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Core Service Specification Project Update

Update on the Core Service Specification Project addressing challenging behavior in health and social care. Feedback, site visits, and regional events have identified key themes for improvement. Emerging strategies include pooled budgets, integration, local leadership, specific outcome measures, and inclusive involvement of stakeholders.

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Core Service Specification Project Update

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  1. Core Service Specification Project Update Challenging Behaviour Foundation 8 March 2013 Geoff Baines - Project Chair Associates Director, NHS South of England

  2. Core Service Specification Project • Commissioners response • Tools to make it work • Joint health and social care approach • Wide variations in quality • Different models of service • Highlighting adult and children commissioning • Established a project and steering group

  3. Listening events Call for information Analysis of evidence Site visits Drafting core elements of the specification Update- March

  4. Feedback From Regional Events • September to November - over 300 people attended or took part in the project

  5. Regional events - top themes Choice Staffing An individual service Involvement in Decisions Values –Dignity, Respect Involved in the community Accessible • Information – Easy read • Voice of service users • Training • Monitoring / Use quality checkers • Funding / Personal Budgets • Being safe /Safeguarding

  6. Regional events - what does good look like? Clean safe environment Staffing levels / checks Free / open / no rules Reasonable adjustments People that know me! • being happy • Staff helpful • Good information • Feeling safe • Ask the people who use it

  7. Call for evidence • NHS and ADASS joint letter December 2012 • 157 documents • 86 specifications • 24 CQUINs • Health and social care commissioners analysed them

  8. Analysis of Evidence and data • Lack of reference to outcomes – often aspiration and not linked to monitoring • Pockets of good practice but no overall pattern • Significance of Positive Behaviour Support • Significance of good physical health checks • Dependence upon local commissioning environment • No consistent data

  9. Oxfordshire Salford Trafford West Sussex Middlesbrough Newcastle Tower Hamlets Additional evidence and data – site visits Examples that stood out led to site visits

  10. Feedback from Site Visits Currently being evaluated Emerging top themes include: • Benefit of pooled budgets • Better integration- more joint working • Importance of local leadership • Need for clear and specific outcome measures • More opportunities to include people, family carers and providers

  11. Current Phase February- March 2013 • Drafting core specification elements • Steering Group 25th March • Evidence from site visits • Dovetailing with CCG Commissioning guidance • Link to Royal College of Psychiatrists developments

  12. Other Issues • Children's developments • Linking to the Improvement programme • Overall Implementation to agree • One size wont fit all • National and/or local and joint health and social care arrangements • Lack of common data - linking to NICE • Partnership with providers in the market place

  13. Contact us: • LDProjects@southwest.nhs.uk • www.better-lives.org.uk

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