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Quality at European level Michael Crowley EPR 2008. Modernisation of Social Services. Commission Communication April 2006 Social Services – Growth Sector in Economic Growth and Job Creation Focus on Quality and Effectiveness Modernisation in Member States dealing with tension of - PowerPoint PPT Presentation
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Quality at European level
Michael Crowley EPR 2008
Modernisation of Social Services
• Commission Communication April 2006• Social Services – Growth Sector in Economic Growth and Job
Creation
• Focus on Quality and Effectiveness
• Modernisation in Member States dealing with tension of • Universality / Quality / Financial Sustainability
• General Aspects of Modernisation in Member States• Benchmarking / Quality / User Involvement
• Decentralisation to regional / Local level
• Outsourcing from Public to Private Sector
• Development of Public / Private Partnerships for funding
UNIVERSALITY
SUSTAINABILITY
QUALITY
MODERNISATION
Quality Assurance
Context and rationaleHLDG Positioning Paper Oct 2007
Paradigm shift in disability field
from Medical Model to Social Model
Paradigm shift in Health and Social Services
From Public Programming Regulation to Market-based Regulation
Modernisation• Mainstreaming / Partnerships• Inclusion / Maximise potential • Empowerment• User-centeredness
• Outcome Measurement• Cost Effectiveness / Efficiency • Informed choice for Clients• Competition
Modernisation - Context and Rationale
Certification of QualityElements of quality
Why is a European approach to quality needed?
Financial pressure
Shrinking of welfare state Emphasis on cost-effectiveness
Quantitative outputs prevail on quality
Increased competition
Tendering mechanisms More service-providers on market
Low price prevails on quality
Transnational services
Different national standards Unknown service providers
Clients need guarantees
Enlargement of EU
Different levels Exchange of best practice
Reference framework for innovationand continuous improvement
Need for aEuropean
Quality System
European Commission needs to take initiative but has limited competence
Sectoral Stakeholder Involvement
Multi-perspective approach
Credibility
Principles and Indicators Flexibility for application in different
national contexts
Continuous improvement
Systematic and coherent framework
Realistic
Feasible threshold
Acceptable cost
Respect for Local context
Use of local language
Local auditors
Key assets of aEuropean
Quality System
How should a European approach to quality look like?
Quality at European level
• Council of Europe - CoE• Position paper Disability - HLG• Proposals on Quality in SSGI - SSGI• European Quality of Life Principles - EASPD• Nine golden principles of Social Platform – SP• European Quality Assurance for Social Services - EQUASS
Council of EuropeAction Plan 2006 - 2015
To promote the rights and full participation of people with disabilities in society :
Improving the quality of life of people with disabilities 2006 - 2015
Council of Europe Action Plan2006 - 2015
• Participation in Public & Political Life
• Participation in Cultural life
• Information & Communications
• Education
• Employment, Vocational Training & Guidance
• Built Environment
• Transport
• Community Living
Council of Europe Action Plan2006 - 2015
• Health Care
• Rehabilitation
• Social Protection
• Legal Protection
• Protection against Violence & Abuse
• Research & Development
• Awareness raising
High Level Disability Group -HLDG
• Key Elements of Quality• Affordable
• Available
• Accessible
European Requirements for Quality inSocial Services of General Interest - SSGI
• Rights
• Person centred
• Comprehensiveness
• Participation
• Partnership
• Result Orientation
• Good Governance
European Quality of Life PrinciplesEASPD
Values Quality of life for all
Dignity Emotional well-being
Equal opportunities Interpersonal relations
Independent living Material well-being
Participation in and Personal development
Contribution to society Physical well-being
Self-determination
Social inclusion
Equal rights
Golden Quality Principles Social Platform
Quality Services :
• Respect human dignity and fundamental rights• Achieve results• Tailor-made to each individual• Ensure security to all users, including the most vulnerable• Participative and empower users to take decisions on their own• Holistic and continuous• Provided in partnership with communities and other actors• Provided by skilled professionals working under good
employment and working conditions• Managed in a transparent way and are accountable
EQUASS as a European approach to Quality of Social Services
Multi stakeholder approach
Non-prescriptive
Measurable
Self-evaluation+external verification
EQUASS Concept of Quality
European quality requirements
Sector-specific quality framework
Input Output ReviewContinuousimprovement
Person focusRights
Ethics
EnhanchersPartnership
Participation
Service focusPerson centred
Comprehensiveness
Leadership Results
EQUASS Quality Framework
Service-users Service-providers Social partners Funders Policy makers
Multi stakeholder approach
Non Prescriptive
One way in meeting quality requirements
Different ways in meeting quality requirements
9
Measurable
100 Performance indicators
Principles for Quality
Criteria
0
5
10
15
20
25
30
35
40
45
50
55
60Leadership
Rights
Ethics
Partnerships
Persons CentredParticpation
Comprehensivenss
Result Orientation
Continuous Improvement
EQUASS profile
Self-evaluation + External verification
Documentation review
Interviews
EQUASS Certification programmes
RightsEthics
Person centredComprehensiveness
PartnershipParticipation
Leadership Result orientation
Continuousimprovement
Benefits for Service Providers
• Proof of quality of services
• Strengthen market position
• Competitive advantage
• Benchmarking
• Continuous improvement
Benefits for Public Authorities
• Nor re-inventing the wheel• Accountability
• Preferred supplier• Selection in tendering
• Conformity with European thinking and documents • Credibility• Feasibility
Benefits for Service Users
• EQUASS Certified Services are:• meeting needs and expectations
• respecting rights and dignity of person served
• tailor made / personalised
• focussed on results / achievements
Indicators (cumulative figures) 2007 2008 2009
Certified centres 17 24 55
European countries covered 7 10 13
Local Licence Holder 2 4 7
Accredited EQUASS auditors 40 47 60
Trained EQUASS consultants 12 23 63
EQUASS dissemination
• Prometheus• CEN Workshop Agreement• ‘EQUASS Best practice’