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Joint Conference
Social Services North West and ADSS North West
Branch
MAKING QUALITY COUNT
delivering the best to our service users
and communities
Thursday 17 May 2001
MEASURING PERFORMANCE AT THE HEALTH AND SOCIAL CARE INTERFACE
Sue Lightup
Deputy Director, Bolton Social Services
on secondment to NW Regional Office of NHS Executive
REGIONAL CHANGE AGENT TEAM
- Background
- Role
- Achievements
PURPOSE
- Help 'hot spots' and capacity problems
- Understand the development and funding of Intermediate Care across the North West
- Find and disseminate good practice
APPROACH
- Analysis
- Evaluation
- Recommendation
- Shared Learning
- Implementation
- Monitoring
CHARACTERISTICS OF INTERMEDIATE CARE
- Goal directed - planned outcome
- Time limited
- Action focussed
- Multi-professional / multi-agency
- Integrated across systems
- Comprehensive assessment
| SUPPORT TO PROMOTE AND MAINTAIN INDEPENDENCE
Seamless continuum of service designed to support people's personal and health care needs at home or in a homely setting |
INTERMEDIATE CARE
Targeted to avoid unnecessary hospital or inmstitutionalised care based on comprehensive assessment with time-limited cross professional work plan designed to maximise independence and living at home |
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THE PERSON
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| PREVENTATIVE
Promote health through diet, exercise, social contact, intellectual stimulation, good housing, equipment, maximise finances |
ACUTE HOSPITAL CARE
Specialist and general medical services available to diagnose and treat acute medical conditions, generally on a time limited basis |
LONG TERM CARE
Residential or nursing care designed to meet the personal and health care needs of more dependent people |
MODEL OF INTERMEDIATE CARE
A&E DIVERSION
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HOSPITAL
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COMMUNITY DIVERSION
DIVERSION: Short and sharp 24 / 72 hours Treatment focus / reactive |
COMMUNITY REHABILITATION
SUPPORT: Therapeutic considered planned 1-7 weeks |
USER PERSPECTIVE
- Avoid repetition in giving basic personal and background information
- Understanding and having choices available
- Being safe in a crisis
- Being able to influence the decisions
- Good quality and accurate information
PERFORMANCE MANAGEMENT - NHS TOOLS
- NHS Plan - progress monitoring
- SaFF - Quarterly monitoring
- High Level Performance Indicators
- Modernisation Agency
- National Service Frameworks
- Service Improvement Teams - WEST (Winter and Emergency Services Team)
PERFORMANCE MANAGEMENT - JOINT TOOLS
- PAF (Performance Assessment Framework) indicators
- SITREPS data
- SaFF - Service and Financial Framework
- Evaluations of joint services
- Commissioned research
- Winter plans - scores
- SSD Annual Review Meeting
- Progress Monitoring Action Plans - NSF
- Intermediate Care Model
- Health Act Flexibilities
INCENTIVES - TESTS
- Extra funding
- Earned Autonomy
- Traffic lights - publicly available
- Effective integrated working
- Improvement to Quality
- Health Inequalities
EXAMPLES OF IMPROVED QUALITY
- Rapid Response Teams
- Community Equipment Services
- Residential Rehabilitation
- Adapted or Sheltered Housing
- Community Rehab Teams
- Day Hospital / Services
- Access & Out of Hours
- Single Assessment
BENEFITS OF WORKING WITH LA SSDs
- Access to a wider perspective
- Focus on inequalities and wellbeing
- LA political skills
- Increases capacity to redesign
- Increases capacity for involvement
- Greater help with complex issues
- Improves information flow
INTERMEDIATE CARE - RESULTS
- Database of Good Practice
- Model for delivery
- Research and Outcome Measures Projects (3)
- Whole System improved capacity
- Targets for increased services met.
- Individual care improved
- Policy implemented
For the full presentation in Powerpoint format, click here to email the SSNW office and request 'Sue Lightup in Powerpoint'. It will be emailed back to you.
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