Briefing Notes from PIP Network Meeting on 7 August 2008
Briefing Notes from PIP Network meeting on 7 August 2008.
Today’s meeting focused on the imminent change to the eSAY system for gathering SAY? returns, and the associated potential technical problems this may cause for Local Authorities. It was attended by an IT specialist from ‘Hiper’, the IT company who manage eSAY.
In order to facilitate the transfer to eSAY in time for December’s statistics release, three areas of information previously gathered for the SAY returns, but which could be problematic for Local Authorities to gather for eSAY, have been dropped – education, training and short breaks. It was confirmed that this will be reviewed in the New Year.
The meeting explored disparate systems by which data is gathered, and the potential challenges this will cause for LA’s. It will also be a challenge for them to gather accurate, individually based, information.
There seemed to be general consensus that the change to eSAY was a positive step. It should provide more reliable information in the longer term, as data is based on individuals, rather than on services. However, it was recognised that there will be a blip in information this year, as we move to the new system.
It was confirmed that issues of confidentiality had been covered, and safeguards to prevent the identification of individuals from their data are in place. There is a national agreement, from eCARE, that individual consent is not required. This will be confirmed in writing for Local Authorities.
SCLD and /or Scottish Government will also write to LA’s outlining the information that will be required and the timescale for completion. LA’s will also be asked to highlight any potential problems. As the eSAY manager with SCLD is leaving, technical support may be offered to LA’s from Hiper.
There was some discussion around the detail of Person Centred Plans (one of the nine indicators being gathered) – Local Authorities make a presumption that all providers who are subject to a contract ensure each person they support has a plan, as per their contract. This may not be accurate, and
Experience is that around only 50% do
Some plans may be a number of years old
No measure of quality of plan
It was agreed that an event would be held on 24th September to explore ways of ensuring that learning disability information is gathered, and progress and outcomes are recognised, as we move into a more generic reporting system post SAY? and PiPs. The Single Outcome Agreements (now available online), and the National Outcomes Framework for Community Care (see below), will be looked at in this context.
Peter Scott, Enable Scotland
Dave Clark, Crossreach
NATIONAL OUTCOMES FRAMEWORK FOR COMMUNITY CARE
National Outcomes
Improved health Improved well-being
Improved social inclusion Improved independence and responsibility
Performance measures and targets
Themes / Measure / Type / Data SourceUser satisfaction / % of community care service users feeling safe. / Outcome / NMIS All users assessments & reviews (eSAY details risk factors)
% of users and carers satisfied with their involvement in the design of care package. / Outcome / NMIS All user and carer care plans & reviews
% of users satisfied with opportunities for social interaction. / Outcome / NMIS All user assessments & reviews
Faster access / No. of patients waiting in short stay settings, or for more than 6 weeks elsewhere for discharge to appropriate setting / Output / Assessments of people delayed in hospital
No. of people waiting longer than target for assessment, per 000 population / Output / Client databases - whole health and social care system
No of people waiting longer than target time for service, per 000 population / Output / Client databases - whole health and social care system (and ultimately NMIS assessments and careplans)
Support for carers / % of carers who feel able to continue their role / Outcome / NMIS All user assessments, carer assessments & reviews
Quality of assessment and care planning / % of user assessments completed to national standard. / Process / NMIS User assessments (eSAY PLPs and needs records)
% of carers’ assessments completed to
national standard. / Process / NMIS Carer assessments
% of care plans reviewed within agreed timescale. / Output / NMIS All user and carer reviews
Identifying those at risk / No of emergency bed days in acute specialties for people 65+, per 100,000 pop. / Output / ISD – relevant admissions from whole health and social care system
No. of people 65+ admitted as an emergency twice or more to acute specialties, per 100, 000 pop. / Output / ISD – relevant admissions from whole health and social care system
Percentage of people 65+ admitted twice or more as an emergency who have not had an assessment. / Outcome / ISD – relevant admissions from whole health and social care system, local systems
Moving services closer to users/patients / Shift in balance of care from institutional to ‘home based’ care. / Input / Not yet defined (eSAY Accommodation type)
% of people 65+ with intensive needs receiving care at home / Outcome / Measure to be developed & will rely on NMIS Assessments and IoRN/other tools. (eSAY needs record, accommodation type)
% of people 65+ receiving personal care at home / Outcome
(proxy) / Analytical Services Division
(eSAY needs record, accommodation type)
National Indicators and Targets
National indicators that data from eSAY could contribute to demonstrating include:
Indicator 7: Increase the proportion of school leavers (from Scottish publicly funded schools) in positive and sustained destinations (FE, HE, employment or training
Indicator 10: Decrease the proportion of individuals living in poverty
Indicator 22: All unintentionally homeless households will be entitled to settled accommodation by 2012
Indicator 26: Increase the percentage of people aged 65 and over with high levels of care needs who are cared for at home