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Nurses Adult Care Services GPs & Clinicians Acute based & Community Therapists Vol Organisations + Res/Nursing Homes
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Hertfordshire Single Assessment Process
Briefing Sessions For
Voluntary Organisations
Purpose of Briefing SessionPurpose of Briefing Session
Understand the relevance of the Single Assessment Process for Voluntary
Organisations1. What is Single Assessment and what is
Person Centred Care 2. What voluntary organisations can expect
from the statutory services Single Assessment
3. Implications for voluntary organisations
Nur
ses
Adu
lt C
are
Ser
vice
s
GP
s &
Clin
icia
ns
Acu
te b
ased
& C
omm
unity
The
rapi
sts
Vol
Org
anis
atio
ns +
R
es/N
ursi
ng H
omes
Vol O
rgs
+ R
es/N
ursi
ng H
omes
Acute based &Comm
unity
Therapists
Adult Care ServicesGPs &
Cl
inici
ans
Nurses
Nur
ses
Acute based &Comm
unity
Therapists
Adult Care ServicesGP
s & C
linici
ans
Vol O
rgs
+ Re
s/Nur
se H
omes
The Cautionary Tales of The Cautionary Tales of unintegrated assessment and unintegrated assessment and
services services
1. In small groups, tell story of recent lack of integration between your voluntary organisation and other agencies or professionals which made the service to user go pear-shaped
2. Write key reasons on separate post-it notes3. Write on post-it notes the motto, prayer, slogan of
the new world where the problem would have been overcome or not arisen
4. Place post-it notes on wall
What is Person Centred Care – Standard 2 What is Person Centred Care – Standard 2 of National Service Frameworkof National Service Framework
• ‘‘Listen to older people’Listen to older people’• ‘‘Involve and support carers when necessary’Involve and support carers when necessary’• Enable Enable older people/carers to make informed older people/carers to make informed
decisions through adequate information decisions through adequate information • Provide ‘proper assessment …. and prompt Provide ‘proper assessment …. and prompt
provision of care ….. to reduce emergency provision of care ….. to reduce emergency hospital admission and premature admission hospital admission and premature admission to a residential care setting’to a residential care setting’
• Older people should determine the level of Older people should determine the level of personal risk they are prepared to take personal risk they are prepared to take
• Carers need information/advice about the Carers need information/advice about the condition of the person they are caring for, condition of the person they are caring for, what they can do, and the services availablewhat they can do, and the services available
What is the Single Assessment ProcessWhat is the Single Assessment Process
National Service Framework for Older People Standard 2: Person Centred Care
1. A single approach to assessing health and social care needs
2. Starts from the service user’s perspective3. Assessment appropriate to need4. Professionals contribute to each others
assessment5. Culturally sensitive assessments6. Coordinated Care Plan (agreed by individual)7. Implementation by April 2004
Assessment
“A process whereby the actual or potential needs of an individual are identified and their impact on independence, daily functioning and quality of life evaluated, so that action can be planned.” DoH
The 4 Types of Assessment
• Contact
• Overview
• Specialist
• Comprehensive
Contact Assessment
1. First point of contact with health or social care
2. Collection of basic personal information3. Identify presenting difficulties, risks and
significant life events4. Commission service if problem easily
solved or refer to appropriate team5. Obtain explicit consent for sharing
information
Overview Assessment 1. More holistic assessment when there is more
than just one simple health or social care need
2. Covers 9 domains to ensure that treatable conditions are not missed , e.g.– Disease prevention– Physical care and well being– Senses– Mental health– Relationships – Environment
3. May identify need for further in-depth assessment by specialist
4. Identifies risks in more detail
Specialist Assessment
1. Need for specialist assessment identified either at contact or overview stage
2. Way of exploring specific needs in depth by one or more professionals
3. Specialist assessor has specialist skills in the area concerned, e.g.– Nursing– Physiotherapist– Occupational therapist– Social work
4. Contributes to Single Assessment Summary and Care Plan
Comprehensive Assessment Comprehensive Assessment
1. Required when level of support & treatment is likely to be intensive or prolonged
2. Specialist assessments in all or most of 9 domains
3. Always multi-disciplinary and multi-professional input
4. Required when older person may need permanent care or complex care packages at home
5. Coordinated summary of these specialist assessments in Single Assessment Summary and Care Plan
Recognising role of carersRecognising role of carers
• Commitment to involve carers • Empower carers to have a voice in shaping
services• Health & social care assessments must
consider carers needs• Managing caring role• Need for a carers assessment identified at
Contact or Overview• Documents & guidance highlight carers
needs
Care coordination responsibilities Care coordination responsibilities 1.1. Oversee assessment process, care planning and Oversee assessment process, care planning and
implementation in complex situations when several implementation in complex situations when several agencies/professionals involvedagencies/professionals involved
2.2. Monitor/Review Care Plan & implementationMonitor/Review Care Plan & implementation3.3. Act as consistent point of contact/ communication for Act as consistent point of contact/ communication for
all parties involved (including user/carer)all parties involved (including user/carer)– Advise other professionals involved of changes in Advise other professionals involved of changes in
circumstancescircumstances
4.4. Ensure necessary services commissioned/ accessedEnsure necessary services commissioned/ accessed5.5. Help user/carer to make informed choice re input from Help user/carer to make informed choice re input from
voluntary agency voluntary agency 6.6. Ensure voluntary agency is given Single Assessment Ensure voluntary agency is given Single Assessment
Summary and Care Plan and relevant detailed Summary and Care Plan and relevant detailed assessmentsassessments
7.7. Ensure Single Assessment Summary & Care Plan are Ensure Single Assessment Summary & Care Plan are up to date up to date
Exercise: Information from other agencies
1. Discuss in small group– What do you need to know to provide your
services effectively– What currently goes wrong– What changes could be made
2. Write findings on flip chart for plenary discussion
Service User Held RecordService User Held Record
1.1. To develop open partnership with service To develop open partnership with service user, putting them and carers at centre of user, putting them and carers at centre of carecare
2.2. To enable the user to share their information To enable the user to share their information with other serviceswith other services
3.3. To ensure a coordinated approach to To ensure a coordinated approach to planning and service deliveryplanning and service delivery
4.4. To enable all professionals & others To enable all professionals & others involved to contribute their expertise in an involved to contribute their expertise in an integrated mannerintegrated manner
Information sharing
• Principle of information sharing• Consent to share at contact, overview
and specialist assessments• User knows the repercussions of not
sharing• Sharing with carers
Information sharing discussion
What issues about information sharing are you aware of from your conversations with service users and carers?
Nur
ses
Acute based &Comm
unity
Therapists
Adult Care ServicesGP
s & C
linici
ans
Vol O
rgs
+ Re
s/Nur
se H
omes
Exercise: Your role in this process
1. Discuss in small group:– What can you do to help service users & carers
get most out of the single assessment process and person centred care
– When would your organisation contribute most to other agencies in single assessment and person centred care
2. Write findings on flip chart for plenary discussion
The key learnings for Voluntary Agencies from Single Assessment
briefing
What are they?How will they impact on future action
within your agency?
The key advice to agencies signed up to single assessment within
Hertfordshire
What is your advice to other agencies/ professions to make single
assessment and person–centred care more effective?