1. Trusted Assessment
ECIP & NHSE

2. What is it?
One profession or service trusting the assessment of another profession or service and acting upon it

3. WHY?

4. Delays Damage Delayed Assessments? Why Options Process
Wrong time / Wrong assessments
Communication
DTOC focus
Options
Re-Design
Re-Train
Trusted Assessment

5. What do Trusted Assessors do?
Speed up existing processes to reduce delayed transfers of care
One profession or service trusting the assessment of another profession or service and acting upon it.
Promote safe and timely discharges
There is no single model
Doesn’t remove statutory responsibilities

6. What they are and what they are not
Models will vary depending on local circumstance
Subject to the agreement of local partners
The model does not remove the statutory accountabilities of organisations who sign up
The model does not support the transfer of costs from one sector to another

7. Trusted Assessor could enable …
Transfers from hospital to an existing support package
Transfer of patients to an interim support package e.g reablement or intermediate care
New admissions to residential care & New packages of domiciliary support
Eligibility Assessments under The Care Act
Assessments for occupational therapy equipment

8. CQC Guidance
‘“Where a provider is confident that they can rely on information from hospital or care management staff, and that on the basis of this information they are able to meet the person’s needs, they do not necessarily need to see them in person. This includes in relation to gaining consent to their care and treatment being transferred back to the care home.” CQC, October 2016

9. Getting started
Consider how others have developed Trusted Assessor models eg:
Tower Hamlets
Medway
South Warwickshire
Sheffield
Consider how strong the relationships and trust are locally between health and social care commissioners and providers
Start engagement and Co-design with all stakeholders a streamlined process
Remember trust is essential; an MOU might be useful in articulating the vision and mutual understanding

10. Getting Started (2)
Agree who can be a trusted assessor and what kinds of assessment are for consideration and what is out of scope
Ensure there is a process for patient and carer involvement
Agree competencies for TA and put in place training requirements
Agree where this could be put in place quickly to test

11. Evaluation
Agree metrics to be used to monitor how the service is operating and its impact
Build in a feedback loop/hotline into the model
Consider how the trusted assessor model will support delivery of other interventions

12. Guidance
ECIPs Rapid improvement guide to trusted assessors (please note the implementation checklist will be published shortly)
Trusted Assessor ‘Essential Elements’
CQC guidance
Integration and Better Care Fund Policy Framework 2017 to 2019
High Impact Change Model: Managing Transfers of Care Between Hospital and Home
Quick Guide: Discharge to Assess
Quick Guide: Improving Hospital Discharge into the Care Sector

13. Some examples of best practice

14. Impartial Assessor

15. Another example

16. Good Practice Lincolnshire trusted assessor project
Integrated Assessment
Warwick trusted assessment and D2A
East and North Hertfordshire
Impartial Assessor video

17. Summary It’s Legal. It’s professional. It must be co-designed.
It can’t be imposed.
It’s flexible.
It should save time.

18. Contact details John Woods, ECIP – john.woods2@nhs.net
Hospital to Home Team, NHS England –
ICS Regional Leads:
Ruth Holt (North) –
Rachel Fox (Midlands and East) –
Jane Hannon (London) –
Lianne Jennings (South) –