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

This report describes the process under taken to develop the Scottish Learning and Improvement Framework for Adult Social Care Support and Community Health (SLIF) Digital Tool. It details proposed structure of the tool and the principles underpinning the use and considerations for the testing phase


Alignment with policy and improvement frameworks

The SLIF supports the strategic vision for health and social care, presented jointly in the Population Health Framework, the Health and Social Care Services Renewal Framework, and the NHS Operational Improvement Plan.

The SLIF digital tools stepping stones are underpinned by success critria which are defined as key considerations for good practice which will contribute to the each outcome on the stepping stones.

The identification of the success criteria was achieved though bringing together elements from a range of different frameworks, policies, statutory guidance and quality improvement tools that are in use across community health and social care support. Details of this are laid out below.

Additional success criteria have been included that build on input gathered throughout the operationalisation process from members of the Steering Group, the Short Life Working Group and workshop participants.

By using the Tool, Community Health, HSCPs and Social Care Support Organisations will be able to collate evidence to assure and demonstrate they are meeting the statutory requirements within these frameworks. At the same time, they will be able to focus on elements of good practice that contribute to improving outcomes for people.

Principles and standards of good practice

Frameworks mapped to the pathways of the SLIF digital tool

Getting it Right for Everyone (GIRFE)

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

Each of the GIRFE principles are captured as success criteria within the supporting people pathway, and support for staff to embed GIRFE into their practice is included in workforce development.

Frameworks mapped to the pathways of the SLIF digital tool

Health and Social Care Standards

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

Success criteria in the supporting people pathway link to the Health and Social Care values by headline outcome and the principles of dignity and respect, compassion, being included, responsive care and support, and wellbeing. Staff confidence in providing support that aligns with the Standards is linked in the workforce development pathway.

Frameworks mapped to the pathways of the SLIF digital tool

Self-directed Support Framework of Standards

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

Success criteria across the pathways link the stepping stones of the SLIF to the relevant standards (1-22) in the SDS Standards Framework.

Frameworks mapped to the pathways of the SLIF digital tool

SSSC Codes of Practice

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

The SSSC Codes of practice for both employers and social service workforce are included as success criteria in the workforce development pathway.

Frameworks mapped to the pathways of the SLIF digital tool

Core Mental Health Standards in Scotland

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

Core mental health standards are captured as success criteria within the supporting people pathway, and support for staff’s mental health and to embed standards into their practice is included in workforce development.

Care Inspectorate/HIS Strategic Quality Improvement Frameworks

Frameworks mapped to the pathways of the SLIF digital tool

Quality Improvement Framework: Adult Support and Protection

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

The sections of the Quality Improvement Framework are listed as success criteria across the pathways, prompting people to complete their Adult Support and Protection self-evaluation and consider improvement using the quality indicators and illustrations.

Frameworks mapped to the pathways of the SLIF digital tool

Quality Improvement Framework: Joint Inspection of Adult Services Integration and Outcomes (JIAS)

Thematic pathway(s)

Supporting people

Approach to mapping and integration

The key areas of the Quality Improvement Framework are listed as success criteria across the supporting people pathway, prompting people to complete their integration self-evaluation and consider improvement using the quality indicators and illustrations.

Care Inspectorate Regulatory Quality Improvement Frameworks

Frameworks mapped to the pathways of the SLIF digital tool

Regulatory Quality Improvement Frameworks by service type:

Care homes for adults and older people

Support services (care at home and supported living)

Support services (not care at home)

Housing support

Nurse agencies

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

The Care Inspectorate’s regulatory Quality Improvement Frameworks are included as success criteria by Key Question (and in some cases, by quality indicator), prompting people to complete their self-evaluation and consider improvement using the quality indicators and illustrations. These key questions are consistent across the regulatory frameworks, so the references can be used to find the specific quality illustrations for the relevant service type.

Improvement and Quality Management

Frameworks mapped to the pathways of the SLIF digital tool

Scottish Approach to Change Framework

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

The Scottish Approach to change supports the health and care system to do change well. It brings together different change methods into a single approach, which can be used to support improvement projects identified and prioritised through the SLIF. Its use is linked within the improvement-focused stepping stones of each pathway.

Carers’ (Scotland Act) 2016

Frameworks mapped to the pathways of the SLIF digital tool

Carers (Scotland Act) 2016 Statutory Guidance

Thematic pathway(s)

Supporting people

Approach to mapping and integration

Key statutory requirements of the Carers Act are listed as success criteria within the supporting people pathway.

Best practice for care homes

Frameworks mapped to the pathways of the SLIF digital tool

My Health, My Care, My Home - healthcare framework for adults living in care homes

Thematic pathway(s)

Supporting people; Workforce Development

Approach to mapping and integration

The elements of the My Health, My Care framework are linked as success criteria, prompting people to evidence good practice in response to the recommendations for each.

Fair Work

Frameworks mapped to the pathways of the SLIF digital tool

Fair Work Framework

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

Success criteria in the workforce development pathway prompt reflection on how roles at all levels meet the dimensions of Fair Work: opportunity, security, fulfilment, respect and effective voice.

National Trauma Transformation Programme

Frameworks mapped to the pathways of the SLIF digital too

National Trauma Transformation Programme

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

The workforce development pathway links to the National Trauma Transformation programme, prompting SLIF users to assess their staff’s need for trauma training.

Ask and Act Homelessness Duties

Frameworks mapped to the pathways of the SLIF digital tool

National Trauma Transformation Programme

Thematic pathway(s)

Supporting People

Approach to mapping and integration

The supporting people pathway links to the Ask and Act Homelessness Duties, prompting SLIF users to assess their process for routinely screening people for housing insecurity or risk of homelessness.

Workforce standards

Frameworks mapped to the pathways of the SLIF digital tool

Standards in social work education and ethical principles

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

The workforce development pathway prompts SLIF users to gather data and self-evaluate the extent to which social workers feel confident practicing in line with the social work standards and principles.

Frameworks mapped to the pathways of the SLIF digital tool

Safer Recruitment Guidance

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

The workforce pathway prompts users to reflect on and evidence how their recruitment policies and processes reflect the Safer Recruitment guidance.

Frameworks mapped to the pathways of the SLIF digital tool

Health and Care (Staffing)(Scotland) Act 2019 Statutory Guidance

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

The workforce pathway prompts users to reflect on and evidence how the staffing of their care and support meets the requirements of the Act.

Frameworks mapped to the pathways of the SLIF digital tool

National Induction Standards

Thematic pathway(s)

Workforce Development

Approach to mapping and integration

The workforce pathway prompts users to reflect on and evidence how their induction process meets the induction standards, including through the use of the induction resources available on TURAS.

Primary Care and Community Health Route Map

At the time of development of the Tool work to draft the Primary Care and Community Health (PCCH) Route Map was underway. Once published this will be included within the SLIF digital tool.

The Route Map will serve as the delivery plan for improvement actions across primary care and community health services. The plan will be informed by the revised outcomes relating to access, system rebalance, quality, and coordinated service delivery. It will also outline the sector’s approach to improvement and assurance.

Following publication of the Route Map work will commence to explore testing the SLIF within primary care and community health services, ensuring alignment with the outcomes and wider HSC vision.

Contact

Email: improvementsc&ch@gov.scot

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