The Single Assessment Process in Bradford
The primary objective of the single assessment process (SAP) is to ensure that older people and their carers receive the right kinds of help at the right time, in ways that are respectful of their personal preferences and unique circumstances. The Department of Health considers a consistent and robust approach to assessment and care co-ordination [with the characteristics outlined below] as being essential to the delivery of person centred ‘holistic’ care:
Consistency in approaches to assessment, including standard assessment tools across all agencies that minimise jargon and enable the older person’s views to be documented and acknowledged alongside those of the assessing practitioner.
Mechanisms that enable information to be shared more effectively, including a User Held Information File, to ensure that older people and their carers also have important information available at their fingertips.
Formalised arrangements for co-ordinating care that are compatible with the Care Programme Approach – the system of care co-ordination used by mental health services.
Joint interagency training during ‘roll out’ to strengthen inter-professional relationships at the local level, and to increase our personal knowledge of the roles played by our colleagues in other agencies in supporting older people.
The SAP is really about ‘whole systems change’, including changes to assessment tools, procedures, organisational structures and team cultures, as illustrated in figure 2.
Therefore, the single assessment process is not one thing, but rather it is the sum total of the assessment tools, procedures, professional relationships and knowledge that we bring to the endeavour of identifying the needs and concerns of older people who live in our community, and to ensuring we meet these needs as promptly as possible, with the minimum of fuss and duplication on their part.
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