Transcript Your Dignity, Our Promise

The Dignity in Care
Campaign
Above and Beyond the Call of
NI 128: Delivering Dignity
through Local Area Agreements
Ruth Passman Senior Health
Policy Adviser
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Background: Dignity
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Building a Conceptual Framework for people’s experiences of
dignity in care. Research and literature review to collate
measures of ‘dignity’
Measuring dignity and ‘indignity’ – One ‘tool’ with which to
ascertain whether the dignity programme is delivering its aims.
Early consultation on the Dignity Framework: Contributions of
organisational and individual knowledge and experience of dignity
in care (e.g., CSCI, Help The Aged, BGS, GONW, Older Peoples
Fora and Parliaments).
Dignity is a key strategic objective of the Department of Health
(DSO) and as part of the Local Government Framework displays
that dignity is an important agenda for Central Government. (LPF
NI)
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The Dignity Map
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The Dignity Map: Your Care, Your Dignity, Our Promise
(YC,YD,OP) unites the elements of dignity into a single
strategic structure.
It aims to bring clarity to the concept and to display what
high quality care for the elderly looks like (a similar structure
to ‘Every Child Matters’).
YC,YD,OP is a template that allows local care providers and
care recipients to map out their Local Priority Indicators to
reach the gold standard of ‘ people being treated with dignity
and respect all of the time during care’.
The Map will illustrate what is expected and will be a formal
promise as to how care will be delivered.
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Top Level Outcomes: displays the
four key messages that together
affect dignity.
Local Priority Indicators: Promote
ownership by engaging care providers in
decision-making.
Whole Service Assessment:
Measures to assess the
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delivery of service
The Dignity Map
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Top Level Outcomes: There are four important messages
set together with drivers of experience that together affect
dignity. We look for care providers to digest this and build
these messages into a formal promise to their users.
Local Priority Indicators: The LPI allows care providers to
customise the map to meet local need. Change happens when
driven locally by those who know best how to make it
happen.
Whole Service Assessment: This displays the measures
collected from the extensive literature review and covers the
four messages: Focus on the Person, Dignified and
Respected, A Better Service and Getting the Basics Right.
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Key Principles
Dignity is Elusive – Yet Powerful
What drives Dignity? – The conversation is more important than the answer
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Open Source Policy can provoke real change
Three aims
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Set Context – By raising profile of issue
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Remove Barriers – By exploring concept
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Provide Impetus – By encouraging innovation
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Engagement, Involvement, Ownership
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Coherent, Consistent, Relevant
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Expressed through articulation of what success will look like to care
recipients
Applicable to policy makers, service providers, commissioners, frontline
care staff and recipients
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Dignity and Local Area agreements
Areas which have chosen the Dignity Indicator
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Oldham
Manchester
Windsor and Maidenhead
Greenwich
Bromley
Lewisham
Isle of Wight
York
Barnsley
Hartlepool
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NI 128: Patient and User reported
Respect and Dignity
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National Indicator definition to be published
2009/10
Local proposals for proxy measurement of user
reported respect and dignity to be used in LAAs
Methodology and degree of stretch to be
determined
GOs (CSIP /DH Regional Presence) to consider
quality of local proxy measures and determine
risk attached to their inclusion
Regional DH colleagues to make recommendation
to DH
Vital sign Tier 3 indicator alignment
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Next Steps
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How can the Dignity Map be linked to the LAA and Dignity
agenda?
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Open Source
User Generated Content
Co-Production
Collective Ownership
Open Source – Users must be able to engage with the product and tailor it
to their own circumstance
User Generated Content – Our work is only the beginning. The depth,
focus, vibrancy and life of the work will be generated locally by those who
know best how to make change happen. LAA local targetry can be woven
through it
Co-Production – All work is collectively useful and proactively shared
adding to the knowledge, skills and tools of all working for improvement in
the area
Collective Ownership –Dignity Champions and Senior Board leaders will
drive the Dignity and LAA agenda; they will develop, drive and design its
direction and challenge and hold one another to account
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Next Steps
New
NHS Constitution: Explicit recognition that a world
class NHS must give a new priority to dignity and respect
for patients-Dignity at forefront of local work in response
to NSR Implementation
Dignity
Map as part of the Darzi NSR Support package
and as part of the NHS Operating Framework supporting
‘patient experience’ (North Wet embedding Dignity via its
Darzi pathway groups)
Help
the Aged - launched the framework of Dignity
measures for use by care organisations on 11 November
2008
Local
Area Agreement Dignity Indicator (NI 128) to be
refreshed with local proxy data in Autumn 08
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Oldham – The Story So Far
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Oldham held 2 events to raise the profile of the Dignity
Challenge, July inviting agencies across Oldham & in
October with our Training partnership
Identified Dignity Champion, who is the chair of the
Safeguarding Adults Executive Partnership
There were many exciting ideas about how we promote
the challenge in the future, these include:
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Recognising encouraging and sharing positive practice
Planning and organising a launch event
Inviting the elected member for social care to take a lead
Dealing effectively with compliments and complaints
Raising the profile at every opportunity
Produce dignity badges to distribute to recognise good
practice
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Some Examples of Dignity
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Life Story Book – Streamlined – Yesterday, Today,
Tomorrow
Detailed Care Plan
Too much info at once – needs breaking down
Increased choice – Self directed Support
Assisted technology to enable people to remain at
home
Aids and Adaptations
Committed to taking good practice forward
Share good practice
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Next Steps
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Oldham is progressing the Dignity Challenge agenda
through the implementation of Safeguarding Adults.
The development of the Policy & Training partnership subgroup, membership is made up of OMBC, Police, Health,
Housing and other statutory & non-statutory agencies.
Through the Policy & Training sub group a smaller working
group is currently being developed to specifically work on
the Dignity agenda and the Human Rights in Health care
and make the links with other areas of work especially in
Safeguarding Adults.
Other areas to explore is the impact of Individualised
budgets, ensuring that independence & individual choices
are met to meet their needs and that their Dignity and
respect is adhered to throughout.
Work is under way in developing NI 128, currently
collating data through Satisfaction Surveys that focusing
on Home Care for 2008/09.
Oldham is expected to start monitoring and reporting on
the NI 128 in Spring 2009.
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Feedback
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What are the LAA Dignity proposals
in your area?
How can you share your
experiences and practice with the
‘NI 128 club?’
www.dignityincare.org.uk
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