Supported EmploymentPolicy Connections

COSLA22ND January 2009

National Performance Framework

Strategic Objectives

The purpose – a more successful country, with opportunities for all of Scotland to flourish through increasing and sustainable growth

• 7 Long Term Purpose Targets- economic growth, productivity, participation, population, solidarity, cohesion, sustainability

• 15 National outcomes for public and parliamentary reporting

• 45 National Indicators (Mutual Activity)for public/parliamentary reporting – HEAT (28targets), Regeneration, Single Outcome Agreements( local indicators)

Outcomes Based Approach

New Outcomes for Community Care

• improved health;• improved wellbeing;• improved social inclusion; and• improved independence and

responsibility.

Key Policy Drivers Better Health Better Care Action Plan Changing Lives 2006 Disability Equality Scheme 2007 Long Term Conditions Strategy Delivering for Mental Health (and the

Act) The Same as You A Framework for Rehabilitation Self Directed Support

Key Policy Drivers cont.• Workforce Plus• More Choices More Chances• Skills Strategy• Poverty Framework Equally Well And Criminal Justice Alcohol and Substance Misuse

The Measures - Summary1. % of user% of community care service users feeling safe2. users and carers satisfied with care package3. % of users satisfied with opportunities or social

interaction4. % of user assessment completed to national standard5. % of carers’ assessments completed to national standard6. % of people 65+ with intensive needs receiving care at

home7. % of people 65+ receiving personal care at home8. % of carers who feel able to continue their role

Heat Targets• Reduce Suicide Rate 2002-2013 by 20% (50%

key frontline staff to have suicide tools/training by 2010)

• Reduce annual rate of defined daily dose per capita of antidepressants to zero by 2009/10

• Reduce the no. of re-admissions (within one year for those that have a psychiatric hospital admission of over 7 days by 10% BY Dec 2009

Outcomes – user experiences of Partnerships - DoH Research project 2006

Quality of life Process Change •Feeling safe•Having things to do •Seeing people•Staying well•Life as you want •Dealing with stigma

•Listened to•Choice•Treated as an individual •Reliability

•Improved confidence and skill•Improved mobility

Outcomes for CarersQuality of Life for cared for person

Quality of life of carer

Coping with caring Process

Quality of life for cared for person.

Health and Wellbeing.A life of their own.Positive relationship with person cared for.Freedom from Financial hardship.

Choices in caring including limits.Feeling informed/skilled/equipped.Satisfaction in caring.Partnership with services.

Valued/respected.Having a say in services.Responsive to changing needs.Meaningful relationship with practitioners.Accessible and free at the point of need.

Current practice - users, staff

• ‘Defined out’ – too complex etc.• Staff attitudes, aspirations• Inflexible service criteria, ‘care’ focussed, care outcomes

(day services)• Not aware of entitlement/s and opportunities• Silo mentality• Diagnosis/assessment limits options• Routes/pathways to Assessment, Planning and resources • Disagreement between users, carers and assessors on

options/opportunities• Communication, translation, inclusion• Persistent Exclusion, crisis and homelessness.

Challenges

And what matters• Leadership at all levels• Shared Vision between partners• Communication across systems - and within

individual organisations• Shared approach to service monitoring and review• Culture of reflective innovative practice, and

review• Sharing and managing financial risk• Multidisciplinary working

Contact

• Alex Davidson• Joint Improvement Team

Associate• alex.davidson6@btinternet.com• 01418421094