Person-Centredness Self Assessment Tool for Teams
How to use this tool
This tool is for internal use and is not intended for comparison between teams or organisations. Its primary aim is to help you look at your department, and your team, in order to gauge where you are on your journey to providing a person-centred service. The tool may also help you to prioritise next steps and particular areas where you may wish to focus improvement activity.
Each statement in the table below describes a particular aspect of the “parts” that are required to make up the “whole” of what a truly person-centred health and care system might look like.
In order to bring about transformational change we need to be able to demonstrate how we are working at the different levels required to bring about this system-wide change (see appendix 1). The left-hand column on the table below describes the level which the component applies to: i.e. individuals, systems, organisations or the wider population.We would like you to think about, and describe, what you are doing at levels 1 & 2 in order to develop a person-centred system and culture in your team.
4.Environment: the population of Scotland, or a region
3.Organisation: A Local Authority, NHS Board, third sector care provider, a hospital, etc.
2.System: a GP practice, a care home or care service, a hospital department, etc
1.Individual: people or teams working to provide services
The column to the right of each statement contains a scale marked 1 to 5 on which to assess your current state:
1 = “We don’t do this at all”
2 = “We only do this intermittently in a few areas”
3 = “We do this sometimes in most areas” or “Some members of the team do this reliably”
4 = “We do this intermittently throughout the whole system or team, but it’s not reliable”
5 = “This part of our system (process or intervention) is embedded and is reliable for every person every time”
Appendix two describes some emergent Principles of Person-Centredness gleaned from current literature. These can be used as a check against which to compare any work or activity to ensure that it is aligned with Person-Centred values.
These principles are distilled from the “Healthcare Principles” as articulated by the Patient Rights (Scotland) Act 2011, the NHS Scotland Healthcare Quality Strategy (2010), the definition of co-production described by Nesta in “People Powered Health” (April 2012) and “Partnering with Patients and Families to Design a Patient and Family-Centred Health Care System” (IPFCC 2008).
Person-Centredness Self Assessment Tool for Teams
Demonstrate Activity at Levels: / Domain / Element / Low to High / Don’t Know
1.Individuals/ Teams
2. System / Leadership / We have a clear statement of commitment to person-centredness & partnership with people & their families / 1 / 2 / 3 / 4 / 5
We have clearly stated expectations, accountability & measurement of person-centredness / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Mission & Values / Person-centredness is included in our mission statement / core values / 1 / 2 / 3 / 4 / 5
We have a person-centred friendly statement of rights & responsibilities for people who use our services / 1 / 2 / 3 / 4 / 5
We have a process in place to ensure that the whole team understand the behaviours that demonstrate our person-centred values / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Listening / We actively & systematically capture feedback from people & families who have first-hand experience of our service / 1 / 2 / 3 / 4 / 5
People who have had first-hand experience of our service participate in quality & safety rounds / 1 / 2 / 3 / 4 / 5
We capture feedback through a variety of channels at regular intervals (i.e. monthly or quarterly) from the people who deliver our service / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Personnel / All staff are prepared & supported to work in accordance with the “Person-Centred Principles2” / 1 / 2 / 3 / 4 / 5
The expectation to collaborate openly with people who use our service, and their families, is clearly articulated in job descriptions, KSF, job plans and performance management system / 1 / 2 / 3 / 4 / 5
People who have first-hand experience of our service, and their families, participate on interview panels and other elements of the recruitment process / 1 / 2 / 3 / 4 / 5
People who have experienced our service are an integral part of the induction process for new employees / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Environment & Design / People & families who use our serviceparticipate fully in service design projects / 1 / 2 / 3 / 4 / 5
Our environment supports family presence and participation at the level they choose (formal care settings) as well as interdisciplinary collaboration / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Information & Education / People & families who have experienced our service contribute as faculty in training & development for existing staff / 1 / 2 / 3 / 4 / 5
People & families using our service have easy access to resources & are encouraged to use them (i.e. peer support networks, information resources, etc) / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Care / We can demonstrate how people who use our service are reliably & systematically provided with the opportunity to engage with staff & agree a set of personal outcome goals / 1 / 2 / 3 / 4 / 5
Personal outcome goals form the foundation of all care and/or treatment that we provide / 1 / 2 / 3 / 4 / 5
We can demonstrate how people using our service, & their families are respected & treated as equal partners in care / 1 / 2 / 3 / 4 / 5
People using our service, and their families, are reliably & systematically provided with the opportunity to participate in handovers, transitions between services and care planning at the level they choose / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Care Support / We can demonstrate how the families of people using our service are treated as valued members of the care team with 24/7 access (formal care settings) to their loved ones / 1 / 2 / 3 / 4 / 5
People using our service are able to have their family at handfor support, to join in rounds (formal care settings), & participate in handovers / transitions of care at the level they choose / 1 / 2 / 3 / 4 / 5
Where our service breaks down, or when errors are made, people & their families are supported through open disclosure and involved with resulting improvement activity if they choose. / 1 / 2 / 3 / 4 / 5
Family have the option to be present during rescue events and are supported (formal care settings) / 1 / 2 / 3 / 4 / 5
People using this service, and family, are able to activate rapid response / cause for concern systems / 1 / 2 / 3 / 4 / 5
1. Individuals/ Teams
2. System / Notes & Documentation / People using this service have full & easy access to paper / electronic records relating to their care or treatment / 1 / 2 / 3 / 4 / 5
People who use our service & their families are able to make entries in their care records / 1 / 2 / 3 / 4 / 5
Notes:
Appendix 1.
The four levels of activity that help to bring about transformational change
Used with kind permission of M. Hayward (IHI)
Appendix 2.
Emergent Principles of Person-Centredness
1.Mutual partnership
Health & care providers listen to and respect the perspectives and choices of people using services and their families. People’s personal goals, knowledge, values, beliefs and cultural background form the foundation of treatment, care planning and decision making.
2.Information sharing
Service providers respectfully communicate and share complete, unbiased information with people using the service, and their families, recognising the vital contribution they have to make.
Information is complete, accurate and timely in order to facilitate active participation in care planning and decision making.
Information is presented in a way that avoids jargon or technical language. Where technical language is unavoidable checks are in place to ensure that people understand. People using the service have free and open access to their care records and other information pertaining to them.
3.Participation
People using services are encouraged and supported to participate in care and decision making at the level they choose. People using the service will always be able to access their family and involve them with care and decisions at the level they choose.
4.Collaboration
People using this service, their families and providers collaborate in policy and programme development, implementation, and assessment. This extends to design of physical environments, recruitment of staff, professional education and delivery of care