1. the single assessment process training resource SAP Introduction 1 The single assessment process An introduction The National Context An outline of single assessment process

2. the single assessment process training resource SAP Introduction 2 National Context NHS & Community Care Act (1990) Modernising Social Services White Paper (1998) Health Act (1999) NHS Plan (2000) National Service Framework for Older People (2001)

3. the single assessment process training resource SAP Introduction 3 National Service Framework (NSF) for Older People Standard 2 Person-centred care Covers: Single assessment process Integrated equipment Continence services

4. the single assessment process training resource SAP Introduction 4 NSF Older People Standard 2 – Person Centred Care Aim “ To ensure that Older People are treated as individuals and they receive appropriate and timely packages of care which meet their needs regardless of health and social services boundaries”

5. the single assessment process training resource SAP Introduction 5 The single assessment process What is it? Assessment process where information shared between agencies Older person central to assessment process Professionals contribute in most effective way Proportionate to need Informs decision making Undertaken using validated tool NOT just another set of forms NOT a single event in time NOT done by a single person NOT in a single location

6. the single assessment process training resource SAP Introduction 6 The single assessment process Why do we need SAP? To respond to older people’s comments To improve standards of care To provide a seamless service To improve risk management Good practice

7. the single assessment process training resource SAP Introduction 7 The single assessment process Government has set targets for implementation First milestone April 2004 Compliance by April 2005

8. the single assessment process training resource SAP Introduction 8 Who is involved? service users/patients/ older people/their carers staff/organisations The single assessment process

9. the single assessment process training resource SAP Introduction 9 People involved in SAP Individuals Service users and their carers Community psychiatric nurses (CPNs) District Nurses Health visitors Social Workers Consultants - Geriatricians Occupational therapists Dieticians Care managers Home carers Residential staff Volunteers Intermediate care staff Counsellors Ward staff Day care staff Therapists GPs Clinical Psychologists Housing officers

10. the single assessment process training resource SAP Introduction 10 Organisations involved in SAP Social services Service users and their carers Housing Acute trusts Mental health trusts Primary care trusts Voluntary sector Private sector

11. the single assessment process training resource SAP Introduction 11 Importance of SAP – Policy drivers Fair access to care services (FACS) Single assessment process Falls Continence Reviews of medication Delayed transfers of care Registered nursing care contribution (RNCC) – free nursing care

12. the single assessment process training resource SAP Introduction 12 Importance of SAP – Service user needs Consistent access to services Service users and their carers Maintain independence Needs not ‘missed’ Sensitive to race & culture ‘Holistic’ & & seamless care service Involvement in assessment and decision making

13. the single assessment process training resource SAP Introduction 13 Four types of assessment Contact assessment Overview assessment Specialist assessment Comprehensive assessment

14. the single assessment process training resource SAP Introduction 14 Principles of the single assessment process should:-The process should:- Build on existing good practice Utilise professional/clinical judgement Be inherent within the National Service Framework

15. the single assessment process training resource SAP Introduction 15 Outcomes of the single assessment process should:-The process should:- Encourage raising of standards within the care of older people Be a coherent process for an older person with continuity but a joint process for professionals Be outcome centred for the older person