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Self-assessment

Self-assessment is likely to be an early stage of implementing the NSF. It is a vital tool in measuring how far your organisation has to go and which areas will need most attention. This section contains a link to a self-assessment tool and offers advice on tailoring the tool to your local context.

The self-assessment tool

The NHS Modernisation Agency has developed the Managing Long Term Conditions Self-Assessment Tool for use by health and social care organisations and communities.  The tool will help you to assess how prepared you are to implement the NSF, and to identify priorities for implementation.  It will provide a baseline against which to assess progress towards implementation, and could be used as part of the annual review process.

The tool has been developed for the wider long-term conditions model, and is designed to assess progress in implementing new approaches to the management of long-term conditions, including neurological conditions as covered by this NSF.  It is organised into nine different sections:

  • vision and leadership
  • stakeholder involvement
  • evidence into practice
  • information, communication and technology
  • use of data
  • workforce
  • delivery
  • self-management and monitoring
  • commissioning.

How to tailor the self-assessment tool to your needs

Each numbered section contains a number of statements and suggested evidence to help self-assessment. Because it is a generic tool, you may want to select the statements that are more relevant to long-term neurological conditions, and consider whether alternative/additional sources of evidence would be more relevant for services to this population.

The NSF Implementation Group identified 10 key questions related to the different sections of the tool that they felt were important to answer. These may help you decide which statements to focus on when you complete the tool.

How you use the tool will depend on the local context. It is important that the process involves all key stakeholders for long-term neurological conditions.

10 key questions for self-assessment

  1. Is there clear leadership for the local delivery of the NSF?
  2. Do you know who your local stakeholders in long-term neurological conditions are?
    Are they all (including the voluntary sector and people with long-term neurological conditions) engaged in work on delivery of the NSF?How would you rate the current state of services for people with long-term neurological conditions?
    Are there any gaps?
  3. Do you have a population needs assessment for long-term neurological conditions?
  4. Is there a multi-agency strategy for implementation which reflects locally agreed priorities and targets to address these gaps in services?
    Do these reflect specific NSF Quality Requirements against which changes in service delivery to enable implementation of the NSF can be evaluated?
  5. Does commissioning support integrated health and social care working, e.g. through the use of pooled budgets?
    Do any such arrangements fit in with the managed neuroscience clinical networks described in the NSF?
  6. What changes in processes and service models for the management of long-term neurological conditions will be needed to deliver the specific Quality Requirements in the NSF?
  7. What systems and resources are in place for staff to ensure that delivery of services to people with long-term neurological conditions follow evidence-based care pathways, protocols and guidelines?
  8. Does the local expert patient programme meet the needs of people with long-term neurological conditions for whom self care is appropriate, or does it need to be refined and/or redeveloped in collaboration with health and social care providers and the voluntary sector?
  9. Is a robust education and training strategy in place?
    What are the local workforce requirements to deliver the NSF in terms of:
    a. capacity
    b. skills
    c. development needs
    d. management infrastructure and professional leadership?
  10. Is the IT infrastructure in place to support delivery of the NSF?
    Does your contract with the Local Service Providers meet the needs of those who:
    a. plan and commission services
    b. deliver services
    c. use services?

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