Purpose. To build upon work to date
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1. Review of the Unified Assessment Process 2010/11
2. Purpose To build upon work to date add value
No intention to rip up work and start again.
Build Wider Consensus
Identifying problems with UAP and identifying problems with practice no golden age of social work or assessment.
Identifying basic requirements recording rationale
Conclusions come at end of review
3. The importance of the unified assessment An effective assessment drawing on the contributions of user/ carer/ professionals is essential towards:
Creating effective solutions / positive outcomes
Efficient use of resources
Enhances confidence of user/ carer
4. The importance of a unified assessment Ineffective processes/ assessments can
Enhance risk for the user / carer and consequently the organisation
Waste resources inappropriate services
Undermine the confidence of users and carers
Agenda to achieve leverage in support of change / priority for UAP.
5. Infrastructure to support review and ongoing implementation of UAP UAP created to provide single platform for assessment and to develop a coherent care plan
Policy developed by Task & Finish Group with no responsibility for implementation
Seen as tool for Social Services not the NHS????
Policy lead with former SSIW resources?
IT problems underestimated
6. Infrastructure to support review and ongoing implementation of UAP Review Team
Policy Board UAP, Mental Health CPA, children IFST, Substance Misuse WISMAT, Chronic disease, Supporting People/Housing, representatives from professional bodies, Management information, SSIA, NLIAH, LHB and LAs
Formal Network with all LA/LHBs represented + Community of Practice????
7. Infrastructure to support review and ongoing implementation Policy Lead Head of Partnerships Partnership Branch Individual identified April / May
Recognition as priority for LA/NHS Performance Agreements
Small budget to support review
Infrastructure designed to achieve ownership not unilateral action / blame
Policy agenda demands progress.
8. Changes Mental Health Legislation/ Mental Capacity/ Deprivation of Liberty
Children Agenda IFST
Relationship with Direct Payments ?
Primary & Community Care changes/ Chronic Disease etc.
9. Scope of the Review Ability to transfer information between professionals & agencies examination of progress
Electronic sharing of information
Examples of information sharing protocols.
10. Scope of the Review Ability to aggregate information from UAP to inform commissioning
Priority is to collate information for care plan for individual but determining what we need to aggregate will impact on information collected criticism re bureaucracy
Examples of information used to inform commissioning
11. Scope of the review Values underpinning UAP
Relationship between UAP and other assessments Children, mental health, Supporting People etc plus care pathways
Use of Outcomes - examples
Involvement of GPs and NHS staff across all sectors
12. Scope of the Review Examination of assessment tools used by the NHS plus rationale
Involvement of ReAblement teams in assessment
Involvement of providers
Current Structure of UAP types of assessment plus Domains & Sub Domains needs summary & care plan
13. Carers Assessment Requirements
Carers must be seen alone in private realistic contribution health concerns relationship problems
14. Method Dependent on resources how much undertaken by WAG (new structure resources available to policy lead or input from external consultants.
Materials developed to date
Materials developed outside of UAP
Fieldwork / Workshops not inspection
Survey practitioners managers users
Evaluations undertaken by Local authorities & partners.
15. Confident & Competent Staff People experiencing difficulties want services which are sufficiently robust and flexible to help them and their families cope with crisis or emergencies with the minimum of disruption avoiding inappropriate escalation up the care tariff.
They want to make informed decisions and retain control over decision making
They need informed and confident professionals to assist them.
16. Steve Vaughan [email protected]
Your comments / contributions would be very welcome.