aim better health and better healthcare for everyone
TRANSCRIPT
Aim
Better health and better healthcare
for everyone
Inspect Inform Improve
what has commissioning got to do with it?
Fiona Ritchie 9th December 2008
What does it take to change?
With so many situations of abuse, neglect and poor care in provider services how do we change, how do we get truly person- centred services and support?
What about the commissioning process?
Joint Commissioning review:
CSCI and MHAC and HC first review of its kind and we are doing it together as equal partners. This review focuses on how person centred the commissioning practice is for people with learning disabilities and complex needs. New methodology may inform the new CQC.
What about the commissioning process?
The review focuses on whole areas not just services. The 9 areas are:
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All others local authoritiesDorset local authority
Redbridge local authorityHarrow local authority
Hillingdon local authorityDudley local authority
Stoke on Trent local authorityDoncaster local authority
Lancashire local authorityGateshead local authority
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What about the commissioning process?
Review teams of 6 people working as virtual teams
Team LeadAssessor/Inspector
HCC/CSCI
person with learning disabilities
family carerpeer review
commissioner
MHAC
assessor/inspector
What about the commissioning process?Main areas of joint commissioning review:
Day in the life of…Spending time with 5 individuals (per area) with complex needs for the day
Mystery shopperPeople with learning disabilities going into the community to find out what is it like to live in the area if you have a learning disability and complex need
Focus groups6 focus groups ,family carers, advocacy groups, providers, general health, community teams, day opportunities
Interviews with specific staff i.e. joint commissioners, directors of public health, directors in local authorities
Public open sessionOpen to any person who will not be in a focus group or interview
Good practiceAsking for 4 things commissioners have done that they are proud of. The teams will visit 2 of these.
Progress
all site visits are now complete
all local reports have been written and are in various states of being quality assured
an evaluation of the methodology is underway
development days are being organised for the9 sites through Valuing People
Next Steps
each organisation receives a report; they have 8 weeks to write an action plan
Strategic Health Authorities will be responsible for monitoring the health parts of the action plans and CSCI/CQC will monitor the councils action plans
national report published looking at trends across the 9 areas and will highlight good practice, report due end of March 09
What does it take to change?With so many situations of abuse, neglect and poor care in provider services how do we change, how do we get truly person centred services and support?
Staff truly believe in letting go of power
Commissioners know what good support and care looks like and buy it
regulators check in a person centred way
