Michele Clarke Deputy Chief Inspector

1. Michele Clarke Deputy Chief Inspector Social Services Inspectorate Directorate Heath Information and Quality Authority

2. Not for Profit Business Association Vision ‘A society where people with disabilities are enabled to participate as equal citizens and where our member organisations are recognised as leaders in the provision of successful efficient quality services to people with disabilities’

3. A Strategy for Equality • Philosophy behind planning and delivery of services for people with disabilities • people with disabilities should have the opportunity to live as full a life as possible • physical and social conditions should not prevent a person with a disability from equal and dignified access to facilities and educational opportunities

4. The Social Model of Disability The focus is not on rehabilitating the individual with a disability, but on rehabilitating society and the environment, in order to make it accessible and create inclusion for the person with a disability as a consumer rather than as a patient

5. How does this relate to HIQA? Health Information Quality Authority’s role is to lead, drive and enable continuous improvements in the quality of health and social services in Ireland, in order to achieve the world class standards that we all deserve. Earlier statements refer to equality, citizenship, quality services, leadership, dignity, access, full life, inclusion, service user…..

6. Changes Health and Social Care Reforms Legislation and organisational changes

7. Health and Social Care System Reforms

8. Driving Improvement - Players Funding change Financial/ commissioning Public opinion/lobbying Policy makers and Legislators Driving Improvement Informing change Structuring change Performance management Professional Regulatory bodies Regulatory change

9. Driving Improvement - Tools Buying change Resources Service users expectations Policy and Legislation Driving Improvement Informing change Structuring change Professional Guidelines Staff education Standards Regulatory change

10. Improving Standards Internationally • Standards • Accreditation ... Move to mandatory • Inspection..... Risk assessed • Registration.....Proportionate

11. Office of the Chief Executive Healthcare Quality Social Services Inspectorate Health Information Health Technology Assessment Board

12. HIQA • Health Act 2007 • Establishment Day May 15th 2007 • SSI (12) and Irish Health Services Accreditation Board (20) incorporated into HIQA

13. HIQA Functions • Health Care Quality • Health Information • Health Technology • Social Service Inspectorate Develop Standards Monitor/Inspect Standards and Report Undertake Investigations

14. Current National Standards • Children’s Residential and Foster Care Services (for children in statutory care DoHC) • National Standards for Residential Care for Older People (HIQA pub Mar 08) • National Standards for Residential Care of People with Disabilities ( in development HIQA) • National Standards for Pre-Schools (in development DoHC) • No Standards for day services, home care agencies, child protection …….

15. What Happens Now? • HSE registers and inspects private nursing homes • HSE registers and inspects private children’s homes • SSI inspects HSE children’s centres, foster care and will inspect children’s detention schools • No national independent inspection/registration of residential service for people (including children) with disabilities • No national monitoring of non-residential service for vulnerable people

16. Health Act 2007Office of the Chief Inspector (SSI) • Register and Inspect all designated centres • Monitor a range of social services including day care, support services to people living at home and child protection • Monitor the HSE’s inspections of pre-schools and crèches • Monitor how the standards for ‘assessment of need’ are implemented by the HSE

17. HIQA principles • Standards will be developed in partnership with service users and professionals • Standards are focused on the experience of the service user - outcome standards • HIQA will act as a catalyst, but quality and safety will only be improved by frontline professionals and managers

18. National Standards for Designated Centres for People with Disabilities

19. Section Headings for the Standard for Residential Care • Rights • Protection • Health and Social Care Needs (Health and Development) • Quality of Life • Staffing • The Care Environment (Living Environment) • Governance and Management

20. National Standards for Designated Centres for People with Disabilities • Planned that the Standards will be completed and published by the end of 2008. On schedule for draft standards to go to public consultation in the summer • The Standards are being developed in consultation with a number of individuals and organisations: Standards Advisory Group

21. Standards Advisory Group The Standards Advisory Group comprises service users and representative groups • Service providers • Groups representing parents and friends of service users • Department of Health and Children • HSE • National Disability Authority • Professional groups • HIQA

22. Standards Advisory Group • Briefing papers for meetings sent two weeks in advance to allow opportunity to prepare. Papers are writing in Easy Read style to ensure that are easily understood • Before meetings, HIQA staff meet some service users to go through the data and answer queries • Organisational representatives review material with their own organisation between meetings

23. Standards Advisory Group The public consultation in development • Group members will be asked to take the standards to the organisations that they represent • Following this there will be a series of focus groups around the country in the Autumn • HIQA will see written submissions • The draft standards will then be amended to take account of feedback from the consultation and be presented to the Board of HIQA for approval • Standards presented to the Minister for Health and Children for approval • Regulations developed by Minister for Health and Children

24. Standards Purpose of National Standards • Advise providers on what is expected • Set out for service users what they can expect • Encourage for self audit • Allow for equitable inspection and monitoring across regions • Assure public on expected standards of care

25. Conclusions When it comes to driving improvement HIQA is one of the key players We are working towards an independent inspectorate that puts the service user at the centre of inspections and that reports on what needs doing and not how to do it.