Supported Employment Policy Connections COSLA 22 ND January 2009

National Performance Framework Strategic Objectives Wealthier and Fairer Smarter Safer and Stronger HealthierGreener

The purpose – a more successful country, with opportunities for all of Scotland to flourish through increasing and sustainable growth 7 Long Term Purpose Targets- economic growth, productivity, participation, population, solidarity, cohesion, sustainability 15 National outcomes for public and parliamentary reporting 45 National Indicators (Mutual Activity)for public/parliamentary reporting – HEAT (28targets), Regeneration, Single Outcome Agreements( local indicators)

Outcomes Based Approach High Level Targets Strategic Objectives National Outcomes (National Indicators) Outcomes related to Service Delivery Outputs/Interventions

New Outcomes for Community Care improved health; improved wellbeing; improved social inclusion; and improved independence and responsibility.

Key Policy Drivers  Better Health Better Care Action Plan  Changing Lives 2006  Disability Equality Scheme 2007  Long Term Conditions Strategy  Delivering for Mental Health (and the Act)  The Same as You  A Framework for Rehabilitation  Self Directed Support

Key Policy Drivers cont. Workforce Plus More Choices More Chances Skills Strategy Poverty Framework  Equally Well  And Criminal Justice  Alcohol and Substance Misuse

The Measures - Summary 1.% of user% of community care service users feeling safe 2.users and carers satisfied with care package 3.% of users satisfied with opportunities or social interaction 4.% of user assessment completed to national standard 5.% of carers’ assessments completed to national standard 6.% of people 65+ with intensive needs receiving care at home 7.% of people 65+ receiving personal care at home 8.% of carers who feel able to continue their role

Heat Targets Reduce Suicide Rate by 20% (50% key frontline staff to have suicide tools/training by 2010) Reduce annual rate of defined daily dose per capita of antidepressants to zero by 2009/10 Reduce the no. of re-admissions (within one year for those that have a psychiatric hospital admission of over 7 days by 10% BY Dec 2009

Outcomes – user experiences of Partnerships - DoH Research project 2006 Quality of lifeProcessChange Feeling safe Having things to do Seeing people Staying well Life as you want Dealing with stigma Listened to Choice Treated as an individual Reliability Improved confidence and skill Improved mobility

Outcomes for Carers Quality of Life for cared for person Quality of life of carer Coping with caringProcess Quality of life for cared for person. Health and Wellbeing. A life of their own. Positive relationship with person cared for. Freedom from Financial hardship. Choices in caring including limits. Feeling informed/skilled/equip ped. Satisfaction in caring. Partnership with services. Valued/respecte d. Having a say in services. Responsive to changing needs. Meaningful relationship with practitioners. Accessible and free at the point of need.

Improved HealthImproved Wellbeing Improved Independence and responsibility Improved Social Inclusion Employment and Activity

Current practice - users, staff ‘Defined out’ – too complex etc. Staff attitudes, aspirations Inflexible service criteria, ‘care’ focussed, care outcomes (day services) Not aware of entitlement/s and opportunities Silo mentality Diagnosis/assessment limits options Routes/pathways to Assessment, Planning and resources Disagreement between users, carers and assessors on options/opportunities Communication, translation, inclusion Persistent Exclusion, crisis and homelessness.

Challenges Employment/activity – Employment Agencies, business sectors and providers Routes in - Assessment/diagnosis – social care agencies health professionals Inclusion – Universal Services, Further Education, Community planning

And what matters Leadership at all levels Shared Vision between partners Communication across systems - and within individual organisations Shared approach to service monitoring and review Culture of reflective innovative practice, and review Sharing and managing financial risk Multidisciplinary working

Contact Alex Davidson Joint Improvement Team Associate