1. The National Service Framework for Children, Young People and Maternity Services in Wales Self-Assessment Audit Tool (SAAT)

2. NSF for Children - developed as a partnership between: Social care Health Close links to education, housing, leisure, transport, voluntary sector and other stakeholders (including children, young people and their families)

3. Children’s NSF - 7 modules: Acute and chronic illness or injury Chair: Dr Huw Jenkins Improving health & well being of all children & young people Chair: Prof. Laurence Moore Disabled children & young people Chair: Joe Howsam Children & young people in special circumstances Chair: Jane Stacey Mental health & psychological well being Chair: Alison Cowell Maternity Chair: Cathy Dowling Medicines Chair: Rowena McArtney

4. Measuring Success The Children’s NSF will only be as good as our ability to implement it Challenge is to develop a methodology to measure success compatible with performance measurement frameworks already developed and to assist local areas with service & financial planning

5. SAAT Development: Web-based tool aligned to both NHS and local government performance measurement systems National Public Health Service commissioned to develop tool Health Solutions Wales commissioned to develop the software

6. Performance Measurement System for the Children’s NSF NSF Key Actions (Evidence-based) Measure & benchmark using SAAT Prioritise key actions for delivery Service & financial planning Statutory PIs Shared outcome measures Review NSF key actions

7. Objectives of the SAAT: 1.To provide meaningful data to inform local service planning and commissioning / joint commissioning where appropriate. 2.To measure progress and demonstrate action to implement the Children’s NSF. 3.To provide data to NHS to feed balanced scorecard and monitor achievement of SaFF targets.

8. Objectives of the SAAT: 4.To facilitate prioritisation of key actions for delivery. 5.To provide Assembly Government with data to inform financial resource planning and workforce planning. 6.To provide national data to monitor Assembly’s commitment to deliver NSF in 10 years and to report progress.

9. Pilot of SAAT 29 March – 17 June 2005 6 C&YPFP areas participated: Caerphilly Swansea Wrexham Torfaen Flintshire Carmarthenshire

10. Findings From Pilot: Software is user-friendly Collecting the information to enter into the SAAT is the most difficult part of using the tool Identifies gaps in service delivery to feed into existing planning mechanisms Enhances understanding of the roles of other organisations Improves partnership working Identifies opportunities for joint commissioning

11. Data Flow Diagram Welsh Assembly Government C&YP Framework Partnerships Local Organisations Annual NHS Targets (SaFF) HCW & LHBs ALLNHS WAST

12. Strengths of the SAAT: The same tool to be used across all Wales and all organisations Provides comprehensive information on the state of children’s service delivery in Wales Developed by those who will be required to use it Tool for partnership working –C&YPFPs will be forced into taking an holistic perspective of children’s services Identifies joint commissioning opportunities Shares best practice No need for milestones

13. Barriers to overcome: Awareness raising and ownership at the highest level Framework Partnerships need to be strengthened Fostering honesty in completion Training and support for effective use of data Should not become a ‘paper exercise’ Visionary leaders needed - skilled in change management