Transcript Future role of Assessment and Care Management

Future role of Assessment and
Care Management
Jeanette Thompson
Broader context in which all this
sits
• Developments of support planning and
brokerage
– Enable people and families to take their own
decisions
– Enable user led organisations and community groups
to play their part
– Shape support providers contribution
– Focus care management
– Promote the development of independent brokerage
• Preventative agenda – local area co-ordination
• Citizen leadership
Outcomes of last event :Future role
of social care
• Preventative agenda –eg LAC and IAG
• Self Directed Support
• Safeguarding
Is this a social care role or the local
authority? If local authority what element
is social care?
Key elements of the emerging role of
Assessment and care management
• Self directed support
– Support navigator
– Quality review officer
– Gatekeeper of social care support
– Professional social care input
– Care co-ordination
• Safeguarding co-ordinator
• Preventative roles eg Local area or
community co-ordinator
Support Navigator
• Provision of advice, information and guidance, including
to people who fund themselves
• Systems knowledge - Navigator
• Signposting
• Support planning
• Identifying additional funding streams
• Negotiator – conflict management
• Advocate
• Implementing support plans – procuring/purchasing
Quality review officer
• Agreeing plans / challenging plans
• Gathering evidence and monitoring whether
outcomes have been met
• Monitoring satisfaction and contentment of the
person with their life, their plan and providers
• Problem solving
• Publicising problems and successes
• Community knowledge
– Essentially focused on the review and learn process –
increased amount of time invested in this area
Gatekeeper of social care
support
• Fair access to care services co-ordination
and the application of eligibility criteria
• Determining need risk and vulnerability
• Assessing levels of support needed and
where this could be met from
• Applying supported decision making
principles
• Determining funding via resource
allocation system
Professional social work input
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Professional social work assessments
Approved social worker role
Mental capacity work
Court work
Counselling
Statutory functions
– support to carers/carers assessment
– ?? Best interest assessor
Care co-ordination (CPA) and
Partnerships
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Managing risk
Co-ordinating support
Legal responsibilities
Interface with voluntary sector and health
Link with community development
structures – strengthening voice of
communities of interests
• NB SAP roles and functions re coordination, LD defintions and those of CPA
Safeguarding co-ordinator
• Investigating and resolution of situations
• Gain the trust of the public
• Increased understanding of policies and
procedures around safeguarding and risk
• Support challenging people
• Make difficult decisions
• Provide consultancy advice and information
• Support prosecutions
• Understand mental health law
Preventative role eg Local Area coordination
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Not necessarily within the L.A.
Links to specific communities
Knowledge of the local community
Role with vulnerable people in the
community and with the community to
work with its vulnerable people – not
service user group specific
• Helps people to problem solve
• Instigates new projects in the community
eg small sparks
• Facilitates local community skills bank
• Linking and networking
• Marketing and information dissemination –
can you – did you know
• Signposting
• Safeguarding
Where does community development fit with
this approach?
Does assessment and care management
have a role within this?
Outcomes from last event
• The roles made sense to everyone
• Belief that we should provide a varied role
for social workers
• Acceptance of the conflict between the
gatekeeping role and the support and
quality monitoring role
• Issues from a mental health perspective –
particularly the interface between
assessment and provision
Regional and national
developments
• Level 2 members of in control able to sign
up to network on future role of social
worker – Sheffield have signed up to that
group
• CSIP/DH starting a network to look at
future role of social worker
– Defining the role
– Leadership
– Academic involvement
• Development of a personalisation module
• Work with ADASS on future role of social
worker
• NTOW 10k to look at future role of social
worker.
What’s missing?
Working in groups think about any roles or
functions that are missing
How do we communicate this information to
the teams?
How can we test the roles?
What are the workforce development
implications?
Skill set
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Person centred planning / approaches
Assessment skills
Negotiation and conflict management
Communication / Listening
Problem solving, creativity and flexibility
Networking, linking people
Risk management – shared risk
Accountability
Analytical skills
IT and presentation skills
Multi media
Advocacy
Quality
Decision making
• Evaluation skills