1. the single assessment process training resource JW 1 Joint working Putting the single assessment process in a wider context

2. the single assessment process training resource JW 2 Issues relevant to integration from the NHS Plan The NHS Plan calls for ‘a radical redesign of the whole care system’ One specific requirement is the single assessment process

3. the single assessment process training resource JW 3 Shifting the balance of power ‘patients and staff absolutely at the heart of the NHS’ ‘greater focus on team working, and on enabling and supporting people and less on hierarchy and control’ ‘behaviour needs to change as well as organisation’

4. the single assessment process training resource JW 4 developmental sequence Gaining knowledge of your partners Improving communication Creating a system of collaboration Using common tools Generating a common culture of care Source: Frossard (1999) Integrating health and social care: stages in the

5. the single assessment process training resource JW 5 Degrees of partnership Separation Liaison Linkage Coordination Integration

6. the single assessment process training resource JW 6 What does ‘radical redesign’ mean? Doctor or doctor’s secretary Nurse Social Services department intake/duty Social Services department allocation Assessment Financial assessment continues

7. the single assessment process training resource JW 7 What does ‘radical redesign’ mean? continued Care plan negotiations Budget approval Service provision At each stage there is ‘information loss’ which can result in diminished quality of response and inefficiency. We must be able to do better than this!

8. the single assessment process training resource JW 8 Centre for Evidence-Based Social Services (CEBSS), University of Exeter www.ex.ac.uk/cebss/