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Single Assessment Process - training materials

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Making Successful Referrals to the POVA List [Action on Elder Abuse - AEA]
Action on Elder Abuse (AEA) in conjunction with the Department of Health (DH) has put together a series of conferences aimed at improving the quality of referrals. With representatives from the Department of Health POVA team and CSCI and CSIW this is an opportunity for you to bring your own cases to gain advice and guidance from the experts and to participate in surgeries advising on real life scenarios. Making Successful Referrals to the POVA List - Your chance to get answers to all those questions you’ve been asking! The first of these is on 18 October 2006 in Llandrindod Wells at the Metropole Hotel.
Conference leaflet  Booking form
Contact Details: Natalie Fernandez, Senior Events Co-ordinator, Action on Elder Abuse Tel: 0044 (0)208 765 7000  |  Fax:
E–mail: natalie@elderabuse.org.uk | 
Web links: http://www.elderabuse.org.uk  | 
Target group: LAs  |  Type / Format: conference
Availability / Price:  |  ISBN/ISSN:
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Age Concern and Help the Aged
Prevention in practice service models, methods and impact [author: Katharine Orellana] (April 2009)
The consultation, 'The case for change' (Department of Health, 2008) describes social care services as "the activities, services and relationships that help people to be independent, active and healthy throughout their lives". This publication (100 pp) aims to demonstrate the range of positive outcomes that are possible for older people, organisations and systems when there is investment in preventive services. It is by way of a services directory which is also relevant to the Putting People First agenda. It includes examples of services provided by Age Concern in different localities on information and advice, practical support, support to remain as independent as possible, and support at difficult times and for carers.
Three of the case studies relate to the varying effectiveness of the Single Assessment Process (SAP):
Waltham Forest Age Concern's Case Finding Service aims to identify vulnerable older people within the community at risk of increased dependency. The Waltham Forest Early Detection Model of Intervention is system for identifying older people with previously unrecognised health and social care needs . GPs in Waltham Forest send a Cardiff-Newport questionnaire to older patients whop are on four or more medications. The questionnaire covers depression, memory, continence, functional decline, social interaction and falls risk. Of 8949 questionnaires distributed between May 2002 and March 2008, 4207 questionnaires were returned to ACWF; 2204 people were referred for single assessment. Concludes that this method more cost-effective than single assessment provision in the statutory sector".
Age Concern Cheshire is a partner in SAP and a licence holder under SAP, allowing access to assessment forms and to give feedback to the statutory services online. ACC provides an independent Support Brokerage Service across Cheshire and towards Individual Budgets (IBs) to increase numbers receiving Direct Payments. ACC has been involved in the County Council's Self Directed Support pilot.
An Accident and Emergency Diversion and Discharge Support Service is provided in seven hospitals across South Staffordshire. Most of the referrals are from Social Care and Health through their access teams. The service was developed to reduce emergency admissions to hospital, to support older people on discharge from hospital, and to prevent unnecessary admissions to hospital, respite or care homes. Among services provided is an initial assessment, linked to SAP and including risk of falling.
Contact Details: Katharine Orellana, Social Care and Support Officer, Age Concern and Help the Aged, Astral House, 1268 London Road, London SW16 4ERT. Tel: 020 8765 7485  |  Fax:
E–mail: Katharine.Orellana@ace.org.uk | 
Web links: http://www.ageconcern.org.uk/AgeConcern/bigq-preventioninpractice-report.asp  | 
Target group: All staff, users and carers  |  Type / Format: case studies
Availability / Price: From the address given, or as dowwnload.  |  ISBN/ISSN:
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CAF Policy Team, Department of Health,
Common assessment framework for adults a summary of the consultation on proposals to improve information sharing around multi-disciplinary assessment and care planning (22 January 2009)
The Department of Health (DH) has launched this consultation on improving the quality and efficiency of care and support through improvements in the sharing and use of information. This summary of the consultation document (23 pp) outlines the rationale for improving information, building on what is known from developing the Single Assessment Process (SAP); how assessment and care planning should be undertaken (the principles of a common assessment framework, or CAF); use of shared information from assessment and care and support planning; what information should be commonly shared and with whom; and the information technology (IT) approaches that would enable this to take place regarding consent, confidentiality and security in accordance with the DH Information Charter. The consultation will be of interest to the general public, as well as health and social care providers. Responses are sought (by 17 April 2009) online (at http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_093438), by email (to caf@dh.gov.uk) or by post to: CAF Consultation, Department of Health, Room 123, Wellington House, 133-155 Waterloo Road, London SE1 8UG. A summary of responses will be available before or accompanying further action (at www.dh.gov.uk/Consultations/Responsestoconsultations/index.htm).
Contact Details: Room 123, Wellington House, 133-155 Waterloo Road, London SE1 8UG Tel: 020 7972 4130  |  Fax:
E–mail:  | 
Web links: http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_093438)  | 
Target group: All  |  Type / Format: policy
Availability / Price: At weblink; otherwise, hard copy (very limied supply, Gateway ref: 11096) from: DH Publications Orderline, PO Box 777, London SE1 6XH. tel: 08701 555 455 email: dh@prolog.uk.com  |  ISBN/ISSN:
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CAF Policy Team, Department of Health,
Common assessment framework for adults a consultation on proposals to improve information sharing around multi-disciplinary assessment and care planning
he Department of Health (DH) has launched this consultation on improving the quality and efficiency of care and support through improvements in the sharing and use of information. This document (91 pp) covers the rationale for improving information; how assessment and care planning should be undertaken (the principles of a common assessment framework, or CAF); use of shared information from assessment and care and support planning; what information should be commonly shared and with whom; and the information technology (IT) approaches that would enable this to take place regarding consent, confidentiality and security in accordance with the DH Information Charter. An appendix, on evidence relating to the benefits reported where the Single Assessment Process has been implemented, is one of a number of references to SAP in this document. The consultation will be of interest to the general public, as well as health and social care providers. Responses are sought (by 17 April 2009) online (at http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_093438), by email (to caf@dh.gov.uk) or by post to: CAF Consultation, Department of Health, Room 123, Wellington House, 133-155 Waterloo Road, London SE1 8UG. A summary of responses will be available before or accompanying further action (at www.dh.gov.uk/Consultations/Responsestoconsultations/index.htm).
Contact Details: Room 123, Wellington House, 133-155 Waterloo Road, London SE1 8UG Tel: 020 7972 4130  |  Fax:
E–mail:  | 
Web links: http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_093438  | 
Target group: All  |  Type / Format: policy
Availability / Price: At weblink; otherwise, hard copy (very limited supply, Gateway ref: 11096) from: DH Publications Orderline, PO Box 777, London SE1 6XH. tel: 08701 555 455 email: dh@prolog.uk.com  |  ISBN/ISSN:
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Department of Health
Living well with dementia - the National Dementia Strategy joint commissioning framework for dementia [author: Claire Goodchild] (June 2009)
The National Dementia Strategy (NDS) is committed to provide support for commissioners. This Joint Commissioning Framework (79 pp) provides best practice guidance for commissioners to support implementation of the NDS within the context of World Class Commissioning and Putting People First. It refers to the 17 key objectives for services that should be available locally to all under the NDS, of which a joint commissioning strategy is Objective 14. Annexes include weblinks to guidance for the 17 objectives by the National Institute for Health and Clinical Excellence (NICE) and the Social Care Institute for Excellence (SCIE); a template for assessing local dementia needs; development of dementia matrices by the South East Coast Strategic Health Authority; and weblinks to other references.
Contact Details: Claire Goodchild, Social Care Policy and Innovation, Department of Health, Wellington House, 135-155 Waterloo Road, London SE1 8UG. Tel:  |  Fax:
E–mail: Claire.goodchild@dh.gsi.gov.uk | 
Web links: www.dh.gov.uk/dementia  |  www.dhcarenetworks.org.uk/dementia
Target group: commisisoning managers  |  Type / Format: guidance; strategies
Availability / Price: Download:: http://www.dhcarenetworks.org.uk/_library/Resources/Dementia/National_Dementia_Strategy_-_Joint_Commissioning_Framework.pdf  |  ISBN/ISSN:
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Department of Health - DH
Common assessment framework for adults demonstrator site programme Overview of phase 1 sites [CAF Policy Team, Department of Health - DH] (20/5/09)
This provides an overview of the CAF demonstrator site programme which has been prepared in collaboration with the demonstrator sites by the CAF Policy Team. This programme will develop and test improved information sharing across health, social care and wider community support services. The ten sites are: Barnsley, Camden, Hampshire, Lincolnshire, London Health & Social Care Integration Project, Rochdale, Shropshire, Stockport, Warwickshire, Westminster.
Contact Details: Tel:  |  Fax:
E–mail: caf@dh.gsi.gov.uk | 
Web links: Download from website: http://www.dh.gov.uk/publications  | 
Target group: LAs  |  Type / Format: policy
Availability / Price: electronic pdf format only  |  ISBN/ISSN:
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Department of Health - DH
Common assessment framework for adults demonstrator site programme Phase 2 [CAF Policy Team, Department of Health - DH] (20/5/09)
This programme will develop and test improved information sharing across health, social care and wider community support services. The ten sites are: Barnsley, Camden, Hampshire, Lincolnshire, London Health & Social Care Integration Project, Rochdale, Shropshire, Stockport, Warwickshire, Westminster. The local authority circular will be published shortly formally inviting Council led partnerships to make expressions of interest for phase 2 of the CAF for Adults programme. The prospectus for phase 2 will be at www.dh.gov.uk/caf when it is available. A series of events will be held in July for potential applicants for the second phase of the Common Assessment Framework for Adults Demonstrator Site Programme. Interested parties can reserve a place on these events via: http://www.dhcarenetworks.org.uk/CAF/Events/ It is anticipated that the prospectus outlining requirements for Phase 2 Sites will be published in July. The focus on Phase 2 sites will be to cover areas not addressed by the Phase 1 sites. Phase 2 update website: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/DH_103490 This provides an overview of the Common Assessment for Adults Demonstrator Site Programme. The deadline for expressions of interest is 12 October 2009. These should be sent using the Phase Two Application form - details on the website.
Contact Details: Tel:  |  Fax:
E–mail: caf@dh.gsi.gov.uk | 
Web links: http://www.dhcarenetworks.org.uk/News/NewsItem/?cid=5702  | 
Target group: LAs  |  Type / Format: policy
Availability / Price: electronic pdf format only  |  ISBN/ISSN:
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Department of Health - DH
POPPs wants to hear about early intervention services [Department of Health]
To expand its large body of practice and evidence about effective preventative services, the Partnerships for Older People Projects (POPPs) programme would like to hear about any interesting practice you are undertaking on prevention and early intervention. The programme is interested in hearing about the following:- Information, advice, advocacy and brokerage services Involving older people in governance, commissioning, evaluation and service planning Initiatives to challenge stereotypes and to positively strengthen older people's citizenship rights Community development approaches Public health or other lifestyle initiatives Intermediate care Case finding and early intervention Crisis response services Joint case management of people with long term conditions or complex needs Reducing admissions to care homes or hospital Step down from hospital and supported hospital discharge.
Please email your examples to info.prevention@dh.gsi.gov.uk. Examples which involve joint working or 'whole system' approaches, and those where there are demonstrable efficiency gains (or savings) are particularly welcome.
Contact Details: Tel:  |  Fax:
E–mail: info.prevention@dh.gsi.gov.uk | 
Web links: http://www.dh.gov.uk/en/SocialCare/Deliveringadultsocialcare/Olderpeople/PartnershipsforOlderPeopleProjects/index.htm  | 
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Department of Health; King's Fund
WSDAN Evidence Database (June 2009)
The WSDAN evidence database is a searchable online directory that brings together published and unpublished materials related to the impact and evidence of telehealth and telecare in the management of people with long-term conditions. It was launched to the public at the WSDAN Telehealth and Telecare Roadshow at the Leeds Hilton on 11 June 2009. Understanding ‘what works’ in terms of telehealth and telecare applications in the management of patients with long-term conditions is problematic as there is rarely an independent source of information that might enable commissioners and professionals to understand the benefits and costs of investing in and working with systems using innovative technologies. While the WSDAN evidence database will not provide all the answers, it has been set up to guide those seeking some external validity to such decisions by giving them access to information on the potential benefits and impact of telecare and telehealth.
Contact Details: WSD Action Network c/o The King's Fund 11-13 Cavendish Square London W1G 0AN Tel:  |  Fax:
E–mail: wsdnetwork@kingsfund.org.uk | 
Web links: http://www.wsdactionnetwork.org.uk/resources/evidence_database.html  | 
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LGA/IDeA
Getting on well together - councils working with older people [Deborah Klee] (2009)
The Local Government Association and IDeA have published a new report entitled 'Getting on well together - councils working with older people'. The report highlights key messages about how local government can work with older people and public agencies, and focus on prevention, to support older people to lead independent, active and healthy lives. It also illustrates how local and central government can design services to support older people and plan for an ageing population. (36 pp)
Contact Details: Local Government Association Local Government House Smith Square London SW1P 3HZ Tel: 020 7664 3131  |  Fax:
E–mail:  | 
Web links: http://www.lga.gov.uk/lga/publications/publication-display.do?id=1871681  | 
Target group:  |  Type / Format: report
Availability / Price: download from LGA website.  |  ISBN/ISSN: 978 0 7488 9293 8
Notes: (Report reference code : L09-155)


NHS Connecting for Health
Information governance toolkit (constantly updated)
The first version of the Information Governance Toolkit (IGT) was produced jointly by the Department of Health (DH) and the NHS Information Authority in 2004. Following the closure of the NHS Information Authority, responsibility for the toolkit passed to the Digital Information Policy Team at NHS Connecting for Health. The version of the Toolkit accessed in October 2008 represents Department of Health policy as of 30th May 2007.
Initially, the user is directed to Getting Started material (three options: GOS, commercial third parties, or all other users). This is based on the frequently asked questions (FAQs) about the Toolkit.
Contact Details: NHS Connecting for Health Helpdesk Tel: 01392 251289  |  Fax:
E–mail: exeter.helpdesk@nhs.net | 
Web links: https://www.igt.connectingforhealth.nhs.uk/  | 
Target group: IT; SAP Leads  |  Type / Format: toolkit
Availability / Price:  |  ISBN/ISSN:
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POVA Policy Guidance Queries, Department of Health
Protection of Vulnerable Adults Scheme in England and Wales for care homes and domiciliary care agencies a practical guide [including changes to the requirement for Criminal Records Bureau disclosures in certain circumstances] [author: POVA Policy Guidance Queries, Department of Health] (14 January 2009)
POVA, the Protection of Vulnerable Adults Scheme, as set out in the Care Standards Act 2000, is implemented on a phased basis from 26 July 2004 (that is, for care homes and domiciliary care agencies). At the heart of the POVA scheme is the POVA list. Through referrals to and checks against the list, care workers who have harmed, or put at risk of harm, a vulnerable adult (whether or not in the course of their employment) will be banned from working in a care position with vulnerable adults. This guidance (39 pp) follows on from the "No secrets" guidance. It sets out what is required of providers of care, employment agencies and businesses and other stakeholder affected by implementation. It also includes sections on provisional and confirmed listing; examples of where checks against the POVA list will be required; and definitions relating to section 80 of the Care Standards Act 2000.
The guidance published in 2009 supersedes the previous versions published in 2004 and 2006). From 20 January 2009, there are changes to the POVA scheme as part of the transition to the new Vetting and Barring Scheme. The Independent safeguarding Authority (ISA) will make decisions on all referrals to POVA made after 20 January 2009. From that time, employers and others will have new duties to respond to the ISA's requests for further information. Employers' duties to check against the POVA before a person starts work remains unchanged. The reader is directed to the following links for further information: www.ISA.gov.uk or www.scie.org.uk.
Also available, but from website only is: Protection of Vulnerable Adults Scheme in England and Wales for care homes and domiciliary care agencies: frequently asked questions.
This document (12 pp) provides an introduction to, and explains some detailed aspects of the POVA scheme to care providers and other stakeholders. However, for definitive guidance, the reader must refer to the Practical Guide.
Contact Details: Department of Health, PO Box 777, London SE1 6XH. Tel: 0870 155 5455  |  Fax: 01623 724 524
E–mail: doh@prolog.uk.com | 
Web links: http://www.dh.gov.uk/PublicationsAndStatistics  |  http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4134725
Target group: SSDs, care homes, domiciliary care agencies  |  Type / Format: guidance; policy
Availability / Price: Practical guide from any of the above: on the website, search POVA; Frequently asked questions item from webiste only.  |  ISBN/ISSN:
Notes: Other contact details: Department of Health, POVA Policy Guidance Queries, Area 219, Wellington House, 133-155 Waterloo Road, London SE1 8UG.
The FAQ document also states that comments on, or questions about, the POVA scheme and the Practical Guide can be e-mailed to the official Department of Health Mailbox at:
Vulnerableadults@doh.gsi.gov.uk
The above Mailbox can also be used to send in good practice examples of local approaches to the POVA scheme and other aspects of adult protection


PSSRU, University of Manchester
Developing multidisciplinary assessment exploring the evidence from a social care perspective [Authors: Caroline Sutcliffe, Jane Hughes, Michele Abendstern, Paul Clarkson, David Challis] (December 2008)
Article in: International Journal of Geriatric Psychiatry, vol 23, no 12,, pp 1297-1305.
This paper provides an initial evaluation of the impact of the Single Assessment Process (SAP) in England upon practice regarding multidisciplinary assessment. It aims to investigate changes in recorded health needs of older people and in the number of multidisciplinary assessments undertaken using social care agencies' case files; and to examine different approaches to the use of multidisciplinary assessment for older people with different health needs. An audit of case files of older people living in the community in receipt of social care in three areas was carried out at two time periods before and after the implementation of SAP in 2004. Information extracted from files covered a number of domains, including evidence of multidisciplinary assessment, and practice of mental and physical health problems. Data for 144 files for Time 1 were compared to 145 from Time 2. Little evidence emerged that older people at Time 2 were more dependent. However, significantly more multidisciplinary assessments were undertaken following the introduction of the SAP, in particular by occupational therapists and secondary health care teams. Cognitive impairment was a significant predictor of multidisciplinary assessment at both time periods. The impact of the introduction of the SAP has been mediated by the influence of other policies in England: intermediate care and integrated health and social care protection. Nevertheless, the data suggest that consideration be given to more effective targeting of multidisciplinary assessment on the grounds of both cost and more accurate identification of those who will benefit from the process.
Contact Details: Caroline Sutcliffe, Research Associate PSSRU at Manchester, Faculty of Medicine and Human Sciences University of Manchester, Dover Street Building, Oxford Road, , Manchester M13 9PL Tel:  |  Fax:
E–mail: caroline.sutcliffe@manchester.ac.uk | 
Web links:  | 
Target group:  |  Type / Format: article
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