Developing the Scottish Learning and Improvement Framework for Adult Social Care Support and Community Health (SLIF) Digital Tool

Annex C: PANEL analysis

The following section shows an analysis of the SLIF digital tool against the PANEL principles which underpin a Human Rights Based Approach. This includes:

• evidence to show how the process of developing and implementing the SLIF digital tool has applied PANEL.
• suggestions for ways in which the SLIF can continue to be developed to further support a rights-based approach.
• examples of SLIF stepping stone that support the PANEL principles.

Principle: Participation

Everyone has the right to participate in decisions which affect their human rights.

Participation must be active, free, meaningful and give attention to issues of accessibility, including access to information in a form and a language which can be understood.

Development of SLIF and Tool

The SLIF demonstrates strong engagement with stakeholders, including people with lived experience and seldom-heard groups.

Stepping stones and underpinning success criteria support mechanisms for ongoing participatory governance during implementation to ensure continued involvement of rights-holders.

SLIF digital tool Stepping Stones

• People get the right care and support to make progress towards their personal outcomes, building on their strengths and community support.
• People play an active role in maintaining their health and wellbeing.
• People know what matters to them and gain the knowledge and skills and a plan to manage their health and wellbeing.
• People know their rights, gain timely information and advice, and are involved in decisions and have choice and control over their care and support.

People who use services, unpaid carers and families feel valued, respected, listened to, supported and safe.

People gain opportunities to participate in their community.

Principle: Accountability

Accountability requires effective monitoring of human rights standards. For accountability to be effective there must be appropriate laws, policies, administrative procedures and mechanisms of redress in order to secure human rights.

Development of SLIF and Tool

The framework proposes a shift from performance management to meaningful measurement, focusing on outcomes that matter to people.

We will seek to improve accountability through improvements in data collection and through testing and implementation of the framework.

Stepping stones and underpinning success criteria support reflection on local accountability structures and how service users can hold systems to account, including through feedback, advocacy, and transparent reporting.

SLIF digital tool Stepping Stones

• People who use services, their families and carers are encouraged and supported to share feedback – including complaints – to help shape service delivery.
• Health and Social Care workforce are informed about how to support people giving feedback and how to support themselves if feedback is about them.

Principle Non-discrimination and Equality

A human rights-based approach means that all forms of discrimination must be prohibited, prevented and eliminated. It also requires the prioritisation of those in the most vulnerable situations who face the biggest barriers to realising their rights.

Development of SLIF and Tool

• SLIF is informed by multiple impact assessments and commits to equity-focused indicators.
• Stepping stones and underpinning success criteria support reflection on strategies to address structural inequalities and monitor progress, particularly for groups experiencing the poorest outcomes.
• Consider further how to ensure that people who face the most barriers to realising their rights are included in the SLIF.

SLIF digital tool Stepping Stones

• People know their rights, gain timely information and advice, and are involved in decisions and have choice and control over their care and support.
• H&SC team feel valued, respected, empowered, skilled, confident and supported to provide quality, safe and human rights-based care & support.
• Planners, commissioners and procurement work together in ways that advance equalities and human rights and use the full flexibility of legislation.

Principle: Empowerment

People should understand their rights and be fully supported to participate in the development of policy and practices which affect their lives. People should be able to claim their rights where necessary.

Development of SLIF and Tool

The framework promotes autonomy, choice, and person-led practice, with outcomes supporting independent living and decision-making.

Stepping stones and underpinning success criteria support reflection on provisions for rights education and advocacy to further support empowerment.

SLIF digital tool Stepping Stones

• People are enabled to live a good life as independently as possible in a place of their choosing.
• People are actively involved in their care decisions, or the care decisions of the people they care for.
• People know their rights, gain timely information and advice, and are involved in decisions and have choice and control over their care and support.
• People who use services, unpaid carers and families feel valued, respected, listened to, supported and safe.
• H&SC team feel valued, respected, empowered, skilled, confident and supported to provide quality, safe and human rights-based care & support.
• People get the right care and support to make progress towards their personal outcomes, building on their strengths and community support.
• People play an active role in managing their health and wellbeing.

Principle: Legality

The full range of legally protected human rights must be respected, protected and fulfilled. A human rights-based approach requires the recognition of rights as legally enforceable entitlements, and is linked in to national and international human rights laws.

Development of SLIF and Tool

SLIF is underpinned by current human rights legislation and references international treaties such as ICESCR, CEDAW, CERD, and CRPD.

The SLIF will support the future Human Rights Bill, which is currently being developed.

The SLIF and its tool will continue to be reviewed and updated, to ensure that the framework’s indicators align with key human rights indicators, so that improvement towards meeting human rights standards can be evidenced more clearly and easily.

SLIF digital tool Stepping Stones

All SLIF outcomes support human rights standards.