Hertfordshire Single Assessment Process

Briefing Sessions For

Voluntary Organisations

Purpose of Briefing SessionPurpose of Briefing Session

Understand the relevance of the Single Assessment Process for Voluntary

Organisations1. What is Single Assessment and what is

Person Centred Care 2. What voluntary organisations can expect

from the statutory services Single Assessment

3. Implications for voluntary organisations

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The Cautionary Tales of The Cautionary Tales of unintegrated assessment and unintegrated assessment and

services services

1. In small groups, tell story of recent lack of integration between your voluntary organisation and other agencies or professionals which made the service to user go pear-shaped

2. Write key reasons on separate post-it notes3. Write on post-it notes the motto, prayer, slogan of

the new world where the problem would have been overcome or not arisen

4. Place post-it notes on wall

What is Person Centred Care – Standard 2 What is Person Centred Care – Standard 2 of National Service Frameworkof National Service Framework

• ‘‘Listen to older people’Listen to older people’• ‘‘Involve and support carers when necessary’Involve and support carers when necessary’• Enable Enable older people/carers to make informed older people/carers to make informed

decisions through adequate information decisions through adequate information • Provide ‘proper assessment …. and prompt Provide ‘proper assessment …. and prompt

provision of care ….. to reduce emergency provision of care ….. to reduce emergency hospital admission and premature admission hospital admission and premature admission to a residential care setting’to a residential care setting’

• Older people should determine the level of Older people should determine the level of personal risk they are prepared to take personal risk they are prepared to take

• Carers need information/advice about the Carers need information/advice about the condition of the person they are caring for, condition of the person they are caring for, what they can do, and the services availablewhat they can do, and the services available

What is the Single Assessment ProcessWhat is the Single Assessment Process

National Service Framework for Older People Standard 2: Person Centred Care

1. A single approach to assessing health and social care needs

2. Starts from the service user’s perspective3. Assessment appropriate to need4. Professionals contribute to each others

assessment5. Culturally sensitive assessments6. Coordinated Care Plan (agreed by individual)7. Implementation by April 2004

Assessment

“A process whereby the actual or potential needs of an individual are identified and their impact on independence, daily functioning and quality of life evaluated, so that action can be planned.” DoH

The 4 Types of Assessment

• Contact

• Overview

• Specialist

• Comprehensive

Contact Assessment

1. First point of contact with health or social care

2. Collection of basic personal information3. Identify presenting difficulties, risks and

significant life events4. Commission service if problem easily

solved or refer to appropriate team5. Obtain explicit consent for sharing

information

Overview Assessment 1. More holistic assessment when there is more

than just one simple health or social care need

2. Covers 9 domains to ensure that treatable conditions are not missed , e.g.– Disease prevention– Physical care and well being– Senses– Mental health– Relationships – Environment

3. May identify need for further in-depth assessment by specialist

4. Identifies risks in more detail

Specialist Assessment

1. Need for specialist assessment identified either at contact or overview stage

2. Way of exploring specific needs in depth by one or more professionals

3. Specialist assessor has specialist skills in the area concerned, e.g.– Nursing– Physiotherapist– Occupational therapist– Social work

4. Contributes to Single Assessment Summary and Care Plan

Comprehensive Assessment Comprehensive Assessment

1. Required when level of support & treatment is likely to be intensive or prolonged

2. Specialist assessments in all or most of 9 domains

3. Always multi-disciplinary and multi-professional input

4. Required when older person may need permanent care or complex care packages at home

5. Coordinated summary of these specialist assessments in Single Assessment Summary and Care Plan

Recognising role of carersRecognising role of carers

• Commitment to involve carers • Empower carers to have a voice in shaping

services• Health & social care assessments must

consider carers needs• Managing caring role• Need for a carers assessment identified at

Contact or Overview• Documents & guidance highlight carers

needs

Care coordination responsibilities Care coordination responsibilities 1.1. Oversee assessment process, care planning and Oversee assessment process, care planning and

implementation in complex situations when several implementation in complex situations when several agencies/professionals involvedagencies/professionals involved

2.2. Monitor/Review Care Plan & implementationMonitor/Review Care Plan & implementation3.3. Act as consistent point of contact/ communication for Act as consistent point of contact/ communication for

all parties involved (including user/carer)all parties involved (including user/carer)– Advise other professionals involved of changes in Advise other professionals involved of changes in

circumstancescircumstances

4.4. Ensure necessary services commissioned/ accessedEnsure necessary services commissioned/ accessed5.5. Help user/carer to make informed choice re input from Help user/carer to make informed choice re input from

voluntary agency voluntary agency 6.6. Ensure voluntary agency is given Single Assessment Ensure voluntary agency is given Single Assessment

Summary and Care Plan and relevant detailed Summary and Care Plan and relevant detailed assessmentsassessments

7.7. Ensure Single Assessment Summary & Care Plan are Ensure Single Assessment Summary & Care Plan are up to date up to date

Exercise: Information from other agencies

1. Discuss in small group– What do you need to know to provide your

services effectively– What currently goes wrong– What changes could be made

2. Write findings on flip chart for plenary discussion

Service User Held RecordService User Held Record

1.1. To develop open partnership with service To develop open partnership with service user, putting them and carers at centre of user, putting them and carers at centre of carecare

2.2. To enable the user to share their information To enable the user to share their information with other serviceswith other services

3.3. To ensure a coordinated approach to To ensure a coordinated approach to planning and service deliveryplanning and service delivery

4.4. To enable all professionals & others To enable all professionals & others involved to contribute their expertise in an involved to contribute their expertise in an integrated mannerintegrated manner

Information sharing

• Principle of information sharing• Consent to share at contact, overview

and specialist assessments• User knows the repercussions of not

sharing• Sharing with carers

Information sharing discussion

What issues about information sharing are you aware of from your conversations with service users and carers?

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Exercise: Your role in this process

1. Discuss in small group:– What can you do to help service users & carers

get most out of the single assessment process and person centred care

– When would your organisation contribute most to other agencies in single assessment and person centred care

2. Write findings on flip chart for plenary discussion

The key learnings for Voluntary Agencies from Single Assessment

briefing

What are they?How will they impact on future action

within your agency?

The key advice to agencies signed up to single assessment within

Hertfordshire

What is your advice to other agencies/ professions to make single

assessment and person–centred care more effective?