Sandwell Single Assessment Process Facilitator Marion Dakin WELCOME

Today’s Arrangements Health & Safety

Today’s Arrangements Commitment to adult Learning

Sandwell Single Assessment Process Today’s session: To consider the need for the Single Assessment Process To develop participants understanding of the national and local requirements for SAP To consider the principles underpinning the SAP

Sandwell Single Assessment Process Today’s session: Consider the advantages of SAP for Service Users, Carers & Staff Identify implications for practice

Today’s Arrangements

Why a Single Assessment Process ? Modernisation Demographic Changes NHS Plan NSF Experience of Service Users & Carers FAC

Fair Access to Care National Eligibility criteria for Social Care, introduced in April levels critical, substantial, moderate and low Sandwell only meet critical and substantial

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.

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

Sandwell Single Assessment Process OCTOBER Implementation

 Avoid duplication of assessments  Common assessment formats  Share information appropriately What does the Single Assessment Process aim to do

 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 ?

The Single Assessment Process Introduces new ways of working There are now 4 levels of assessment,  Contact  Overview  Specialist  Comprehensive

Levels of assessment Contact  This level of assessment refers to a contact between an older person and health and social services where significant needs are first described or suspected.

Levels of assessment Overview  It provides an indication that staff have recognised the service user has a need for a more rounded multi- disciplinary assessment.

Levels of assessment Specialist  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.

Levels of assessment Comprehensive  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))

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

Giving consent to share personal information The presumption of competence 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)

Giving consent to share personal information Consent 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)

Giving consent to share personal information Capacity 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)

Giving consent to share personal 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:

Giving consent to share personal information 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

Summary The Single Assessment Process Builds On Best Practice  Person centred assessment, starting with the persons views and wishes  Agreement on what the priorities are for that person and their carer  Information sharing  Person held records