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SandwellSandwell Single Assessment Single Assessment

ProcessProcess

Facilitator Facilitator Marion DakinMarion Dakin

WELCOMEWELCOME

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Today’s Arrangements

Health & Safety

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Today’s Arrangements

Commitment to adult Learning

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SandwellSandwell Single Assessment Process Single Assessment Process

Today’s session:Today’s session:

To consider the need for the To consider the need for the Single Assessment ProcessSingle Assessment Process

To develop participants To develop participants understanding of the national and understanding of the national and local requirements for SAPlocal requirements for SAP

To consider the principles To consider the principles underpinning the SAP underpinning the SAP

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Today’s session:Today’s session:

Consider the advantages of SAP Consider the advantages of SAP for Service Users, Carers & Stafffor Service Users, Carers & Staff

Identify implications for practice Identify implications for practice

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Today’s Arrangements

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Why a Single Assessment Process ?

Modernisation

Demographic

Changes

NHS Plan

NSFExperience of Service Users

& Carers

FAC

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Fair Access to Care

•National Eligibility criteria for Social Care, introduced in April 2003

•4 levels critical, substantial, moderate and low

•Sandwell only meet critical and substantial

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What is the Single Assessment Process ?

The Single Assessment Process is a national initiative.

Applicable to individuals who have complex and/or multiple care needs and who access more than one type of service.

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What is the Single Assessment Process ?

Coordinated response across the agencies concerned.

This process will be first introduced for older people aged 60 or over

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OCTOBEROCTOBER

Implementation

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Avoid duplication of assessments

Common assessment formats

Share information appropriately

What does the Single Assessment Process aim to do

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Develop Person held records

Develop person centred care

Ensure that needs are not over looked

Develop joint working further

What does the Single Assessment Process aim to do ?

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The Single Assessment The Single Assessment ProcessProcess

Introduces new ways of workingIntroduces new ways of workingThere are now 4 levels of assessment, Contact Overview Specialist Comprehensive

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Levels of assessment

ContactThis level of assessment refers to a

contact between an older person and health and social services where significant needs are first described or suspected.

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Levels of assessment

OverviewIt provides an indication that

staff have recognised the service user has a need for a more rounded multi-disciplinary assessment.

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Levels of assessmentSpecialist

Specialist assessment offers a way of exploring specific needs, often in detail, and may be indicated by a contact or overview assessment.

As a result of a specialist assessment, staff should be able to confirm the presence, extent, cause and likely development of a health condition or problem or social care need, and establish links to other conditions, problems and needs.

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Levels of assessmentComprehensive

For some individuals there will be a strong likelihood that they may need intensive support or prolonged support (for example a year or longer) including permanent admission to a care home, the receipt of intermediate care services or substantial care packages at home.

All the domain headings and many sub-domains should be explored, and specialist assessments carried out in a number of them. This equates to a comprehensive assessment.( overview + specialist (S))

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Forms

SAP 1 Contact

SAP 2 Overview

SAP 3 Specialist SI &H

SAP 4 ,5 Health Specialist

& front sheet

SAP 7 Specialist front sheet

Consent

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Giving consent to share Giving consent to share personal informationpersonal information

The presumption of The presumption of competencecompetence

An individual is presumed to be competent, or have the mental capacity to enter into a particular transaction, until the contrary is proved.

Assessment of Mental Capacity - guidance for Doctors and Lawyers

(The Law Society 1995)

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Giving consent to share Giving consent to share personal informationpersonal information

ConsentConsent Consent is the voluntary and

continuing permission of a patient to receive a particular treatment, based on adequate knowledge of the purpose, nature likely effects and risks that treatment including the likelihood of success and any alternatives to it

(Mental Health Act 1983 code of practice 15.13)

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Giving consent to share Giving consent to share personal informationpersonal information

CapacityCapacity A person has capacity if

he or she can understand and retain the information relevant to the decision in question, can believe that information and assess it in arriving at a choice

(re C 1994)

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Giving consent to share Giving consent to share personal informationpersonal information

That a person can consent as they have the capacity to do so

They understand the information They believe the information They can analyse it to make a choice They understand the consequence of

making that decision- “free from pressure”

So these definitions infer:So these definitions infer:

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Giving consent to share Giving consent to share personal informationpersonal information

Remember Remember Capacity is situation specific A person can with draw their

consent at anytime Don’t assume that someone who

makes an “unwise decision” is lacking in capacity

Where communication is an issue consider the use of “advocates”

Duty of care still applies

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SummarySummaryThe Single Assessment The Single Assessment

ProcessProcessBuilds On Best PracticeBuilds On Best Practice

Person centred assessment, starting with the persons views and wishes Agreement on what the priorities are for that person and their carerInformation sharingPerson held records