Michele Clarke Deputy Chief Inspector

Social Services Inspectorate Directorate

Heath Information and Quality Authority

Michele Clarke Deputy Chief Inspector

Not for Profit Business Association

Vision

‘A society where people with disabilities are enabled to participate as equal citizens and

where our member organisations are recognised as leaders in the provision of

successful efficient quality services to people with disabilities’

• Philosophy behind planning and delivery of services for people with disabilities

– people with disabilities should have the opportunity to live as full a life as possible

– physical and social conditions should not prevent a person with a disability from equal and dignified access to facilities and educational opportunities

A Strategy for Equality

The Social Model of Disability

The focus is not on rehabilitating the individual witha disability, but on rehabilitating society and theenvironment, in order to make it accessible andcreate inclusion for the person with a disability as aconsumer rather than as a patient

How does this relate to HIQA?

Health Information Quality Authority’s role is to lead, drive and enable continuous improvements in the quality of health and social services in Ireland, in order to achieve the world class standards that we all deserve.

Earlier statements refer to equality, citizenship, quality services, leadership, dignity, access, full life, inclusion, service user…..

Health and Social Care Reforms

Legislation and organisational changes

Changes

DoHCLegislation and Policy

HIQAStandards and Monitoring

HSEOperations

Health and Social Care System Reforms

Driving Improvement

Financial/ commissioning

Regulatory bodies

Performance management

Policy makers and Legislators

Driving Improvement - Players

Public opinion/lobbying

Funding change

Structuring change

Professional

Informing change

Regulatory change

Driving Improvement

Resources

Standards

Professional Guidelines

Policy and Legislation

Driving Improvement - Tools

Service users expectations

Buying change

Structuring change

Staff education

Informing change

Regulatory change

Improving Standards Internationally

• Standards• Accreditation ... Move to mandatory• Inspection..... Risk assessed• Registration.....Proportionate•

Office of the Chief Executive

Healthcare Quality Health Technology Assessment

Health Information

Social Services Inspectorate

Board

HIQA

• Health Act 2007• Establishment Day May 15th 2007• SSI (12) and Irish Health Services

Accreditation Board (20) incorporated into HIQA

HIQA Functions

• Health Care Quality• Health Information• Health Technology• Social Service Inspectorate

Develop StandardsMonitor/Inspect Standards and Report

Undertake Investigations

Current National Standards

• Children’s Residential and Foster Care Services (for children in statutory care DoHC)

• National Standards for Residential Care for Older People (HIQA pub Mar 08)

• National Standards for Residential Care of People with Disabilities ( in development HIQA)

• National Standards for Pre-Schools (in development DoHC)

• No Standards for day services, home care agencies, child protection …….

What Happens Now?

• HSE registers and inspects private nursing homes • HSE registers and inspects private children’s homes

• SSI inspects HSE children’s centres, foster care and will inspect children’s detention schools

• No national independent inspection/registration of residential service for people (including children) with disabilities

• No national monitoring of non-residential service for vulnerable people

Health Act 2007Office of the Chief Inspector (SSI)

Register and Inspect all designated centres

Monitor a range of social services including day care, support services to people living at home and child protection

Monitor the HSE’s inspections of pre-schools and crèches

Monitor how the standards for ‘assessment of need’ are implemented by the HSE

• Standards will be developed in partnership with service users and professionals

• Standards are focused on the experience of the service user - outcome standards

• HIQA will act as a catalyst, but quality and safety will only be improved by frontline professionals and managers

HIQA principles

National Standards for Designated Centres for People with Disabilities

Section Headings for the Standard for Residential Care

• Rights• Protection• Health and Social Care Needs (Health

and Development)• Quality of Life• Staffing• The Care Environment (Living

Environment)• Governance and Management

• Planned that the Standards will be completed and published by the end of 2008. On schedule for draft standards to go to public consultation in the summer

• The Standards are being developed in consultation with a number of individuals and organisations: Standards Advisory Group

National Standards for Designated Centres for People

with Disabilities

Standards Advisory Group

The Standards Advisory Group comprises service users and representative groups

• Service providers• Groups representing parents and friends of

service users• Department of Health and Children • HSE• National Disability Authority• Professional groups • HIQA

Standards Advisory Group

• Briefing papers for meetings sent two weeks in advance to allow opportunity to prepare. Papers are writing in Easy Read style to ensure that are easily understood

• Before meetings, HIQA staff meet some service users to go through the data and answer queries

• Organisational representatives review material with their own organisation between meetings

Standards Advisory Group

The public consultation in development– Group members will be asked to take the standards to the organisations that they represent

– Following this there will be a series of focus groups around the country in the Autumn

– HIQA will see written submissions – The draft standards will then be amended to take account

of feedback from the consultation and be presented to the Board of HIQA for approval

– Standards presented to the Minister for Health and Children for approval

– Regulations developed by Minister for Health and Children

Standards

Purpose of National Standards

• Advise providers on what is expected• Set out for service users what they can expect• Encourage for self audit • Allow for equitable inspection and monitoring

across regions• Assure public on expected standards of care

When it comes to driving improvement HIQA is one of the key players

We are working towards an independent inspectorate that

puts the service user at the centre of inspections and that reports on what needs doing and not how to do it.

Conclusions