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Core Service Specification Project Update

Core Service Specification Project Update. Challenging Behaviour Foundation 8 March 2013 Geoff Baines - Project Chair Associates Director, NHS South of England. Core Service Specification Project. Commissioners response Tools to make it work Joint health and social care approach

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Core Service Specification Project Update

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  1. Core Service Specification Project Update Challenging Behaviour Foundation 8 March 2013 Geoff Baines - Project Chair Associates Director, NHS South of England

  2. Core Service Specification Project • Commissioners response • Tools to make it work • Joint health and social care approach • Wide variations in quality • Different models of service • Highlighting adult and children commissioning • Established a project and steering group

  3. Listening events Call for information Analysis of evidence Site visits Drafting core elements of the specification Update- March

  4. Feedback From Regional Events • September to November - over 300 people attended or took part in the project

  5. Regional events - top themes Choice Staffing An individual service Involvement in Decisions Values –Dignity, Respect Involved in the community Accessible • Information – Easy read • Voice of service users • Training • Monitoring / Use quality checkers • Funding / Personal Budgets • Being safe /Safeguarding

  6. Regional events - what does good look like? Clean safe environment Staffing levels / checks Free / open / no rules Reasonable adjustments People that know me! • being happy • Staff helpful • Good information • Feeling safe • Ask the people who use it

  7. Call for evidence • NHS and ADASS joint letter December 2012 • 157 documents • 86 specifications • 24 CQUINs • Health and social care commissioners analysed them

  8. Analysis of Evidence and data • Lack of reference to outcomes – often aspiration and not linked to monitoring • Pockets of good practice but no overall pattern • Significance of Positive Behaviour Support • Significance of good physical health checks • Dependence upon local commissioning environment • No consistent data

  9. Oxfordshire Salford Trafford West Sussex Middlesbrough Newcastle Tower Hamlets Additional evidence and data – site visits Examples that stood out led to site visits

  10. Feedback from Site Visits Currently being evaluated Emerging top themes include: • Benefit of pooled budgets • Better integration- more joint working • Importance of local leadership • Need for clear and specific outcome measures • More opportunities to include people, family carers and providers

  11. Current Phase February- March 2013 • Drafting core specification elements • Steering Group 25th March • Evidence from site visits • Dovetailing with CCG Commissioning guidance • Link to Royal College of Psychiatrists developments

  12. Other Issues • Children's developments • Linking to the Improvement programme • Overall Implementation to agree • One size wont fit all • National and/or local and joint health and social care arrangements • Lack of common data - linking to NICE • Partnership with providers in the market place

  13. Contact us: • LDProjects@southwest.nhs.uk • www.better-lives.org.uk

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