAF
Objectives
• Benefits for individuals, staff and organisations;• Common approach to assessment;
– Common format & processes;
– Holistic, yet proportionate;
– Better readacross to SC eligibility;• Shared e-care records;
– Improved information management;
– More efficient processes;
– Support mobile working;
– Better integration of services;