Post on 18-May-2015
The National Service Framework for Children, Young People and
Maternity Services in Wales
Self-Assessment Audit Tool(SAAT)
NSF for Children - developed
as a partnership between:
• Social care
• Health
• Close links to education, housing, leisure, transport, voluntary sector and other stakeholders (including children, young people and their families)
Children’s NSF
- 7 modules:• Acute and chronic illness or injury
Chair: Dr Huw Jenkins
• Improving health & well being of all children & young peopleChair: Prof. Laurence Moore
• Disabled children & young peopleChair: Joe Howsam
• Children & young people in special circumstancesChair: Jane Stacey
• Mental health & psychological well beingChair: Alison Cowell
• MaternityChair: Cathy Dowling
• MedicinesChair: Rowena McArtney
Measuring Success
• The Children’s NSF will only be as good as our ability to implement it
• Challenge is to develop a methodology to measure success compatible with performance measurement frameworks already developed and to assist local areas with service & financial planning
SAAT Development:
• Web-based tool aligned to both NHS and local government performance measurement systems
• National Public Health Service commissioned to develop tool
• Health Solutions Wales commissioned to develop the software
Performance Measurement
System for the Children’s NSF
NSF Key Actions
(Evidence-based)
Measure & benchmark using SAAT
Prioritise key actions for delivery
Service & financial planning
Statutory PIs Shared
outcome measures
Review NSF key actions
Objectives of the SAAT:
1. To provide meaningful data to inform local service planning and commissioning / joint commissioning where appropriate.
2. To measure progress and demonstrate action to implement the Children’s NSF.
3. To provide data to NHS to feed balanced scorecard and monitor achievement of SaFF targets.
Objectives of the SAAT:
4. To facilitate prioritisation of key actions for delivery.
5. To provide Assembly Government with data to inform financial resource planning and workforce planning.
6. To provide national data to monitor Assembly’s commitment to deliver NSF in 10 years and to report progress.
Pilot of SAAT
29 March – 17 June 2005
6 C&YPFP areas participated:• Caerphilly• Swansea• Wrexham• Torfaen• Flintshire
• Carmarthenshire
Findings From Pilot:• Software is user-friendly
• Collecting the information to enter into the SAAT is the most difficult part of using the tool
• Identifies gaps in service delivery to feed into existing planning mechanisms
• Enhances understanding of the roles of other organisations
• Improves partnership working
• Identifies opportunities for joint commissioning
Data Flow Diagram
Welsh Assembly Welsh Assembly GovernmentGovernment
C&YP C&YP Framework Framework
PartnershipsPartnerships
Local Local OrganisationsOrganisations
Annual NHS
Targets (SaFF)
HCW & HCW & LHBsLHBs
ALL NHS NHS
WASTWAST
Strengths of the SAAT:
• The same tool to be used across all Wales and all organisations
• Provides comprehensive information on the state of children’s service delivery in Wales
• Developed by those who will be required to use it
• Tool for partnership working– C&YPFPs will be forced into taking an
holistic perspective of children’s services• Identifies joint commissioning opportunities• Shares best practice• No need for milestones
Barriers to overcome:
• Awareness raising and ownership at the highest level
• Framework Partnerships need to be strengthened
• Fostering honesty in completion• Training and support for effective use of
data• Should not become a ‘paper exercise’• Visionary leaders needed - skilled in
change management