Zero Based Review – Workshop Template
Group Exercise – Benefits and risks
This section of the day is intended to review a number of areas relating to the Zero Based Review
requirements. The topics covered are a mixture of looking at the major new areas of data, how the
ZBR collections will interface with local or regional reporting and how authorities will be working
with partners in terms of implementation. We have a good mix of strategic and technical people
attending so feedback from either / both perspectives is welcome.
Each group is requested to draw up a list of the benefits authorities may derive and also detail any
risks that will need to be addressed. Feedback on how to mitigate / avoid these will be especially
welcome. Each group is requested to bullet point the main aspects of their response and retain
this so that a set of notes can be created and circulated. You may wish to nominate a ‘scribe’ to
assist with this within your group.
Each group is invited to review the topics in the order suggested so if we run out of time
we will still have feedback on each topic. Please nominate a group member to summarise
feedback to the workshop!
Zero Based Review – Workshop Template
Topic Description & space for feedback
ref.
1.
Primary Support Reason
One of the main changes from the RAP era is the way that social care clients
will now be categorised by their ‘Primary Support Reason’. Please consider
what benefits this will bring in terms of performance reporting / finance
reporting and in terms of understanding social care provision. Please
consider any risks and issues that may be associated with transition to
‘Primary Support Reason’. For example do you plan to map from the RAP
client types? Do your operational colleagues have any reservations about
‘Primary Support Reason’? Do you anticipate problems with the introduction
of ‘Primary Support Reason’ in relation to ASC-FR or SAR?
Benefits
Risks and issues
Zero Based Review – Workshop Template
Topic Description & space for feedback
ref.
2.
Reported Health conditions (both mandatory and voluntary)
The reporting of health conditions is a new data item in SALT.
Although scaled back from the original intention authorities are asked
to report on two categories: (i) autism (ii) Asperger’s syndrome / high
functioning autism. Please consider what benefits this will bring in
terms of performance reporting and in terms of understanding social
car provision. Please consider any risks and issues that may be
associated in this area of reporting. You may want to comment on
whether or not you intend to collect / report on the full range of Health
Conditions listed in EQ-CL1. Do you anticipate any problems with the
guidance2 on ‘Reported’ health conditions?
Benefits
Risks and issues
1
2
Details in appendix
Extract in appendix
Zero Based Review – Workshop Template
Topic Description & space for feedback
ref.
3.
Links to local and regional performance reporting
Groups are invited to comment on how the new collections / framework
can best be used. Will you be utilising the new data in your local
reporting? Do you think there is potential for performance measures
from the collections? On the risks / issues side do you retain any PAF
or National Indicator set era measures or derive performance from RAP
and ASC-CAR which you may not be able to maintain given the work
required to implement the ZBR requirements? Do you have any
concerns on briefing your social care management team on the
change? Will elected members see the benefit of the ZBR data?
Benefits
Risks and issues
Zero Based Review – Workshop Template
Topic Description & space for feedback
ref.
4.
Working with partners
Groups are invited to provide detail of how they are approaching the
work that will need to be undertaken with any partner organisations
who contribute to the data required within the ZBR. This may include
Mental Health Trusts for instance or joint / shared teams with health or
finance colleagues involved in ASC-FR.
Will the new requirements bring any benefits to the work with these
partners? For example data on primary support reason and additional
data on short term care may provide data that was not previously
available and which may prove valuable for business planning. Groups
are also invited to comment on risks and issues relating to
implementing the new requirements.
Benefits
Risks and issues
Zero Based Review – Workshop Template
Topic Description & space for feedback
ref.
5.
Implementation and support
Groups are invited to report on their experiences in terms of
implementation of the ZBR. Is there anything that has gone particularly
well?
How useful are meetings such as this workshop? Has anyone
submitted queries to the HSCIC and did you get a response which
resolved the issue?
Are there any problems with the guidance that could be addressed?
Are there any major issues that have arisen in authorities? Has the
recent funding announcement provided any leverage in terms of
implementation?
Benefits
Risks and issues
Zero Based Review – Workshop Template
Appendix
EQ-CL health conditions
The full list of ‘reported health conditions’ detailed in the EQ-CL guidance is as follows:
Classification
Long term health condition – physical
Long term health condition – neurological
Sensory impairment
Learning, developmental or intellectual disability
Mental Health Conditions
Sub-class
Chronic Obstructive Pulmonary Disease
Cancer
Acquired physical injury
HIV / AIDS
Other
Stroke
Parkinson’s
Motor Neurone Disease
Acquired brain injury
Other
Visually impaired
Hearing impaired
Other
Learning disability
Autism (excluding Asperger’s Syndrome / High
Functioning Autism)
Asperger’s Syndrome / High Functioning Autism
Other
Dementia
Other
No relevant long-term reported health conditions
Excerpt from EQ-CL guidance on ‘reported’ health conditions
“Data on clients’ health conditions is not something that has previously been reported within a national
social care data collection. During the development of the EQ-CL framework it has been recognised that
collection of this data may prove challenging to many local authorities
The following interim approach to obtaining information about clients’ Reported Health Conditions is
recommended where direct evidence is not available from health records:
1. When assessing a client, social work staff should ask about any relevant long term (chronic) Reported
Health Conditions.
2. If the client (or carer) discloses any Reported Health Conditions that are relevant to the provision of care,
the social worker should then ask if these have been formally diagnosed by a health professional.
3. If the answer is yes, the condition should be recorded. If no (i.e. the condition hasn’t been formally
diagnosed by a doctor or health professional) then it should not.
It should be stressed that Reported Health Conditions that have no relevant to the client’s social care needs
should not be recorded.”
(Source: EQ-CL guidance page 17 http://www.hscic.gov.uk/media/12019/Guidance-for-EQ-CL/pdf/EQ-CLguidance.pdf)