Our Health, Our Care, Our Say: Performance & Outcomes Lynda Fean & Carl Evans 27 March 2006
DH WHITE PAPER HEADLINES Social care outcomes confirmed - build on these to confirm a single set of outcomes across health & social care Raised profile in assessing robustness of commissioning / joint commissioning arrangements Revised statutory guidance on the leadership role of the DASS Links with DPHs Joint reviews of health & wellbeing status and needs of local populations
PERFORMANCE & REGULATION HEADLINES Development of performance assessment to support common outcomes - increased development of joint assessment and inspection arrangements Inspection regimes to reinforce it - merged Inspection commissions by 2008 - subject to the wider review of arm s length bodies - regulation and inspection of care homes and other service providers including continued work with Audit Commission to ensure that relationship with wider local government functions is recognised
WIDER LOCAL GOVERNMENT DEVELOPMENTS Local Government White Paper in summer 2006 including new Performance Framework Local:vision debate and consultations on LSPs Development of Local Area Agreements including applying outcomes framework Building on learning & experience of LAA pilots/next waves reinforcing negotiation aspects and local joint planning and delivery
IMPLEMENTING PERFORMANCE ASPECTS OF WHITE PAPER Develop shared, outcome-based performance framework Align performance measures and targets for PCTs and local authorities Align performance assessment and inspection regimes Streamline planning and budget cycles for the NHS and local authorities Synchronise performance management systems
OUTCOMES FRAMEWORK ADULT SERVICES Illustrative E xam ple: O utcom es Fram ework NATIONAL PRIORITIES AND OUTCOMES 1 Im proved H e a lth & Emotional W e ll-b e in g 2 Im proved Q uality of Life 3 M a k in g a positive contribution 4 Increased choice and control 5 Freedom from discrim ination 6 Economic w e ll-b e in g 7 M a in ta in in g personal dignity (and respect) Assessing : Eng a g in g in : A ssessing : E xperiencing : A ccessing : E xperiencing : AIMS [More people are:] - p h y sic a lly healthy - m en ta lly a n d em o tio n ally healthy - liv in g w ith healthy lifesty le s [including drugs] - lo w lev el care - afford ab le decent hom es - tran sp o rt - leisu re services - life lon g learning Living in: - coh esive C o m m u n itie s - a good environm ent w ith less crim e - d ecision m a k in g - P u b lic/p atien t - Involvem ent - volunteering Reporting: - a p ositive p atient/ u ser experience - an increase in support and reco g n itio n fo r C arers -reliab le in fo and advice - equipm ent an d assistiv e tech n o lo g y - D irect Paym ents and Individualised Budgets - a fair, equitable c o m p la in ts s y stem - red u ced discrim ination (a g e, d isa b ility, gender, race, sexual o rien tation ) - b ein g safe from abuse and harassm ent - b ein g safe from m a ltre a tm e n t, neglect or ex p lo itation - fin ancial in fo rm atio n - b en efits - em ploym ent opportunities Living in: - households free from lo w in co m e - secu re, stab le and good quality care - p rivacy in all settin g s - hom e, residential care & h o s p ita l - appropriate lev e ls o f c o n fid en tia l- lity WHAT IT MEANS TO THE INDIVIDUAL [See Annex A] I am as healthy as I can be I am able to liv e a fu lfilled life I can p articip ate as a fu ll an d equal m e m b e r o f m y com m unity I h ave th e sam e life chances as other adults I have an equal chance to live free fro m fear, discrim ination and prejudice I am financially stable & have as m uch control as possible over m y m o n e y I feel valued by others NATIONAL TARGETS AND MINIMUM STANDARDS 1. ------------ T ackling Inequalities and E xclusion closing the gap and access for all ------- ------- D elivering Sustainable C om m unities ------- P E R F O R M A N C E IN D IC A T O R S D o m a in s to b e a g re e d & in d ic a to rs d e v e lo p e d 1. 1. 4. 1. 1 1. 1.
WORKSHOP QUESTIONS Is the Outcomes Framework useful? Any changes? Any additions? Could it cover both 1) health and social care and 2) broader well-being outcomes? How would local partners use it to achieve better outcomes? What would central government need to change to help local partners achieve better outcomes?