1. Slide1 Health and Social Care Quality Assurance Future approach to quality Rob Logan Ann Wardle Jan Connett Quality is everybody’s business

2. Slide2 Health and Social Care Quality Assurance Purpose of consultation To request and test ideas that will shape a new QA approach. We particularly want to involve all stakeholders – at all stages: Intelligence gathering Quality monitoring visits Response and reporting

3. Slide3 Health and Social Care Quality Assurance Current Quality Assurance H&SC commissions approx. 400 services small QA team (3.1 fte) currently monitoring these frequency of visits based on risk – from one visit every 6 weeks to one every 24 months risk calculated from intelligence gathered report published and shared with providers and internal HSC stakeholders. Basis for monitoring :

4. Slide 4 Health and Social Care Quality Assurance Who should be involved in Quality Assurance? Quality is EVERYBODY’S business Service users people who might receive services in future support networks - families and friends providers – and their staff BCC staff and elected members our partners, including Bristol CCG and CQC

5. Slide 53 Health and Social Care Quality Assurance Proposed changes Intelligence gathering: Expand access to comments/complaints process: online form, paper form, telephone Care Direct ongoing online surveys change culture of complaints – to be seen as a driver for improvement remove the fear of complaining peer review – service users, families & friends peer review - providers self-assessment for providers

6. Slide 53 Health and Social Care Quality Assurance Proposed changes Quality monitoring visits: Relationship with provider senior managers Appoint lay assessors

7. Slide 53 Health and Social Care Quality Assurance Proposed changes Response and reporting: Immediate feedback to provider including senior managers Publication of quality reports Other ways of feeding back to individuals/ wider public Further consequences – more robust contract setup and management

8. Slide 53 Health and Social Care Quality Assurance Proposed changes Quality mark: Initially for services not regulated by CQC, delivered to people’s own homes For service users with DPs, individual budgets, self-funders: PAs personal care and support day services community outreach mobility shops and assistive technology cleaning, decluttering house maintenance For regulated services – need to establish value added for providers

9. Slide 6 Health and Social Care Quality Assurance Questions & Comments… Given the budget constraints, which of these changes should we prioritise? Other comments? Suggestions? Please send your comments and suggestions to Jan Connett: Jan.Connett@bristol.gov.uk