Single Assessment Process Single Assessment Process and Self Assessmentand Self Assessment
Single Assessment Process Single Assessment Process and Self Assessmentand Self Assessment
Seamus Breen Change Agent
December 2004
Outline of presentation
• Key Principle of SAP
• NHS Improvement Plan
• To-days reality
• New Challenges
• Self Assessment
• Possible ways forward
• Seeking Examples.
Key Principle of SAP
• SAP intended
– we take a we take a person-centredperson-centred approach to approach to
assessment and care planning for older people, assessment and care planning for older people,
regardless of both organisational boundaries and regardless of both organisational boundaries and
the health conditions and circumstances of older the health conditions and circumstances of older
people.people.See original guidance. See original guidance.
Was reinforced again in letter to Was reinforced again in letter to
Chief Executives and Directors of Social Services Chief Executives and Directors of Social Services
April 2004April 2004
Alf said as he got older his main
concern was the trouble he was having with his joints. …But I
commented that I thought his
priority was for him to eat more
fruitMaybe professionals sometimes think they know best!
Thanks Keith for high-lighting the slide!
Person Centred
Not the Single Assessment Process...
To-day’s Reality
• Thousands of adults each week need
personal support or some form of assistance.
• Some use their networks or families to
access help - unknown to social services or health
• Many others buy, from their own resources, their personalised form of support - unknown to social services or health.
• Others would love to if they had the means!
The NHS Improvement Plan
Putting People at the Heart ofPublic Services
Presented to Parliament bythe Secretary of State for Health
by Command of Her MajestyJune 2004
2.2 Our priorities • are based on the public’s views captured by the consultation
process carried out in 2003 and published in Building on the
Best: Choice, Responsiveness and Equity in the NHS. The
aim is a service which responds to 21st century public
expectations by offering:
– flexible access to services shaped around individuals’ needs and
preferences, rather than an expectation that people will fit the system;
– greater choice and shared decision-making between patient and
clinical team over treatment and care:
– better access to the information and support that people need to
exercise choice
2.9 Empowering
• Rapid access is not enough. To meet today’s
expectations, people need to be able to choose
from a range of services that best meet their
needs and preferences. Between now and
2008, we will be making the changes which
enable people to personalise their care and for
those choices to shape the system and the
way that it is run.
New Challenges
• Thousands know what they need to support their independence and can go and get it.
– how do we help those who know what they need to support their independence and cannot afford to go get it?
• How do we help those who do find it difficult to
navigatenavigate through the many choices and yet do not want to come in contact with statutory services?
– Irrespective of their ability to pay.
Self Assessment• Local authorities and PCTs fund independent
sector providers and people use the services they provide without a formal assessment process.
• Some places may be assisting people get access to direct payments via an assessment done by user with support from independent agency.
• Some may allow access to certain equipment services upon a self assessment process.
• Others may be using the contact assessment as a means of initial self assessment and referral
Possible Ways forward
• What are the possible ways forward for
empowering people to do more self assessment?
• How might this be utilised to further promote the
direct take up of services?
• What services might be offered this way?
• What might we say about the longer term development of
SAP tools ?
Seeking Examples• Have you examples in your area where the principles of
SAP have been extended to empowering people to do their
own assessments?
• Have any of these extended to receipt of a service?
• Are their examples of people assisted to navigate their way
to the service of their choice without direct contact with the
PCT or the LA?
– Any thoughts or information to [email protected]
Thank You