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Part 1 - An Update to the National and Devon Context
Themes 1 - 3
| Original Strategic Programme Theme | Key developments since 2001 |
|---|---|
Theme 1.User and carer centred decision-makingThe main idea within government policy on social and health care is that the users and their carers should be at the centre of all of decision making. |
Key policy developments since 2001 have included:
Nationally, there is a continuing focus on promoting a performance and quality culture. Particular emphasis is given to positive outcomes for users. It is therefore vital to provide evidence of user and carer involvement in all aspects of our work. This includes joint developments through the Partnership Boards and the NHS through Patient Advocacy and Liaison Service (PALS), Primary Care, and with the Commission for Patient and Public Involvement. |
Theme 2.Access, convenience and choiceThere is a growing consensus that the public sector should be more responsive to its "customers'" needs, providing them with services that offer easy access, convenience, flexibility and choice. |
Access, in its broadest sense, has become central to the e-government initiative as its implementation has progressed. Public Access and Information Management and Technology Strategies are developing to create new ways for the public to interact with the County Council. Key issues include improving public access through call centres, development of a Single Assessment Process (SAP) between public sector organisations and increasing use of information technology to provide information and speedy transactions with citizens. The Government lead agency for the Care Direct Project has changed from the Department of Health to the Department for Work & Pensions. This creates new opportunities for Social Services and other agencies to develop more convenient access to services for users and carers. Care Direct is also developing into a broader "Third Age Service" for people over 50. An Office of the Deputy Prime Minister Social Exclusion Report "Making the Connections", now requires local authorities to carry out ‘accessibility planning' and work closely with other partners, to improve access to services to reduce social exclusion. There is continued extension of Direct Payments to the parents of disabled children, older people and people with disabilities to increase access, convenience, choice and control. |
Theme 3.Vulnerability, promoting independence and preventionAnticipating and tackling vulnerability at an early stage is critical for promoting independence. Crucially, this can afford individuals' personal dignity by enabling them to maximise control over their life decisions for as long as they are able. |
There is a new prevention strategy for all adult groups with a similar strategy required for children. The recent Children's Bill makes radical proposals for the future development of children at risk services and the way in which accountability will be exercised. The Climbie' Audit process now requires local authorities to ensure statutory obligations are met and children are safeguarded. A Domestic Violence Partnership has been set up in the last 18 months. Key changes include the development of: Outreach support for women and men vulnerable to domestic violence; A two-day accredited training course for childcare practitioners; A community perpetrator programme in North Devon; An Area Child Protection Committee policy on responses to children in households where domestic violence occurs (as reported by the Police.) Since 2002, Adult Protection policy and guidance is now overseen by a multi-agency Adult Protection Committee. This provides a consultation and advice service. Over 1,000 staff from Social Services, NHS, the Police and the Independent Sector have received foundation training; 30 staff from Social Services and Devon Partnership Trust have had Investigators Training. Implementation of Fair Access to Care and Supporting People initiatives have commenced. There are new national targets and expectations to:
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