Your Progress
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Over the last 25 years the number of people aged over 65 has doubled. Nearly half of all health and social care resources are taken up by services for older people
Why a Single Assessment Process?
The Single Assessment Process is intended to improve both the quality and consistency of care
It is a unified system for people who have complex and/or multiple care needs
A one-stop service for those needing more than one type of service
If continence is seen as a voluntary action in socially acceptable circumstances then incontinence is any variation from this
Many people do not consider themselves incontinent but do experience leakages from the bladder or bowel
The NSF for Older People
The National Service Framework for older people was published on 27 March 2001
It set new national standards and service models of care across health and social services for all older people
These standards and models of care apply to all older people – whether they live at home, in residential care or are being looked after in hospital
The NSF for Older People Standard 2
What is the aim of this standard?
To ensure that older people are treated as individuals
To ensure that they receive appropriate and timely packages of care
To ensure that these packages of care meet their needs as individuals, regardless of health and social services boundaries
NHS and social care services treat older people as individuals and enable them to make choices about their own care. This is achieved through the single assessment process, integrated commissioning arrangements and the integrated provision of services, including community equipment and continence services (DoH March 2001)
Why a Single Assessment Process?
Cuts red tape
Saves older people from providing the same personal details/discussing their needs with a range of different agencies
Ensuring the older persons needs and wishes lie at the heart of the process
Implementation
The Single Assessment Process was fully implemented in April 2004
Older people receive a multidisciplinary, interagency assessment of their needs
So that they receive relevant services in an integrated way
The NSF for Older People Standard 2 Person Centred Care
Treating older people as individuals
Enabling older people to make choices about their own care
Person Centred Care
The older person and their family/carer are central to the process
Person-centred care recognises that the older person is the expert on their own situation
Their views and wishes must be explored in partnership with professionals so that suitable care provision is offered
Person Centred Care User and Carer Views
Prior to implementation of the SAP views were obtained from users and carers
Consultation was undertaken by both the NHS and Local Authorities
Views/satisfaction levels based on individual experiences were collated via surveys
What Does Person Centred Care mean to a Service User?
Avoid jargon
Avoid assumptions
Treat me as unique
I need accessible information
My issues are important to me
Allow me enough time to talk
Find out about my background
Explain things simply
Protect my interests
Send me letters I can understand
Recognise the contribution of carers
I dont want to keep repeating myself
What Does SAP Actually Mean?
A single approach to assessing health and social care needs
Assessment is proportional to needs
No duplicate assessments by different agencies
There is a single holistic service or care plan
All agencies contribute
The views of the older person and their carers are central
The sharing of information appropriately
Not overlooking needs
Further developing joint working between agencies
Who is Involved in the SAP?
Users and Carers
Voluntary Sector
Primary Care, Acute Trusts, Mental Health
Adult & Community Care Services
Borough Councils Housing & Community Services
Ambulance Service
Making the SAP Work
Common shared values
Common terminology & tools
Acceptance of someone elses assessment
Key worker responsibility
A thorough understanding of services
A person-centred approach
Effective sharing of information
Before the SAP . . . . . . . .
Limited information available for a thorough assessment
Older people were not at the centre of assessment and care planning
Treatable health conditions were missed/ misdiagnosed
Insensitivity to race and culture
Assessment was not in proportion to an older persons needs
Assessments were duplicated and information not shared
Professionals did not always accept each others assessments
