All together now supporting outcomes based assessment and care management across the purchaser provi

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• All together now supporting outcomes based
  assessment and care management across the
  purchaser - provider divide

Deborah Driffield and Nick Andrews, City County
of Swansea
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The Groundhog Day principle Building on
strengths

• This is one time where television really fails
  to capture the true excitement of a large
  squirrel predicting the weather
• I peg you as a "glass is half empty" kind of
  guy

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A relationship centred approach

• Redress the imbalance between functionality and
  soul greater emphasis on the subjective
  aspects of peoples lives
• The person centred approach is what it says. It
  suggests that seeing dementia as a set of
  deficits, damages and problem behaviours awaiting
  systematic assessment and careful management,
  inevitably turns a person into an object Kitwood
  (1997)
• Valuing everyone in the system using the SENSES
  framework

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The Senses Framework

• Older people, carers and staff need
• A sense of SECURITY
• A sense of CONTINUITY
• A sense of BELONGING
• A sense of PURPOSE
• A sense of ACHIEVEMENT
• A sense of SIGNIFICANCE

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The very real danger of excessive bureaucracy

• Our exclusive survey of more than 1,000 social
  workers working across children's and adults'
  services reveals that one in four is actively
  thinking about leaving the profession. The single
  thing most likely to persuade them to change
  their mind is less paperwork and more client
  contact. Community Care April 2007

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Supporting the endangered push me pull you

• Good outcomes eligible ineligible needs
• Better management of the tension between outcomes
  based support planning and rationing of resources
• Sharing responsibility for support planning and
  review

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The last will be firstvaluing the frontline

• Recent policy developments highlight the
  importance of a more person centred approach but
  limited attention has been given to the specific
  role performed by the frontline workers in
  delivering care services Innes et.al 2006

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A community development approach

• Yes, in terms of working more closely with
  community resources, but also
• In terms of the health and social care
  community of butchers, bakers and candlestick
  makers a shared vision
• Using the LEAP Framework i.e. learning,
  evaluation and planning
• Starting with the UDSET outcomes framework

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Learn from LEAP collaborative planning
evaluation and learning
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Management structure and work streams
Stakeholder Reference Group Statutory,
voluntary and independent sector, older people
and carers