Can the shift from needs-led to outcomes-focused assessment in health and social care deliver on policy priorities?

    Research output: Contribution to journalArticle

    Abstract

    Assessment, planning and review are at the heart of the provision of services and support in health and social care in the community, providing key means through which professionals interact with people using their services. These interactions provide opportunities for relationship building, with evidence that involving the person in identifying their priorities and required support can itself improve outcomes. At the same time, professionals use assessment to assess eligibility for support, and assessment has also increasingly become a mechanism for data gathering, to inform a range of requirements at local and national level including planning, commissioning, inspection and performance management. Despite attempts to move assessment from being service-led to person-centred, meeting such a broad range of objectives and requirements can create tensions at the front line, influencing both how interactions are conducted, and the resulting decisions. More recently, there has been an increasing emphasis on outcomes for individuals using health and social care services, including a shift from needs-led to outcomes-focused assessment. This paper considers a recent literature review about shared health and social care assessment, including emerging evidence from the implementation of outcomes-focused assessment in the UK. It concludes that there are promising signs that the recent shift to outcomes-focused assessment might resolve longstanding tensions around assessment, delivering on person-centred objectives and resulting in more efficient and effective use of resources.
    LanguageEnglish
    Pages115-127
    Number of pages13
    JournalResearch, Policy and Planning
    Volume28
    Issue number2
    Publication statusPublished - 2010

    Fingerprint

    health
    human being
    planning
    interaction
    evidence
    management
    resources
    community
    performance

    Keywords

    • outcomes-focused
    • health and social care
    • person-centred

    Cite this

    @article{c29e47128fa046b7a983dd7e61ed3201,
    title = "Can the shift from needs-led to outcomes-focused assessment in health and social care deliver on policy priorities?",
    abstract = "Assessment, planning and review are at the heart of the provision of services and support in health and social care in the community, providing key means through which professionals interact with people using their services. These interactions provide opportunities for relationship building, with evidence that involving the person in identifying their priorities and required support can itself improve outcomes. At the same time, professionals use assessment to assess eligibility for support, and assessment has also increasingly become a mechanism for data gathering, to inform a range of requirements at local and national level including planning, commissioning, inspection and performance management. Despite attempts to move assessment from being service-led to person-centred, meeting such a broad range of objectives and requirements can create tensions at the front line, influencing both how interactions are conducted, and the resulting decisions. More recently, there has been an increasing emphasis on outcomes for individuals using health and social care services, including a shift from needs-led to outcomes-focused assessment. This paper considers a recent literature review about shared health and social care assessment, including emerging evidence from the implementation of outcomes-focused assessment in the UK. It concludes that there are promising signs that the recent shift to outcomes-focused assessment might resolve longstanding tensions around assessment, delivering on person-centred objectives and resulting in more efficient and effective use of resources.",
    keywords = "outcomes-focused, health and social care , person-centred",
    author = "Emma Miller",
    year = "2010",
    language = "English",
    volume = "28",
    pages = "115--127",
    journal = "Research, Policy and Planning",
    issn = "0264-519X",
    number = "2",

    }

    TY - JOUR

    T1 - Can the shift from needs-led to outcomes-focused assessment in health and social care deliver on policy priorities?

    AU - Miller, Emma

    PY - 2010

    Y1 - 2010

    N2 - Assessment, planning and review are at the heart of the provision of services and support in health and social care in the community, providing key means through which professionals interact with people using their services. These interactions provide opportunities for relationship building, with evidence that involving the person in identifying their priorities and required support can itself improve outcomes. At the same time, professionals use assessment to assess eligibility for support, and assessment has also increasingly become a mechanism for data gathering, to inform a range of requirements at local and national level including planning, commissioning, inspection and performance management. Despite attempts to move assessment from being service-led to person-centred, meeting such a broad range of objectives and requirements can create tensions at the front line, influencing both how interactions are conducted, and the resulting decisions. More recently, there has been an increasing emphasis on outcomes for individuals using health and social care services, including a shift from needs-led to outcomes-focused assessment. This paper considers a recent literature review about shared health and social care assessment, including emerging evidence from the implementation of outcomes-focused assessment in the UK. It concludes that there are promising signs that the recent shift to outcomes-focused assessment might resolve longstanding tensions around assessment, delivering on person-centred objectives and resulting in more efficient and effective use of resources.

    AB - Assessment, planning and review are at the heart of the provision of services and support in health and social care in the community, providing key means through which professionals interact with people using their services. These interactions provide opportunities for relationship building, with evidence that involving the person in identifying their priorities and required support can itself improve outcomes. At the same time, professionals use assessment to assess eligibility for support, and assessment has also increasingly become a mechanism for data gathering, to inform a range of requirements at local and national level including planning, commissioning, inspection and performance management. Despite attempts to move assessment from being service-led to person-centred, meeting such a broad range of objectives and requirements can create tensions at the front line, influencing both how interactions are conducted, and the resulting decisions. More recently, there has been an increasing emphasis on outcomes for individuals using health and social care services, including a shift from needs-led to outcomes-focused assessment. This paper considers a recent literature review about shared health and social care assessment, including emerging evidence from the implementation of outcomes-focused assessment in the UK. It concludes that there are promising signs that the recent shift to outcomes-focused assessment might resolve longstanding tensions around assessment, delivering on person-centred objectives and resulting in more efficient and effective use of resources.

    KW - outcomes-focused

    KW - health and social care

    KW - person-centred

    UR - http://www.scie-socialcareonline.org.uk/profile.asp?guid=54d29beb-ea49-4671-80bb-c56121b1307a

    M3 - Article

    VL - 28

    SP - 115

    EP - 127

    JO - Research, Policy and Planning

    T2 - Research, Policy and Planning

    JF - Research, Policy and Planning

    SN - 0264-519X

    IS - 2

    ER -