Development of the CHaSCP has been conducted by a wide range of staff and assisted by members of the public. The core development and implementation is being conducted by the following officers:

CHaSCP Operational Team Membership

Ella Macbain, Interim Service Manager, Community Care Services
Finella Morrison, Lead Nurse, Community Health
Interim General Manager - Stephen Moore

Other appropriate officers attend meetings to meet the needs of the agenda.

CHaSCP 3-YEAR DEVELOPMENT PLAN

The Three Year Plan has been developed to reflect the CHaSCP's commitment to improving the health and wellbeing of the people of the Western Isles by identifying specific areas and measurable service improvements according to local need. Whilst the CHaSCP is responsible for the planning and development of services it directly manages, and for participating in the development of the full range of services provided within the Western Isles, it does not have a planning officer, relying instead on support from the Public Health Department. We are also committed to engaging with the National Association of CHPs and the Joint Improvement Team to raise the national profile of the Western Isles CHaSCP and to share best practice and learning outcomes.

As the CHaSCP Managers also have significant operational commitments, capacity for redevelopment of services is not as available as we would wish. However, we are committed to continuing the progress that has been made towards the delivery of joint working between and within the statutory sector and with our partners in the voluntary sector, and will actively seek opportunities to align and integrate services as capacity allows.

Since the CHaSCP came into operation in June 2007, and especially since the delegation of Community Care Services in January 2008, a great deal has already been achieved. Developments include:

• The establishment of a Joint Services Committee, a CHaSCP Committee and a Management Team with responsibility for delivering a range of services within an agreed budget delegated from the Partner Organisations (NHS WI and Comhairle nan Eilean Siar).
• The establishment of a number of Locality Planning Groups and the People's Health Network allowing for public involvement in the development of services.
• The development of an informative and user friendly website www.chascp.org
• The establishment of a Joint Mainland Placement Panel for Adults to review existing placements and make recommendations on requests for new placements.
• Embedding of the use of the single shared assessment across health and social care services.
• The development of a Night Nursing Service based at Western Isles Hospital.
• A number of service reviews have been completed (Care Units, OFTTI).
• Good progress has been made with the Telecare programme building on the success of the Faire Community Alarm service.
• Challenging Delayed Discharge targets have been met by the April 2009 deadline.
• A Joint Hospital Discharge Policy has been developed and launched.
• 50 Care Home and NHS staff obtained SVQs through a joint training programme.
• Carers Strategies have been developed and will be launched in March 2010.

The remit of the CHaSCP reaches across wide areas of service delivery at both operational and strategic levels. In the current challenging financial climate the CHaSCP will strive to deliver all services within budget and to identify contingency plans to address funding shortfalls that may arise. We will continue to explore the potential for the development of joint management of financial resources when ever opportunities arise. The purpose of this document is to set the direction of travel for the next 3 years. In compiling it, attention has been paid to the Community Care Service National Outcomes required by the Scottish Government, the commitments given in the Scheme of Establishment, the work of the Joint Planning Support Team and the recommendations from the Internal Audit Report from the Comhairle's Internal Audit Team. More detailed annual plans will be developed for 2009/10, 2010/2011 and 2011/2012.

This plan has been circulated to the Locality Planning Groups, Members of the People's Health Network, Heads of Department across Health and Social Care, the Planning Partnerships and the AHP Advisory Committee for comment, and approved by the CHaSCP Management Team and the CHaSCP Committee.

3 Year Development Plan

The Western Isles Partnership has agreed to work towards the implementation of the Outcomes Framework for Community Care. This framework has been developed to help Partnerships understand their performance at a strategic level in improving outcomes for people who use community care services or support, and their carers.

Focus on Service Users and Carers

Assessment, care planning and review lie at the heart of identifying and improving outcomes for people using services and the Community Care Outcomes Framework offers a means of understanding how local provision is improving outcomes for people overall. The CHaSCP has undertaken to introduce the "Talking Points" approach to support front line staff in shifting their focus on to outcomes and quality of life. This work is being undertaken in conjunction with the development of a Carers' Strategy, a Young Carers' Strategy and a Carers' Information Strategy. A number of the measures in the Community Care Outcomes Framework aim to measure the experience of people using services or support, or their carers directly. The purpose of this approach is to place user and carer experiences at the centre of performance management, planning and service improvement. The suite of 16 measures are divided into 6 key themes:

1. Satisfaction - amongst people using services or support or carers
2. Access - getting the right service or support at the right time
3. Support for carers - to continue in their caring role
4. Quality of assessment, care planning and review
5. Identifying and supporting those at risk of admission to hospital
6. Shifting the balance of care - to support more people at home for longer, promoting self-care and providing services and support closer to people's homes.

This approach will assist the CHaSCP in understanding the impact of the services it provides in a holistic manner.