On the 3rd October we held our latest Neighbourhood Care Steering Group at the Edinburgh Training & Conference Venue. There was great representation from the Neighbourhood Care test sites [including Western Isles, NHS Highland, Aberdeen City, Scottish Borders, Stirling & Clacks and Cornerstone] as well as national supportive partners [Scottish Government, Buurtzorg Britain & Ireland, SSSC, Care Inspectorate and NES].
The aim of the day was to openly discuss the challenges and support that National Partners and test sites can offer each other.
Defining our Measures
Thomas Monaghan (HIS) and Fee Hodgkiss (Scottish Government) revisited the vision set out in 2016 for Neighbourhood Care, in a letter from Scottish Government. Both discussed whether the principles are still relevant today, and what they mean in a Scottish context. They offered the opinion that as a set of principles, they were solid and aligned with the pillars of providing person-centred, ‘good, old-fashioned’ care. The group agreed that the principles still applied in a Scottish context and there was a general consensus that the principle of person-centred care was most important.
Logic Model-Measurement Mapping
The group were led through a cross mapping exercise carried out by the ihub team that links the original desired outcomes and impact of the programme’s logic model with the current measures being undertaken in local test sites.
The measures were themed into six categories:
- Person satisfaction/experience
- Staff satisfaction
- Procedural tasks
- Workforce structure
- Professional autonomy/self-management
The exercise highlighted that there may be areas of measurement that were not currently being recorded. Key to this part of the morning was to facilitate agreement on potential measures for Neighbourhood Care Teams at a national level, and the group discussed this and what measures could potentially ‘fill the gaps’ if necessary.
There was consensus within the group that the themes were good. The group also highlighted the need for “Third Sector/communities capacity building contribution” to be added as a 7th theme for measurement.
The group agreed that further discussion focussing on the measures within the document would be of benefit, and a small sub-group will be formed to carry this out. This group will meet and develop a set of common measures for all sites based on these (now seven) highlighted themes before the next steering group in November. If you have any suggestions, please get in touch with your local lead or contact firstname.lastname@example.org
Challenges and Support
The group was asked to reflect on the nine common themes of challenges that sites were reporting and were asked to consider opportunities for peer support and/or offers of support from national partners.
The group selected three themes and spent the remainder of the afternoon discussing these:
Number 4: Ability to empower teams to be self-managing
Number 2: Competing Priorities and Communicating
Number 7: Lack of platform / regular reporting structure
“Self-organising” came up as a key challenge being faced by the test sites. The group agreed there is potential for some rich learning that could be shared from Buurtzorg Britain and Ireland and Cornerstone’s approach and experience with this.
HIS will work alongside Britain Buurtzorg and Ireland and Cornerstone to develop a series of recorded WebExes that will provide further information on this (and other fundamental topics) and will share these on our website. Watch out for a programme of dates for these, which we’ll communicate soon.
Care Experience Tool
In order to support sites to measure ‘experience’ (versus satisfaction) a Care Experience Tool (developed in collaboration between the LWiC and Evidence and Indicators team within HIS) was shared in a draft form. The tool is a set of open questions that aim to explore compassionate care, and are directly related to the new Health and Social Care Standards. Aberdeen City, Stirling and Clackmannanshire and Cornerstone were interested in testing out the tool. It’s great that our public partners have agreed to support sites with this work.
The group also discussed the practical use of the tool and further training and development dates will be planned.
Having a platform for regular sharing/reporting
The Steering Group expressed that having the opportunity to meet, chat and share ideas, knowledge and offers of support is always extremely valuable. Steering groups only happen every 6-8 weeks, so the LWiC team agreed to set up a webpage for the group on the Knowledge Hub. This will be a platform for sites to share information around Neighbourhood Care in between meetings and will be open to all roles in all areas. We look forward to sharing more details around this in the future.
For any further information on any of the above, please feel free to contact one of the team: