1. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 THE SINGLE ASSESSMENT PROCESS (SAP)

2. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 An elephant is soft and mushy An elephant is like a snake An elephant is like a tree trunk An elephant is like a rope An elephant is like a brush

3. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 Why is the single assessment process important? Fair access to care services (FACS) Single assessment process Maintaining independence Falls Continence Reviews of medication Delayed transfers of care Registered nursing care contribution (RNCC) – free nursing care

4. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 REASONS for introducing the single assessment process RAYMOND WARBURTON  Local variations in depth and quality of assessment.  Information about assessment may be limited.  Older people are not at the centre of assessment and care planning.  Treatable health conditions are missed or misdiagnosed. continues

5. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 continued RAYMOND WARBURTON  Insensitivity to race and culture.  Scales are adapted for local use.  Assessment is not in proportion to older people’s needs.  Assessments are duplicated and information is not shared.  Professionals may not accept each other’s assessments.

6. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 Single assessment process Key benefits  Facilitation of joint working.  Shared information.  Reduced duplication.  Improved discharge planning.  Improved prevention.  Fewer avoidable hospital admissions.  Case finding.

7. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 Single assessment process Key issues PERSON CENTRED  Information is gathered once.  Professionals work together in the best interests of older people.  Older people’s views and wishes are central to the assessment process.  The depth of the assessment is appropriate to their needs.

8. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 Single assessment process Key issues STANDARDISED  Evidence based.  Enables professionals to access each other’s assessment.  Facilitates sharing of information between professionals and agencies.

9. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 Single assessment process Key issues OUTCOME CENTRED  Promotes health, independence and quality of life for older people.  Helps fulfil potential for rehabilitation.

10. HARROGATE SOCIAL SERVICES, 21st JUNE 2004 Single assessment process Key issues OLDER PERSON’S CONTRIBUTION  This starts at the beginning of the contact assessment. There needs to be a statement of the person’s needs, expectations, strengths and abilities in their own words  Their contribution continues throughout  Key decisions and issues should be given to the person in writing or in another appropriate format.

11. Task 1 B) 10 minutes to discuss in a group your first impression of the tool. C) 10 minutes to write 3 positive aspects of the tool and 1 wicked question??? Look at the assessment tool and think about the whole system approach: A) 10 minutes to read it quietly.