marks progress towards personalised, community-based support. It is beyond the scope of this consultation to comment on whether the “making it real” term is patronising. See We agree that the principles in “making it real” can be extended across all our services, and will work towards this during 2014/15. Q4.2 Yes, should be integrated. “making it real has not been promoted at all in the last year in social care, hence Integrated Locality Care Teams would and should expand the vision of personalised services/ support plan to cover all people supported via Integrated Locality Care Teams/ support plan/ case management Q4.3 Quality life measures. As part of our audit programme we will develop measures for personalisation during 2014/15. We will consider quality of life as part of these measures, as well as personalised goal setting. Q4.3 Yes, we need clear personalised goal setting in order to be able to measure outcomes linked to priority 3. Q4.3 How do we ensure that carers are supported as these are critical to ensuring patients/service users stay at home. We agree. Support planning currently includes carer requirements. Our staff carry out joint client and carer assessments at the outset, and annual joint reviews. We have a SC31 indicator that measures our performance in this area. Our professional lead for social work can provide more information on this query. Q4.3 For Integrated Locality Care Teams, the number of people with personalised support plan (including case management) could be a “holistic” measure across nursing and social care and could be supported by a couple of outcomes in the services We agree. As part of our audit programme we will develop measures for personalisation during 2014/15. Q4.4 Are any of these measures relevant to people with dementia (their carers) for whom daily maintenance requirements are then met by informed carers. Should there be a separate question for carers/ people with dementia. Needs also to link with personalised “health budgets” For our social care clients that suffer from dementia, our joint assessments recognise this.
Q4.4 Personalised goal planning, rather than just using a tool for the sake of it. Need to measure outcomes using appropriate tool. Use tools/ data analysis for continuous improvement. We agree. As part of our audit programme we will develop measures for personalisation during 2014/15. Q4.2 Yes Q4.3 Personalisation is relevant to health and social care We agree. Our Integrated Locality Care Teams include health and social care professionals. Priority 5: Safety – Workforce Consultation measures and questions Proposed measures for 2014/15 Proposed 2014/15 target 5A Number of routine services that deliver against clinical standards in line with 7-day working according to national guidance We will determine all relevant services that the national guidance on 7-day working applies to, and ensure that these services comply with the guidance for 7-day working. 5B Publish monthly staffing levels for our community wards, including agreed establishment, safe staffing level in relation to acuity, and actual staffing levels. Staffing is always at a safe level in relation to shift-by shift service need, taking into account the demand on the service. 5C Publish two acuity staffing establishment reviews, which look at safe staffing levels in community hospitals, during 2014/15 Reviews will make use of national guidance, professional body guidance and best practice on staffing levels, and will aim to demonstrate appropriate staffing establishment and skill mix, for the provision of safe care. Q5.1: Should an additional priority for Safety become a Trust Quality Improvement Priority? If so, what targets and measures would be realistic?