Summary Checklists

Summary checklist for planners and commissioners

What’s required:

• Up to date data about the extent of people living with LTNCs in your local population and their service needs;
  ( The Neurology 2010 Compendium (Barr, 2010) is a very useful resource to facilitate commissioning LTNC services and includes The Needs and Complexity Rating Scale for LTNCs (Turner-Stokes, 2008) - an invaluable tool);

• Inclusion of LTNCs in your Joint Strategic Needs Assessments;

• Joint or integrated commissioning arrangements including those for joint accountability or pooled budgets;

• Consultation processes that bring a wide range of stakeholders together to inform your planning activities;

• Cross-sector planning and implementation groups in which service users and carers can be actively involved;

• The establishment and ongoing support of community inter-disciplinary neurological rehabilitation teams (CINRTs);

• Service specifications for CINRTs that ensure that specialist knowledge and expertise are available across a range of neurological conditions;

• The development of widespread preventative services that support people to self-manage and access support as required;

• Efficient and responsive wheelchair and equipment services;

• Information, advice, community-focussed brokerage and support to take up Direct Payments and personal budgets;

• The establishment of multi-agency neurological vocational rehabilitation services;

• Improved access to high quality replacement and respite care services;

• A single point of contact for each individual with a LTNC;

• Facilitation of open pathways and links which enable generic health and social care and voluntary sector providers to share expertise;

• More widely accessible services for all LTNCs, i.e. ensuring admission criteria do not exclude people on the basis of diagnosis alone;

  Well-defined processes for activities such as review, goal setting & care planning with time for inclusive practice as defined by Cook et al (2011).

Key questions:

• Appropriate and accessible information and advice - how will you ensure that people are kept informed in ways that are right for them?

• How do you know what local providers and organisations there are locally with the expertise and experience to contribute – e.g. who’s best placed to run self-management, education and peer support and day opportunities?

• What role can you play in shaping the care market and encouraging it to develop – what is necessary to ensure the market offers people real choice and quality?

 

 

 

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