Unified Assessment Implementation Strategy for Conwy and Denbighshire NHS trust

Why are we introducing Unified Assessment? The Welsh Assembly Government have issued directions which requires each local authority and their health Partners to introduce Unified Assessment for older people by April 2005 and all adult services by April 2006The Welsh Assembly Government have issued directions which requires each local authority and their health Partners to introduce Unified Assessment for older people by April 2005 and all adult services by April 2006

What is the time scale for trust implementation It is anticipated that nearly all areas within the trust implement some Part of the process by July 1 st 2005It is anticipated that nearly all areas within the trust implement some Part of the process by July 1 st 2005

Which parts of the process must we implement Introduction of the Summary recordIntroduction of the Summary record Introduction of the Users PerspectiveIntroduction of the Users Perspective Introduction of the trigger sheetIntroduction of the trigger sheet Introduction of collaborative care plansIntroduction of collaborative care plans

Impact within health DisadvantagesDisadvantages Although for those patients requiring Unified assessment there is the added responsibility for producing a summary record at the end of an acute episode AdvantagesAdvantages Any patients who have been assessed prior to admission will arrive with a summary of the needs and services they are getting in the community this should produce great time savings for staff.

Impact on Health Named Nurses on the wards will become care coordinators for the period of time that the patient is in their care.Named Nurses on the wards will become care coordinators for the period of time that the patient is in their care. Allied professionals will need to ensure that they provide the named nurse with any treatment plans/care plans which should be placed in the Patients notes.Allied professionals will need to ensure that they provide the named nurse with any treatment plans/care plans which should be placed in the Patients notes.

Impact within Health The medical records will be kept in the same way that they are kept now.The medical records will be kept in the same way that they are kept now. Although copies of the summary records and discharge plans leave with the Patient, the originals are still kept within the trust.Although copies of the summary records and discharge plans leave with the Patient, the originals are still kept within the trust. Nurses continue to assess patients using the specialist nursing assessmentNurses continue to assess patients using the specialist nursing assessment Improvements will need to be made within the care planning process across the whole hospital and to ensure that care plans and core plans do relate to the Nursing assessmentImprovements will need to be made within the care planning process across the whole hospital and to ensure that care plans and core plans do relate to the Nursing assessment Identification of needs is not the responsibility of the discharge liaison nurseIdentification of needs is not the responsibility of the discharge liaison nurse

What are your responsibilities within the implementation process To be clear that you understand what is being asked of youTo be clear that you understand what is being asked of you To actively work towards developing innovative solutions in order to make implementation happenTo actively work towards developing innovative solutions in order to make implementation happen To be responsible for identifying the key inhibitors to implementationTo be responsible for identifying the key inhibitors to implementation

Unified Assessment is not an option This Guidance issued under section 7(1) of the local authority social services act 1970.This Guidance issued under section 7(1) of the local authority social services act They will also provide the basis for use of new joint working flexibilities incorporated in the Health act 1999.They will also provide the basis for use of new joint working flexibilities incorporated in the Health act 1999.

Programme for the next few months Tasks which need to be completedTasks which need to be completed Implementation planImplementation plan Cathy to introduce the project plan and guidanceCathy to introduce the project plan and guidance

What needs to be done Each ward needs to set up it’s own implementation groupEach ward needs to set up it’s own implementation group Consider who should be involved within your team implementation groupConsider who should be involved within your team implementation group Agree how often the group will need to meetAgree how often the group will need to meet Who will represent the team at project task and finish groupsWho will represent the team at project task and finish groups

What is being asked of you? Nominate a lead officer The lead officer will be responsible for reporting progress to the project team They will need to highlight any issues which are making implementation impossible. Select a date for implementation

Nominate a lead training officer They will report to the Training task and finish groupThey will report to the Training task and finish group Ensure that the training needs of the staff on the wards are identifiedEnsure that the training needs of the staff on the wards are identified Arrange the training and support of staffArrange the training and support of staff Report any issues to the lead officerReport any issues to the lead officer

Clear Vision of role within the UA model Specialist assessmentSpecialist assessment Care coordination roleCare coordination role Discharge planningDischarge planning

Identify immediate needs Enquiry BPI Specialist Nursing assessment Comprehensive Discharge care plan Nursing care plan OTMedicalSocial workCPNPhysiotherapyOthers Review Specialist Nursing assessment Identify needs which still remain Trigger for UA Users perspective Produce summary of episode

What will the group have to make decisions Consider what administrative changes need to be madeConsider what administrative changes need to be made FilesFiles PhotocopyingPhotocopying How will they get enough assessment forms available in the teamHow will they get enough assessment forms available in the team Who will keep supplies availableWho will keep supplies available

Piloting Decide how you are going to implement Unified assessmentDecide how you are going to implement Unified assessment Phased approach,Phased approach, trigger sheettrigger sheet Users perspectiveUsers perspective Summary record.Summary record. Consider how you will evaluate the impact of UA on the teamConsider how you will evaluate the impact of UA on the team

Training Decide on the training approachDecide on the training approach training key people and cascading down or training teams in team meetingstraining key people and cascading down or training teams in team meetings Liaise with Project managerLiaise with Project manager Identify future training needsIdentify future training needs CHC information sharing protocolCHC information sharing protocol

IT Identify the number of computers you will require for future processesIdentify the number of computers you will require for future processes Identify a lead practitioner who can feed into the informing health care projectIdentify a lead practitioner who can feed into the informing health care project

Strategic Partnership Board Project Board Tool TeamIT TeamTraining Community divisional group Project manager Implementation teams MH DivisionMedicineImplementation teams