Hertfordshire Single Assessment Process Briefing Sessions For Voluntary Organisations

Purpose of Briefing Session Understand the relevance of the Single Assessment Process for Voluntary Organisations 1.What is Single Assessment and what is Person Centred Care 2.What voluntary organisations can expect from the statutory services Single Assessment 3.Implications for voluntary organisations

Nurses Adult Care Services GPs & Clinicians Acute based & Community Therapists Vol Organisations + Res/Nursing Homes

Vol Orgs + Res/Nursing Homes Acute based &Community Therapists Adult Care Services GPs & Clinicians Nurses

Acute based &Community Therapists Adult Care Services GPs & Clinicians Vol Orgs + Res/Nurse Homes

The Cautionary Tales of unintegrated assessment and services 1.In small groups, tell story of recent lack of integration between your voluntary organisation and other agencies or professionals which made the service to user go pear-shaped 2.Write key reasons on separate post-it notes 3.Write on post-it notes the motto, prayer, slogan of the new world where the problem would have been overcome or not arisen 4.Place post-it notes on wall

What is Person Centred Care – Standard 2 of National Service Framework ‘Listen to older people’‘Listen to older people’ ‘Involve and support carers when necessary’‘Involve and support carers when necessary’ Enable older people/carers to make informed decisions through adequate informationEnable older people/carers to make informed decisions through adequate information Provide ‘proper assessment …. and prompt provision of care ….. to reduce emergency hospital admission and premature admission to a residential care setting’Provide ‘proper assessment …. and prompt provision of care ….. to reduce emergency hospital admission and premature admission to a residential care setting’ Older people should determine the level of personal risk they are prepared to takeOlder people should determine the level of personal risk they are prepared to take Carers need information/advice about the condition of the person they are caring for, what they can do, and the services availableCarers need information/advice about the condition of the person they are caring for, what they can do, and the services available

What is the Single Assessment Process National Service Framework for Older People Standard 2: Person Centred Care 1.A single approach to assessing health and social care needs 2.Starts from the service user’s perspective 3.Assessment appropriate to need 4.Professionals contribute to each others assessment 5.Culturally sensitive assessments 6.Coordinated Care Plan (agreed by individual) 7.Implementation by April 2004

Assessment “A process whereby the actual or potential needs of an individual are identified and their impact on independence, daily functioning and quality of life evaluated, so that action can be planned.” DoH

The 4 Types of Assessment Contact Overview Specialist Comprehensive

Contact Assessment 1.First point of contact with health or social care 2.Collection of basic personal information 3.Identify presenting difficulties, risks and significant life events 4.Commission service if problem easily solved or refer to appropriate team 5.Obtain explicit consent for sharing information

Overview Assessment 1.More holistic assessment when there is more than just one simple health or social care need 2.Covers 9 domains to ensure that treatable conditions are not missed, e.g. –Disease prevention –Physical care and well being –Senses –Mental health –Relationships –Environment 3.May identify need for further in-depth assessment by specialist 4.Identifies risks in more detail

Specialist Assessment 1.Need for specialist assessment identified either at contact or overview stage 2.Way of exploring specific needs in depth by one or more professionals 3.Specialist assessor has specialist skills in the area concerned, e.g. –Nursing –Physiotherapist –Occupational therapist –Social work 4.Contributes to Single Assessment Summary and Care Plan

Comprehensive Assessment 1.Required when level of support & treatment is likely to be intensive or prolonged 2.Specialist assessments in all or most of 9 domains 3.Always multi-disciplinary and multi- professional input 4.Required when older person may need permanent care or complex care packages at home 5.Coordinated summary of these specialist assessments in Single Assessment Summary and Care Plan

Recognising role of carers Commitment to involve carers Empower carers to have a voice in shaping services Health & social care assessments must consider carers needs Managing caring role Need for a carers assessment identified at Contact or Overview Documents & guidance highlight carers needs

Care coordination responsibilities 1.Oversee assessment process, care planning and implementation in complex situations when several agencies/professionals involved 2.Monitor/Review Care Plan & implementation 3.Act as consistent point of contact/ communication for all parties involved (including user/carer) –Advise other professionals involved of changes in circumstances 4.Ensure necessary services commissioned/ accessed 5.Help user/carer to make informed choice re input from voluntary agency 6.Ensure voluntary agency is given Single Assessment Summary and Care Plan and relevant detailed assessments 7.Ensure Single Assessment Summary & Care Plan are up to date

Exercise: Information from other agencies 1.Discuss in small group –What do you need to know to provide your services effectively –What currently goes wrong –What changes could be made 2.Write findings on flip chart for plenary discussion

Service User Held Record 1.To develop open partnership with service user, putting them and carers at centre of care 2.To enable the user to share their information with other services 3.To ensure a coordinated approach to planning and service delivery 4.To enable all professionals & others involved to contribute their expertise in an integrated manner

Information sharing Principle of information sharing Consent to share at contact, overview and specialist assessments User knows the repercussions of not sharing Sharing with carers

Information sharing discussion What issues about information sharing are you aware of from your conversations with service users and carers?

Nurses Acute based &Community Therapists Adult Care Services GPs & Clinicians Vol Orgs + Res/Nurse Homes

Exercise: Your role in this process 1.Discuss in small group: –What can you do to help service users & carers get most out of the single assessment process and person centred care –When would your organisation contribute most to other agencies in single assessment and person centred care 2.Write findings on flip chart for plenary discussion

The key learnings for Voluntary Agencies from Single Assessment briefing What are they? How will they impact on future action within your agency?

The key advice to agencies signed up to single assessment within Hertfordshire What is your advice to other agencies/ professions to make single assessment and person–centred care more effective?