Social Care and Health working together

00A – 31 Jan

Our Health, Our Care, Our Say:Performance & Outcomes

Lynda Fean & Carl Evans 27 March 2006

Social Care and Health working together

00A – 31 Jan

DH WHITE PAPER HEADLINES

Social care outcomes confirmed - build on these to confirm a single set of outcomes across health & social care

Raised profile in assessing robustness of commissioning / joint commissioning arrangements

Revised statutory guidance on the leadership role of the DASS

Links with DPHs Joint reviews of health & well-being status and needs of local populations

Social Care and Health working together

00A – 31 Jan

PERFORMANCE & REGULATION HEADLINES

Development of performance assessment to support common outcomes

- increased development of joint assessment and inspection arrangements

Inspection regimes to reinforce it- merged Inspection commissions by 2008 -

subject to the wider review of arm’s length bodies

- regulation and inspection of care homes and other service providers

including continued work with Audit Commission to ensure that relationship with wider local government functions is recognised

Social Care and Health working together

00A – 31 Jan

WIDER LOCAL GOVERNMENT DEVELOPMENTS

Local Government White Paper in summer 2006 including new Performance Framework

Local:vision debate and consultations on LSPs

Development of Local Area Agreements – including applying outcomes framework

Building on learning & experience of LAA pilots/next waves – reinforcing negotiation aspects and local joint planning and delivery

Social Care and Health working together

00A – 31 Jan

IMPLEMENTING PERFORMANCE ASPECTS OF WHITE PAPER

• Develop shared, outcome-based performance framework

• Align performance measures and targets for PCTs and local authorities

• Align performance assessment and inspection regimes

• Streamline planning and budget cycles for the NHS and local authorities

• Synchronise performance management systems

Social Care and Health working together

00A – 31 Jan

OUTCOMES FRAMEWORK

1

Improved Health & Emotional Well-being

3

Making a positive

contribution

4

Increased choice and

control

1. ……… 2. ……. 3. ……. 4. …….

1. ……… 2. ……. 3. ……. 4. …….

1………. 2. ……. 3. ……. 4 …….

1. ……… 2. ……. 3. ……. 4. …….

1……… 2. ……. 3. ……. 4. …….

NA

TIO

NA

L P

RIO

RIT

IE

S

AN

D O

UT

CO

ME

S

NA

TIO

NA

L T

AR

GE

TS

AN

D M

IN

IM

UM

ST

AN

DA

RD

S

6

Economic well-being

7

Maintaining personal

dignity (and respect)

1……. 2. ……. 3. ……. 4. …….

1………. 2. ……. 3. ……. 4. …….

------- Delivering Sustainable Communities -------

------------ Tackling Inequalities and Exclusion – closing the gap and access for all -------

PERFORMANCE INDICATORS – Domains to be agreed & indicators developed

- physically healthy - mentally and emotionally healthy - living with healthy lifestyles [including drugs]

Assessing: - low level care - affordable decent homes - transport - leisure services - life long learning Living in: - cohesive Communities - a good environment with less crime

Engaging in: - decision making - Public/Patient - Involvement - volunteering Reporting: - a positive patient/ user experience - an increase in support and recognition for Carers

Assessing: -reliable info and advice - equipment and assistive technology - Direct Payments and Individualised Budgets - a fair, equitable complaints system

Experiencing: - reduced discrimination (age, disability, gender, race, sexual orientation) - being safe from abuse and harassment - being safe from maltreatment, neglect or exploitation

Accessing: - financial information - benefits - employment opportunities Living in: - households free from low income

Experiencing: - secure, stable and good quality care - privacy in all settings -home, residential care & hospital - appropriate levels of confidential- lity

AIM

S

[M

ore p

eo

ple

are:]

I am as healthy as I can be

I am able to live a fulfilled life

I can participate as a full and equal member of my community

I have the same life chances as other adults

I have an equal chance to live free from fear, discrimination and prejudice

I am financially stable & have as much control as possible over my money

I feel valued by others

WH

AT

IT

ME

AN

S T

O

TH

E I

ND

IV

ID

UA

L

[S

ee A

nn

ex

A]

2

Improved Quality of

Life

5

Freedom from discrimination

ADULT SERVICES Illustrative Example: Outcomes

Framework

Social Care and Health working together

00A – 31 Jan

WORKSHOP QUESTIONS

Is the Outcomes Framework useful? Any changes? Any additions? Could it cover both 1) health and social care and 2) broader well-being outcomes?

How would local partners use it to achieve better outcomes?

What would central government need to change to help local partners achieve better outcomes?