Service redesign | Stakeholder engagement | Service mapping | Funding resources |
Policy & legal drivers | Sharing resources
Service redesign
Do the strategic plans take account of current and future needs for dementia services and consider the implication for service redesign and commissioning?
- Dementia UK (2007) Dementia UK: A report into the prevalence and cost of dementia prepared by the Personal Social Services Research Unit at the London School of Economics and the Institute of Psychiatry at King’s College London, for the Alzheimer’s Society
http://alzheimers.org.uk/site/scripts/download_info.php?fileID=2 - National Audit Office (2007) Improving services and support for people with dementia
http://www.nao.org.uk/publications/0607/support_for_people_with_dement.aspx - Skills for Care (2011) Capable, Confident, Skilled – A workforce development strategy for people working, supporting and caring in adult social care
http://www.skillsforcare.org.uk/nmsruntime/saveasdialog.aspx?lID=8900&sID=1030 - Joint Strategic Needs Assessment (JSNA)
A Joint Strategic Needs Assessment is a process that will identify the current and future health and wellbeing needs of a local population and leading to agreed commissioning priorities that will improve outcomes and reduce health inequalities. Taking a multi-stakeholder approach with community engagement will lead to stronger partnerships between communities, local government, and the NHS, providing a firm foundation for commissioning that improves health and social care provision and reduces inequalities. With a projected rise in the incidence of dementia to over one million by 2025 1 a JSNA offers a process to identify gaps in service provision. The information gained from the JSNA will allow an assessment of current skills, competencies and experience within the current workforce and those required for the future. - NHS Confederation. (2011) ‘The joint strategic needs assessment’ briefing paper
http://www.nhsconfed.org/Publications/briefings/Pages/joint-strategic-needs-assessment.aspx - The Dementia Commissioning Pack
This pack provides practical resources for health and social care commissioners to work together to improve the quality of both specialist dementia services and general health and care services for people with dementia and their carers.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_127381 - Joint Commissioning Framework for Dementia
The National Dementia Strategy joint commissioning framework provides best practice guidance for commissioning dementia services. It includes a Joint Strategic Needs Assessment template, summary of NICE and SCIE evidence for dementia services, commissioning levers against each of the strategy’s objectives and a summary of South East Coastal SHA dementia metrics.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_100835 - Six Steps Methodology
Effective workforce planning ensures you will have a workforce of the right size, with the right skills and organised in the right way. The main aim of the Six Steps Methodology is to set out in a practical framework those elements that should be in any workforce plan. Use of this methodology across any organisation will help ensure that decisions made on workforce design and the recruitment of new staff and teams are sustainable and realistic; and that they fully support the delivery of high quality patient care, productivity and efficiency.
For further information:
http://www.skillsforhealth.org.uk/planning-your-workforce-strategy/six-steps-workforce-planning-methodology/ - Integrated local area workforce strategy (INLAWS)
InLAWS is a Skills for Care and ADASS project established in 2009 with support from the Department of Health (DH) and other delivery partners.The InLAWS project aims to develop effective ways to support Directors (DASS) and their teams with their workforce commissioning role across the local area, and to understand changing priorities in adult social care including the government’s agenda on the ‘Big Society’ and neighbourhood working. It is providing a common methodology and practical tools designed to help DASS and their teams develop a skilled, capable and competent workforce. For further information: http://www.skillsforcare.org/workforce_strategy/InLAWS/InLAWS.aspx - National Minimum Data Set
The Department of Health, NHS Information Centre for health and social care and Skills for Care are announcing that the National Minimum Data Set for Social Care (NMDS-SC) is to be introduced as the adult workforce data return from local authorities. For further information: http://www.nmds-sc-online.org.uk/Default.aspx - South West Observatory
South West Observatory is the regional information gateway, with access to a network of analysts and information across a broad range of demographic, environmental and economic services
http://www.swo.org.uk/
Stakeholder engagement
Have you a clear vision around dementia services that has been developed through a fully inclusive and systematic engagement with people with dementia, carers, practitioners, providers and other stakeholders and enables them to consider needs and the actions, knowledge and skills to meet these needs?
- Strengthening the involvement of people with Dementia
http://www.dhcarenetworks.org.uk/_library/Resources/Dementia/CSIPComment/strengthening-the-involvement-of-people-with-dementia.pdf - South West Dementia Partnership Involvement information
http://www.southwestdementiapartnership.org.uk/resources/strengthening-involvement/ - Hussein S (2010) The dementia social care workforce in England: secondary analysis of a national workforce data set.
Summary http://www.kcl.ac.uk/sspp/kpi/scwru/pubs/2011/husseinmanthorpe23jun11.pdf
Full report http://www.kcl.ac.uk/sspp/kpi/scwru/pubs/periodical/issues/scwp9.pdf
Service mapping
Have you mapped and reviewed local dementia services across agencies and completed a gap analysis around opportunities for improvement or change in provider market such as potential skill shortages, wasted resources?
- Six Steps Methodology
Effective workforce planning ensures you will have a workforce of the right size, with the right skills and organised in the right way.
The main aim of the Six Steps Methodology is to set out in a practical framework those elements that should be in any workforce plan. Use of this methodology across any organisation will help ensure that decisions made on workforce design and the recruitment of new staff and teams are sustainable and realistic; and that they fully support the delivery of high quality patient care, productivity and efficiency.
For further information: http://www.skillsforhealth.org.uk/planning-your-workforce-strategy/six-steps-workforce-planning-methodology/ - Integrated local area workforce strategy (INLAWS)
InLAWS is a Skills for Care and Association Directors Adult Social Services (ADASS) project established in 2009 with support from the Department of Health (DH) and other delivery partners.
The InLAWS project aims to develop effective ways to support Directors and their teams with their workforce commissioning role across the local area, and to understand changing priorities in adult social care including the government’s agenda on the ‘Big Society’ and neighbourhood working. It is providing a common methodology and practical tools designed to help DASS and their teams develop a skilled, capable and competent workforce. For further information: http://www.skillsforcare.org/workforce_strategy/InLAWS/InLAWS.aspx - National Minimum Data Set
The Department of Health, NHS Information Centre for health and social care and Skills for Care are announcing that the National Minimum Data Set for Social Care (NMDS-SC) is to be introduced as the adult workforce data return from local authorities.
http://www.nmds-sc-online.org.uk/Default.aspx - NHS SW Workforce Intelligence unit
The Workforce Intelligence Unit supports the NHS South West by either sign posting users to relevant information sources or by analysing and providing: Workforce data from all health providers and commissioners where available; Relevant population demographic data for the South West; Higher Education Commissioning data
http://workforce.southwest.nhs.uk/workforce_development/home/workforce_intelligence_unit - South West Observatory
South West Observatory is the regional information gateway, with access to a network of analysts and information across a broad range of demographic, environmental and economic services
http://www.swo.org.uk/ - The Dementia Commissioning Pack
This pack provides practical resources for health and social care commissioners to work together to improve the quality of both specialist dementia services and general health and care services for people with dementia and their carers.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_127381 - Hussein S (2010) The dementia social care workforce in England: secondary analysis of a national workforce data set.
Summary http://www.kcl.ac.uk/sspp/kpi/scwru/pubs/2011/husseinmanthorpe23jun11.pdf
Full report http://www.kcl.ac.uk/sspp/kpi/scwru/pubs/periodical/issues/scwp9.pdf - All-Party Parliamentary Group on Dementia (2009) Prepared to care. Challenging the dementia skills gap
The All-Party Parliamentary Group on Dementia (APPG) published its inquiry into the dementia care skills of care home staff and staff supporting people with dementia in their own homes (16 June 2009).
http://alzheimers.org.uk/site/scripts/documents_info.php?documentID=829 - New types of worker programme
Skills for Care’s New Types of Worker programme explores how people’s care and support needs change and how the workforce has to adapt to meet the challenges that change can present.
http://www.skillsforcare.org.uk/workforce_strategy/new_types_of_worker/new_types_of_worker_introduction.aspx
Funding resources
What resources and funding are available?
- Skills for Care
Skills for Care understands that employers and their staff need help to access funding for training and they offer support and guidance to employers around accessing funding to train their staff.
Funding 2011/12
Skills for Care has had confirmation that there will be funding to support learning and development 2011 – 2012, this will be launched with the workforce development strategy anticipated around April / May. The funding will be focused on vocational qualifications to support the ongoing professional development of adult social care workers with the National Minimum Data Set for Social Care (NMDS-SC) remaining a key criteria. For further information:
http://www.skillsforcare.org.uk/tsi/ - A guide to resources and funding
Skills for Care has compiled a guide to resources and funding to signpost employers and learners in the adult social care sector to a diverse range of resources and funding freely available to support individual, organisational and workforce development. For further information: a http://www.skillsforcare.org.uk/funding/other_funding_sources/other_funding_souraes.aspxguide to funding and resources
Policy & legal drivers
Have you considered all policy and legal drivers?
- National Dementia Strategy
The Department of Health strategy ‘Living Well with dementia – A National Dementia Strategy’ (2009) has a range of objectives.
http://www.dh.gov.uk/en/SocialCare/NationalDementiaStrategy/index.htm
Objective 13 states for ‘An informed and effective workforce for people with dementia’.
Following this strategy the Department of Health set out within the document ‘Quality outcomes for people with dementia: building on the work of the National Dementia Strategy’ (2010) 4 priority objectives for securing improvements in dementia care. These are: Good quality early diagnosis and intervention for all; Improved quality of care in general hospitals; Living well with dementia in care homes; Reduced use of anti-psychotic medication
This will need to be achieved by effective basic training and continuous professional and vocational development in dementia. All care staff should have effective knowledge and skills appropriate with their roles in caring for those with dementia and this includes registered and non-registered staff and managers. - Other key dementia documents
http://www.dh.gov.uk/en/SocialCare/NationalDementiaStrategy/index.htm - Department of Health (2008) End of Life Care Strategy
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_086277 - Department of Health (2008) Carers at the heart of 21st century families and communities – a caring system on your side, a life of your own.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_085345 - National Institute for Health and Clinical Excellence (2007) Dementia: the NICE- SCIE Guideline on supporting people with dementia and their carers in health and social care, National Clinical Practice Guideline number 42.
http://www.scie.org.uk/publications/misc/dementia/index.asp - The Dementia Commissioning Pack
This pack provides practical resources for health and social care commissioners to work together to improve the quality of both specialist dementia services and general health and care services for people with dementia and their carers.
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_127381 - Care Quality Commission information
http://www.cqc.org.uk/guidanceforprofessionals.cfm - NICE Dementia quality standards
Quality Statement 1 – People with dementia receive care from staff appropriately trained in dementia care
Service providers ensure that all health and social care workers are appropriately trained in dementia care according to their roles and responsibilities.
Health and social care professionals who work with people with dementia ensure they receive training in dementia care consistent with their roles and responsibilities.
Commissioners ensure service providers have arrangements for training health and social care professionals in dementia care.
People with dementia can expect that the health and social care professionals who care for them will have dementia care training.
http://www.nice.org.uk/aboutnice/qualitystandards/dementia/?domedia=1&mid=7EF3AFC7-19B9-E0B5-D4504471A4FD758E
Local data collection. Contained within NICE CG42 audit support, criterion 9. Acute Trusts can collect data on dementia awareness training using the National Audit of Dementia organisational checklist, section 7.
Sharing resources
Have you considered the local workforce market and where it may be possible to share workforce resources or work more collaboratively to reduce costs?
- Labour Market Information and Intelligence Guide for NHS Planners http://www.healthcareworkforce.nhs.uk/resources/latest_resources/labour_market_information_and_intelligence_guide_for_nhs_planners.html
- Workforce issues in shared services
http://www.idea.gov.uk/idk/core/page.do?pageId=6328944 - New types of worker programme
Skills for Care’s New Types of Worker programme explores how people’s care and support needs change and how the workforce has to adapt to meet the challenges that change can present.
http://www.skillsforcare.org.uk/workforce_strategy/new_types_of_worker/new_types_of_worker_introduction.aspx
