NICE social care quality standards National Care Association 28 September 2011

Some important words…

A brief history of NICE Clinical guidelines Interventional procedures Public health QOF Quality standards NHS Evidence accreditation decisions Diagnostics Medical devices

Why NICE? Track record in developing robust, evidence-based guidance, in health care, including quality standards Good reputation for involving a wide range of stakeholders, including service users Ability to bring together proposed work in social care with related advice to the NHS Some experience of topics relevant in social care, such as Dementia and the health and Community Engagement Vision and enthusiasm for working with SCIE

NICE quality standards: purpose Sentinel markers of good practice “If you're doing these things and you’re doing them well, what they describing is the core of a really good service” Guide for managers and their teams A reference for service users A key element in the service specification for a commissioner

NICE quality standards: helping to manage the interfaces

What do we know about social care? It’s not health care (though it needs to work closely with it) The evidence for good practice is different from health It’s under great pressure – and is changing rapidly It’s a business (though not always for profit), with a very large community of providers, mostly small and many owner-run It sees (or tries to see) service users and their needs as unique and to tailor services around them It has a huge workforce, with a significant proportion working part-time and for lower wages

NICE approach to social care quality standards A long-term partnership with the sector Standards that meet the needs of users, providers and commissioners A social care perspective – and language An inclusive approach to using evidence Rigorous methods and processes A strategic partnership with SCIE

NICE and CQC

Developing standards for social care

Pilot programme Two topics, for which we have a good evidence base and which represent challenge for social care Covering adult and childrens services Application in residential and domiciliary care settings Tested out the topics with colleagues at SCIE and with leaders in the social care communities Agreement from ministers in the Department for Health and the Department for Education

Pilot topics

Pilot process and timeline

Some questions… How do we define high quality in social care? What’s the best way to communicate and present standards in social care? What support will commissioners, organisations and staff need to help them use the standards? What advice do you have for us, to make sure we deliver what you need?