Issues from inspection

1
Issues from inspection

• Richard Tebboth
• Assistant Chief Inspector

2
The inspectorate

• conducts reviews of the way in which local
  authorities discharge their social services
  functions
• registers and inspects establishments and
  agencies providing social care.

3
Key messages
4
Commissioning is underdeveloped.
5
How well placed ? (2006)
6
How well placed ? (2007)
7
Commissioning and contracting cannot be separated
from assessment and care management.
8

• Assessment of needs individual and
  collective
• Provision of service individual and
  collective
• Assuring quality
• individual and collective

9
Authorities still rely heavily on traditional
service models.
10

• Promoting independence, prevention, reablement
  not yet mainstream
• Joint commissioning not far advanced
• Interaction with universal services and special
  projects not strong
• Ill-prepared for choice

11
Divesting ownership does not divest
responsibility.
12

• Managing the market
• Quality
• Workforce

13
Focus on what individuals need.
14

• What is happening to individuals as they go
  through the system?
• What needs to happen different and better?
• How can this be achieved?

15
Outcomes, outcomes, outcomes(numbers, numbers,
numbers)