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Multi-agency inspections of services for older people. Margery Naylor, SWIA Henry Mathias, Care Commission Colin Brown, NHS QIS. The Scottish context. More older people, more older people living longer, eg people over 85 will increase from 85,000 to 150,000 in the next 25 years
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Multi-agency inspections of services for older people Margery Naylor, SWIA Henry Mathias, Care Commission Colin Brown, NHS QIS
The Scottish context • More older people, more older people living longer, eg people over 85 will increase from 85,000 to 150,000 in the next 25 years • More people with long-term conditions • More joined up services eg community rehab teams • But we need to deliver care “which is quicker, more personal and closer to home”.
Current inspection and regulation of services for older people Main Organisations: • Care Commission • NHS QIS • SWIA • Need to reduce regulatory workload • Need to have a more co-ordinated approach
Why have multi-agency inspections of older people’s services? • Inform the public how well older people are being served by their local social care and health services • Assist these services to jointly achieve the best outcomes for people and their carers • Agree targeted actions to assist service commissioners and providers to continuously improve services.
Our planned approach to multi-agency inspections • Agreed themes eg sustaining people at home • Possibly one geographic area eg an NHS Board • Timescales – focussed and clear • One multi-agency inspection in 2006 • Build on work already being undertaken eg Care Commission regulation of Care at Home services.
Multi-agency inspection teams should: • Pursue the purpose of improvement in services • Focus on outcomes for people using services • Take a user perspective • Be proportionate • Encourage self assessment by managers • Use impartial evidence and disclose the criteria for • judgement • Be open about the processes involved • Collaborate and share plans with other bodies, where • appropriate
Anticipated benefits of multi-agency inspections • Produce evidence of better outcomes for older people • Prevent unnecessary admissions to hospitals • Support carers to care / continue to care • Improve the planning, commissioning or providing a range of services • Involve people and carers in planning and delivering services • Ensure staff are trained, skilled and supported.