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Quality at European level Michael Crowley EPR 2008. Modernisation of Social Services. Commission Communication April 2006 Social Services – Growth Sector in Economic Growth and Job Creation Focus on Quality and Effectiveness Modernisation in Member States dealing with tension of
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Modernisation of Social Services • Commission Communication April 2006 • Social Services – Growth Sector in Economic Growth and Job Creation • Focus on Quality and Effectiveness • Modernisation in Member States dealing with tension of • Universality / Quality / Financial Sustainability • General Aspects of Modernisation in Member States • Benchmarking / Quality / User Involvement • Decentralisation to regional / Local level • Outsourcing from Public to Private Sector • Development of Public / Private Partnerships for funding
Context and rationaleHLDG Positioning Paper Oct 2007 UNIVERSALITY QUALITY MODERNISATION Quality Assurance SUSTAINABILITY
Modernisation - Context and Rationale Paradigm shift in Health and Social Services From Public Programming Regulation to Market-based Regulation Modernisation • Mainstreaming / Partnerships • Inclusion / Maximise potential • Empowerment • User-centeredness • Outcome Measurement • Cost Effectiveness / Efficiency • Informed choice for Clients • Competition Elements of quality Certification of Quality Paradigm shift in disability field from Medical Model to Social Model
Why is a European approach to quality needed? Financial pressure • Shrinking of welfare state • Emphasis on cost-effectiveness • Quantitative outputs prevail on quality Increased competition • Tendering mechanisms • More service-providers on market • Low price prevails on quality Need for a European Quality System Enlargement of EU • Different levels • Exchange of best practice • Reference framework for innovation and continuous improvement Transnational services • Different national standards • Unknown service providers • Clients need guarantees • European Commission needs to take initiative but has limited competence
How should a European approach to quality look like? Sectoral Stakeholder Involvement • Multi-perspective approach • Credibility Principles and Indicators • Flexibility for application in different national contexts • Continuous improvement • Systematic and coherent framework Key assets of a European Quality System Realistic • Feasible threshold • Acceptable cost Respect for Local context • Use of local language • Local auditors
Quality at Europeanlevel Council of Europe - CoE Position paper Disability - HLG Proposals on Quality in SSGI - SSGI European Quality of Life Principles - EASPD Nine golden principles of Social Platform – SP European Quality Assurance for Social Services - EQUASS
Council of EuropeAction Plan 2006 - 2015 To promote the rights and full participation of people with disabilities in society : Improving the quality of life of people with disabilities 2006 - 2015
Council of Europe Action Plan2006 - 2015 • Participation in Public & Political Life • Participation in Cultural life • Information & Communications • Education • Employment, Vocational Training & Guidance • Built Environment • Transport • Community Living
Council of Europe Action Plan2006 - 2015 • Health Care • Rehabilitation • Social Protection • Legal Protection • Protection against Violence & Abuse • Research & Development • Awareness raising
High Level Disability Group -HLDG • Key Elements of Quality • Affordable • Available • Accessible
European Requirements for Quality inSocial Services of General Interest - SSGI • Rights • Person centred • Comprehensiveness • Participation • Partnership • Result Orientation • Good Governance
European Quality of Life PrinciplesEASPD Values Quality of life for all Dignity Emotional well-being Equal opportunities Interpersonal relations Independent living Material well-being Participation in and Personal development Contribution to society Physical well-being Self-determination Social inclusion Equal rights
Golden Quality Principles Social Platform Quality Services: • Respect human dignity and fundamental rights • Achieve results • Tailor-made to each individual • Ensure security to all users, including the most vulnerable • Participative and empower users to take decisions on their own • Holistic and continuous • Provided in partnership with communities and other actors • Provided by skilled professionals working under good employment and working conditions • Managed in a transparent way and are accountable
EQUASS Concept of Quality Sector-specific quality framework Multi stakeholder approach Non-prescriptive Measurable Self-evaluation+external verification European quality requirements
EQUASS Quality Framework Person focus Rights Ethics Enhanchers Input Review Output Partnership Leadership Continuous improvement Results Participation Service focus Person centred Comprehensiveness
Multi stakeholder approach Service-users Service-providers Social partners Funders Policy makers
Non Prescriptive Different ways in meeting quality requirements One way in meeting quality requirements
100 Performance indicators Measurable 9 Principles for Quality Criteria
Leadership 60 55 50 Continuous Improvement Rights 45 40 35 30 25 20 15 Result Orientation Ethics 10 5 0 Comprehensivenss Partnerships Particpation Persons Centred EQUASS profile
Self-evaluation + External verification Documentation review Interviews
EQUASS Certification programmes Continuous improvement Rights Partnership Ethics Participation Leadership Result orientation Person centred Comprehensiveness
Benefits for Service Providers Proof of quality of services Strengthen market position Competitive advantage Benchmarking Continuous improvement
Benefits for Public Authorities • Nor re-inventing the wheel • Accountability • Preferred supplier • Selection in tendering • Conformity with European thinking and documents • Credibility • Feasibility
Benefits for Service Users • EQUASS Certified Services are: • meeting needs and expectations • respecting rights and dignity of person served • tailor made / personalised • focussed on results / achievements
EQUASS dissemination • Prometheus • CEN Workshop Agreement • ‘EQUASS Best practice’