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Review of the Unified Assessment Process

Purpose. To build upon work to date

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Review of the Unified Assessment Process

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    1. Review of the Unified Assessment Process 2010/11

    2. Purpose To build upon work to date – add value No intention to rip up work and start again. Build Wider Consensus Identifying problems with UAP and identifying problems with practice – no golden age of social work or assessment. Identifying basic requirements – recording – rationale Conclusions come at end of review

    3. The importance of the unified assessment An effective assessment drawing on the contributions of user/ carer/ professionals is essential towards: Creating effective solutions / positive outcomes Managing risk Efficient use of resources Enhances confidence of user/ carer

    4. The importance of a unified assessment Ineffective processes/ assessments can Create dependency Enhance risk for the user / carer and consequently the organisation Waste resources – inappropriate services Undermine the confidence of users and carers Agenda to achieve leverage in support of change / priority for UAP.

    5. Infrastructure to support review and ongoing implementation of UAP UAP created to provide single platform for assessment and to develop a coherent care plan Policy developed by Task & Finish Group with no responsibility for implementation Seen as tool for Social Services not the NHS???? Policy lead with former SSIW – resources? IT problems underestimated

    6. Infrastructure to support review and ongoing implementation of UAP Review Team Policy Board – UAP, Mental Health CPA, children IFST, Substance Misuse WISMAT, Chronic disease, Supporting People/Housing, representatives from professional bodies, Management information, SSIA, NLIAH, LHB and LAs Formal Network with all LA/LHBs represented + Community of Practice????

    7. Infrastructure to support review and ongoing implementation Policy Lead – Head of Partnerships – Partnership Branch – Individual identified April / May Recognition as priority for LA/NHS – Performance Agreements Small budget to support review Infrastructure designed to achieve ownership not unilateral action / blame Policy agenda demands progress.

    8. Changes Mental Health Legislation/ Mental Capacity/ Deprivation of Liberty Children Agenda IFST Direct Payments Re-Ablement Relationship with Direct Payments ? Primary & Community Care changes/ Chronic Disease etc.

    9. Scope of the Review Ability to transfer information between professionals & agencies – examination of progress Electronic sharing of information Examples of information sharing protocols. Progress

    10. Scope of the Review Ability to aggregate information from UAP to inform commissioning Priority is to collate information for care plan for individual but determining what we need to aggregate will impact on information collected – criticism re bureaucracy Examples of information used to inform commissioning

    11. Scope of the review Values underpinning UAP Relationship between UAP and other assessments – Children, mental health, Supporting People etc plus care pathways Use of Outcomes - examples Involvement of GPs and NHS staff across all sectors

    12. Scope of the Review Examination of assessment tools used by the NHS plus rationale Who assesses? Involvement of ReAblement teams in assessment Involvement of providers Current Structure of UAP – types of assessment plus Domains & Sub Domains – needs summary & care plan

    13. Carers Assessment Requirements Carers must be seen alone in private – realistic contribution – health concerns – relationship problems Recorded separately.

    14. Method Dependent on resources – how much undertaken by WAG (new structure – resources available to policy lead or input from external consultants. Materials developed to date Materials developed outside of UAP Fieldwork / Workshops – not inspection Survey – practitioners – managers – users Evaluations undertaken by Local authorities & partners.

    15. Confident & Competent Staff People experiencing difficulties want services which are sufficiently robust and flexible to help them and their families cope with crisis or emergencies with the minimum of disruption avoiding inappropriate escalation up the care tariff. They want to make informed decisions and retain control over decision making They need informed and confident professionals to assist them.

    16. Steve Vaughan steve.vaughan@wales.gsi.gov.uk Your comments / contributions would be very welcome.

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