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

Lynda Fean & Carl Evans 27 March 2006

00A – 31 Jan Social Care and Health working together

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 00A – 31 Jan Social Care and Health working together

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 00A – 31 Jan Social Care and Health working together

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 00A – 31 Jan Social Care and Health working together

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 00A – 31 Jan Social Care and Health working together

OUTCOMES FRAMEWORK

ADULT SERVICES Illustrative Example: Outcomes Framework

00A – 31 Jan

1 Improved Health & Emotional Well-being

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

2 Improved Quality of Life Assessing:

- low level care - affordable decent homes - transport - leisure services - life long learning

Living in:

- cohesive Communities - a good environment with less crime

3 Making a positive contribution Engaging in:

- decision making - Public/Patient - Involvement - volunteering

Reporting:

- a positive patient/ user experience - an increase in support and recognition for Carers

4 Increased choice and control Assessing

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

5 Freedom from discrimination Experiencing:

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

6 Economic well-being Accessing:

- financial information - benefits - employment opportunities

Living in:

- households free from low income 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

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

7 Maintaining personal dignity (and respect) Experiencing:

- secure, stable and good quality care - privacy in all settings home, residential care & hospital - appropriate levels of confidential- lity I feel valued by others 1. ……… 2. ……. 3. ……. 4. ……. 1. ……… 2. ……. 3. ……. 4. ……. 1………. 2. ……. 3. ……. 4 …….

– Domains to be agreed & indicators developed

1. ……… 2. ……. 3. ……. 4. ……. 1……… 2. ……. 3. ……. 4. ……. 1……. 2. ……. 3. ……. 4. ……. 1………. 2. ……. 3. ……. 4. ……. Social Care and Health working together

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?

00A – 31 Jan Social Care and Health working together