Equipment & Adaptations Guidance Review 11 September 2008 Quality Hotel, Glasgow

Policy Drivers  Joint Future Report  Shifting the Balance of Care  Delivering for Health  21 st Century Review of Social Work  Long Term Conditions Collaborative  Rehabilitation Framework  Wheelchair Review  Carers review  Independent Living  ………

Audit Scotland Report Recommendations  The Scottish Executive Should:  Update national guidance on roles and responsibilities in relation to community equipment and adaptations to reflect new ways of working promoted by the Joint Future Agenda; local government reorganisation; and developments in technology.

Audit Scotland Report Recommendations (cont.) The report also made 6 recommendations for local authorities/NHS boards. In summary these were to:  Clarify partnership arrangements for the assessment and provision of community equipment and adaptations ensuring that all relevant partners are involved; and formalise these arrangements in agreed policies and procedures which cover:  recall of faulty equipment  maintenance and repair arrangements  recycling, including infection control procedures  emergency arrangements  Jointly publish comprehensive information on community equipment and adaptations covering:  what help is available  who to contact  eligibility criteria  who needs to pay and how much  what service people can expect, using information such as local targets for response times

Political Context  Outcomes Approach  Single Outcome Agreements  Local government concordat  Range of work progressing in parallel:  Wheelchair Action Plan  Housing (Scotland) Act 2006  Augmented Communication  Audiology Review  Eye Care Review  Sensory Impairment Action Plan Guidance  Equality and disability rights  ……….

Key Emerging Themes  Best practice model for equipment provision  Equipment provision in care homes  Legislative background for adaptation provision to different housing sectors  Developments in new technology  Transitions  Child to adult  Adult to older person  Information for users and carers:  Access to statutory providers  Access to private/commercial providers

Equipment Provision Model  Clear and simple ‘pathway’ through whole process, from assessment of need to service delivery  Clear referral routes and a single contact point  Staff groups identified for access to equipment  Appropriate training for staff  Co-ordinated equipment delivery, maintenance and uplift  Recycling  Clear information for users and carers

Care Homes  Care homes contracts group and Scottish care carrying out a linked review of equipment provision in care homes  Small working group with representatives from Scottish Care; Scottish Government; local authorities and health to be established to address the issues

Adaptations  Lack of staff familiar with legislation:  Local authority housing  Private sector housing Housing (Scotland) Act 2006 to be fully implemented by 2009  Registered social landlords

Technology (telecare)  Community based – including healthcare  Enables independence  Supports assessment  Interactive  Currently at pilot phase across Scotland  The equipment of the future…..

Information (National and local requirements)  National:  Flowchart with key links  Care Information Scotland website  Local  One point of contact  What is available locally (from both local authority and to purchase privately)  Charging policies  Access

Specific Interpretations 1.Equipment includes everything that is not a structural alteration. (Adaptations covers the remainder) 2.Most equipment should be easily accessible  Self assessment  Appropriately trained community staff 3.Stairlifts  Social work responsible if no structural alterations required  Otherwise dealt with as adaptation by housing