Physical Disability and Sensory Impairment Team

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Physical Disability and Sensory Impairment Team

• Robyn Noonan
• Care Services Improvement Partnership
• November 2007

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• What does CSIP do
• The Care Services Improvement Partnership (CSIP)
  was created in 2005 to support services to
  improve
• CSIP is commissioned by the Department of Health
  and other agencies
• Help to make national policies work locally
• Promote the improvement of services to lead to
  higher quality care for the people who use them
• Support change

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• CSIP National Programmes
• services for people with physical and sensory
  disabilities
• services for older people
• services for people with mental health problems
• services people with learning disabilities
• health and social care in the criminal justice
  system
• services for children, young people and families
• better social care
• learning and Improvement Networks
• Physical Disability and Sensory Impairment
  Programme
• National Service Framework for Long Term
  Neurological Conditions
• Improving the Life Chances of Disabled People
  User led organisations

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Delivering support through 8 Regional Development
Centres

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PDSI Work Programme 2007/08
1
8
2
NATIONAL IMPLEMENTATION SUPPORT
Improving the Life Chances of Disabled People
7
3
User Led Organisations Recommendation 4.3
6
4
5
National Service Framework for Long Term
Conditions
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• The future of CSIP
• Strengthening the Department of Healths Regional
  Presence review
• Strategic Health Authority review of National
  Programmes

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• National Service Framework for
• Long Term Neurological Conditions (NSF)
• Launched March 2005 with 10 year implementation
  timescale
• New Style NSF no national targets, no
  ring-fenced money requires locally agreed
  implementation plan and milestones
• Focus on neurological conditions
• It seeks to transform health and social care
  provision for people with long term neurological
  conditions from the onset of symptoms and
  diagnosis, through acute care and rehabilitation,
  to long term community support

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• What are the main principles?
• Supporting people to live a better quality of
  life and promote independence
• It sets out 11 Quality Requirements to guide and
  evaluate services
• It recommends neuroscience networks to
  co-ordinate better services
• It recommends partnerships to improve integrated
  service delivery

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• What are the Eleven Quality Requirements (QRs)?
• They can be broadly grouped into
• Person centred services (QR1)
• Prompt diagnosis, appropriate referral and
  treatment (QRs 2, 3)
• Early and specialist rehabilitation, community
  and vocational rehabilitation, adjustment and
  social integration (QRs 4,5,6)
• Provision of equipment and accommodation,
  life-long care and support (including palliative
  care, end-of-life care and care while receiving
  treatment for other reasons) for people with
  these conditions and their families and carers
  (QRs 7, 8, 9,10, 11)

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• Key Opportunities, levers and incentives
• NHS next stage review (Lord Darzis review of the
  NHS)
• long term conditions (www.ournhs.nhs.uk)
• Public Service Agreement targets/ Local Area
  Agreements
• timeliness of assessment/care plan,
  emergency bed days, 18 week targets, people with
  a long term condition supported to be
  independent, self directed support, carers
• Regulation by the joined up Healthcare Commission
  and Commission for Social Care Inspection
• Commissioning framework for health well-being
  and Joint Strategic Needs Assessment
• Disabled people/ Families/ Carers voices

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• National Service Framework
• Ten quick wins
• Identify PCT, SHA and Social Services leads
• Establish a local implementation group
• Information and advice
• Local provision of self care and self management
• Integrated or single assessment
• Specialist expertise
• 18 week referral to treatment pathways
  www.18weeks.nhs.uk
• Establish integrated community rehabilitation and
  support
• Specialist home care and community services
• CSIP NSF website www.longtermconditions.csip.org.u
  k self assessment tool

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• Current Activity..
• Q1 single assessment, Long Term Conditions self
  care guidance, joint strategic needs assessment,
  information access toolkit (www.brainandspine.org.
  uk), information prescriptions, case management,
  user-led organisation action and learning sites,
  CSIP website and self assessment tool
  www.longtermconditions.csip.org.uk
• Q2 NICE guidelines, 18 week wait treatment
  pathways (www.18weeks.nhs.uk), map of medicine
  clinical decision making tool (www.mapofmedicine.c
  om)
• QR6 survey to map vocational rehabilitation
  services

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• Current Activity continued
• QR8 continuing care guidance, individual budget
  pilots, commissioning guidance
• QR9 end of life care programme
  (www.goldstandardframework.nhs.uk), Liverpool
  care pathway (www.mcpcil.org.uk)
• QR11 What you need to know about my condition
  leaflet (www.jamesparkinsoncentre.org.uk)
• Research and development (www.ltnc.org.uk), MS
  Society audit tool
• Workforce mapping neurological workforce and
  National Workforce project resource pack for
  commissioning the workforce

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• Improving the Life Chances of Disabled People
• Identifies four main areas for development
• Independent Living
• Early Years and Family Support
• Transition to adulthood
• Employment