The National Service Framework for Children, Young People and

Maternity Services in Wales

Self-Assessment Audit Tool(SAAT)

NSF for Children - developed

as a partnership between:

• Social care

• Health

• Close links to education, housing, leisure, transport, voluntary sector and other stakeholders (including children, young people and their families)

Children’s NSF

- 7 modules:• Acute and chronic illness or injury

Chair: Dr Huw Jenkins

• Improving health & well being of all children & young peopleChair: Prof. Laurence Moore

• Disabled children & young peopleChair: Joe Howsam

• Children & young people in special circumstancesChair: Jane Stacey

• Mental health & psychological well beingChair: Alison Cowell

• MaternityChair: Cathy Dowling

• MedicinesChair: Rowena McArtney

Measuring Success

• The Children’s NSF will only be as good as our ability to implement it

• Challenge is to develop a methodology to measure success compatible with performance measurement frameworks already developed and to assist local areas with service & financial planning

SAAT Development:

• Web-based tool aligned to both NHS and local government performance measurement systems

• National Public Health Service commissioned to develop tool

• Health Solutions Wales commissioned to develop the software

Performance Measurement

System for the Children’s NSF

NSF Key Actions

(Evidence-based)

Measure & benchmark using SAAT

Prioritise key actions for delivery

Service & financial planning

Statutory PIs Shared

outcome measures

Review NSF key actions

Objectives of the SAAT:

1. To provide meaningful data to inform local service planning and commissioning / joint commissioning where appropriate.

2. To measure progress and demonstrate action to implement the Children’s NSF.

3. To provide data to NHS to feed balanced scorecard and monitor achievement of SaFF targets.

Objectives of the SAAT:

4. To facilitate prioritisation of key actions for delivery.

5. To provide Assembly Government with data to inform financial resource planning and workforce planning.

6. To provide national data to monitor Assembly’s commitment to deliver NSF in 10 years and to report progress.

Pilot of SAAT

29 March – 17 June 2005

6 C&YPFP areas participated:• Caerphilly• Swansea• Wrexham• Torfaen• Flintshire

• Carmarthenshire

Findings From Pilot:• Software is user-friendly

• Collecting the information to enter into the SAAT is the most difficult part of using the tool

• Identifies gaps in service delivery to feed into existing planning mechanisms

• Enhances understanding of the roles of other organisations

• Improves partnership working

• Identifies opportunities for joint commissioning

Data Flow Diagram

Welsh Assembly Welsh Assembly GovernmentGovernment

C&YP C&YP Framework Framework

PartnershipsPartnerships

Local Local OrganisationsOrganisations

Annual NHS

Targets (SaFF)

HCW & HCW & LHBsLHBs

ALL NHS NHS

WASTWAST

Strengths of the SAAT:

• The same tool to be used across all Wales and all organisations

• Provides comprehensive information on the state of children’s service delivery in Wales

• Developed by those who will be required to use it

• Tool for partnership working– C&YPFPs will be forced into taking an

holistic perspective of children’s services• Identifies joint commissioning opportunities• Shares best practice• No need for milestones

Barriers to overcome:

• Awareness raising and ownership at the highest level

• Framework Partnerships need to be strengthened

• Fostering honesty in completion• Training and support for effective use of

data• Should not become a ‘paper exercise’• Visionary leaders needed - skilled in

change management