1. Core Service Specification Project Update Challenging Behaviour Foundation 8 March 2013 Geoff Baines - Project Chair Associates Director, NHS South of England

2. Core Service Specification Project Commissioners response Tools to make it work Joint health and social care approach Wide variations in quality Different models of service Highlighting adult and children commissioning Established a project and steering group

3. Update- March Listening events Call for information Analysis of evidence Site visits Drafting core elements of the specification

4. Feedback From Regional Events September to November - over 300 people attended or took part in the project

5. Regional events - top themes Information – Easy read Voice of service users Training Monitoring / Use quality checkers Funding / Personal Budgets Being safe /Safeguarding Choice Staffing An individual service Involvement in Decisions Values –Dignity, Respect Involved in the community Accessible

6. Regional events - what does good look like? being happy Staff helpful Good information Feeling safe Ask the people who use it Clean safe environment Staffing levels / checks Free / open / no rules Reasonable adjustments People that know me!

7. Call for evidence NHS and ADASS joint letter December 2012 157 documents 86 specifications 24 CQUINs Health and social care commissioners analysed them

8. Analysis of Evidence and data Lack of reference to outcomes – often aspiration and not linked to monitoring Pockets of good practice but no overall pattern Significance of Positive Behaviour Support Significance of good physical health checks Dependence upon local commissioning environment No consistent data

9. Additional evidence and data – site visits Examples that stood out led to site visits Oxfordshire Salford Trafford West Sussex Middlesbrough Newcastle Tower Hamlets

10. Feedback from Site Visits Currently being evaluated Emerging top themes include: Benefit of pooled budgets Better integration- more joint working Importance of local leadership Need for clear and specific outcome measures More opportunities to include people, family carers and providers

11. Current Phase February- March 2013 Drafting core specification elements Steering Group 25 th March Evidence from site visits Dovetailing with CCG Commissioning guidance Link to Royal College of Psychiatrists developments

12. Other Issues Children's developments Linking to the Improvement programme Overall Implementation to agree One size wont fit all National and/or local and joint health and social care arrangements Lack of common data - linking to NICE Partnership with providers in the market place

13. Contact us: LDProjects@southwest.nhs.uk www.better-lives.org.uk