The needs which the client may have of the service might be by 0T0N83

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									SC8                Contribute to the development, provision and review of care programmes

Elements of competence

SC8.1       Obtain information about clients and their needs of the service
SC8.2       Contribute to planning how client’s needs can best be met
SC8.3       Agree services to be provided to meet clients’ needs
SC8.4       Contribute to reviewing the effectiveness of care programmes

Summary
This unit focuses on the provider of services and their support to the client when the client’s needs and wishes are assessed and services offered to meet those needs and wishes.
The worker will be seeking to understand the client’s needs and wishes as fully as possible so that they can both support the client in representing their own needs and wishes and
also represent the needs and wishes of the client when they are not there to do this themselves. Clients’ needs and wishes may be established during an initial contact, on an
ongoing basis or following referral.

This unit is concerned with the worker contributing to the planning and monitoring of service delivery, through obtaining information on the client and their needs and wishes of
the service, contributing to agreeing the client’s needs and wishes and then feeding into planning the service. The information gathering may be related to an initial contact, a
referral or for an ongoing assessment of the client’s requirements. The approach taken is one of the worker working alongside the client, to establish the client’s concerns and to
build up a picture of needs and wishes. The worker is viewed as an essential part of care service delivery who has a valuable role to offer within the care team as a front line
contact with clients.

Who this unit is aimed at
This unit is relevant for any worker who contributes to the development, provision and review of care programmes to meet client’s needs and wishes. The individual may
combine this role with a purchasing role or may concentrate solely on providing services to the client. The worker may be working in a single-disciplinary or inter-disciplinary
setting and the negotiations may be single organisation or multi-organization. The unit would also be appropriate for those who are using a care programme approach in Mental
Health as part of the strategy for enabling people with a mental illness to live in the community.

Principles of good practice
As the focus of this unit is the development, provision and review of care programmes to meet the client’s needs and wishes, the worker needs to be very aware of their relative
position of power to the client and the rights of the client in the process. The worker needs to not only consider a number of issues to do with confidentiality but also actively
seek to promote clients’ rights and choice within boundaries appropriate to their welfare and that of others, and anti-discriminatory practice. It is also necessary for the worker to
understand the legislative and organisational context in which they are working.




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SC8                Contribute to the development, provision and review of care programmes

Relationship to other units
This unit relates to units SC1 and SC3 which describe the care management process and focus on the development and review of packages of care. Units SC1 and SC3 are
focused on the purchaser side. For SC8 the worker is engaged in the process to make sure that services are provided effectively to meet the client’s needs and wishes - a provider
focus. Unit NC9 on representing the individual’s needs and wishes when they are not able to do so themselves might also be appropriate.

Place in the SVQ framework
This unit occurs in the following qualifications: Care Level 3; Diagnostic and Therapeutic Support Level 3; Caring for Children and Young People Level 3; Promoting
Independence Level 3

Evidence Requirements for this unit
You must provide your assessor with evidence for all the Performance Criteria and all aspects of Range and Knowledge. The evidence must be provided in the following ways,
taking account of any Special Considerations which may be noted below:

Special Considerations
None.

1         Direct Observation
          Your assessor must observe you in real work activities which provide at least some of the evidence for each element in this unit. During these observations you will meet
          many of the Performance Criteria (PCs) and as many aspects of the Range Categories as possible.

          PCs which might not be observed by your assessor include: SC8.1.8, SC8.2.6, SC8.3.2, SC8.4.7, SC8.4.9.

          You can, of course, cover these PCs during the observations if the opportunity arises.

2         Other types of evidence of your performance and knowledge
          Your assessor will also want to see other evidence to feel confident that you can consistently repeat this standard of work and to cover those performance criteria and
          aspects of range which are not met during the observations. They will also want to see evidence that you know, understand and can apply in practice the knowledge
          which is listed in the specification. Your assessor may decide that you have already demonstrated some knowledge and understanding when they observed you working.

          You will need to agree, and review an assessment plan with your assessor so that you can collect sufficient evidence to show that you are competent and meet the
          requirements of the unit. You will need to discuss with your assessor what will be acceptable. Types of evidence could include:

               products of your work
               statements from other people who have seen you working (witness testimony)
               simulations
               questioning, oral or written
               case studies, projects, assignments and reflective accounts of your work.

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SC8                Contribute to the development, provision and review of care programmes

Element SC8.1                 Obtain information about clients and their needs of the service

                                                                                                Type of evidence — state evidence index no(s)
 Performance criteria                                                                                                                                   Date
                                                                            DO              P           W              RA             Q         Other
 1          The worker’s role in relation to a particular
            client is clearly established with the relevant
            people
 2          The worker’s role in acting as a point of
            contact is explained to the client in a manner,
            and at a level and pace, appropriate to them
 3          Opportunities are created by the worker to
            develop an effective relationship with the client
            by encouraging them to express their needs,
            preferences, beliefs, opinions and interests, and
            these are used as a basis of interacting with
            them in the future
 4          Clients are encouraged to express their views
            on who they wish to be involved in discussions
            about what they would like to happen
 5          An agreement is reached with the client
            regarding the purpose of gaining information
            on their needs and wishes of the service
 6          The worker’s views are offered in a manner
            which acknowledges the client’s views and
            needs and is likely to be perceived as non-
            threatening
 7          Other potentially valuable and relevant sources
            of information on the client’s needs and wishes
            are identified and accessed
 8          Where there are inconsistencies and gaps in the
            information available, these are remedied as far
            as possible and brought to the attention of
            those concerned
 9          A summary of the client’s needs and wishes is
            recorded in a way that can be used to plan the
            services to be offered


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SC8                Contribute to the development, provision and review of care programmes

Element SC8.1           Obtain information about clients and their needs of the service

                                                                                                Type of evidence — state evidence index no(s)
 Range                                                                                                                                                           Date
                                                                            DO              P           W              RA             Q         Other
 1          Sources of information:
 a)         the client
 b)         the client’s family and friends
 c)         other agencies providing services to the client
 d)         the purchasing organisation
 e)         other agencies who may have a rightful say in
            the services offered

Notes on this element
The needs which the client may have of the service might be: educational; finance and employment; recreational; legal and advocacy; emotional; social; physical.

In performance criteria 3-5, if the client is not able to express their own views and interests (e.g. a young child in foster care, someone with dementia), then these should be
established with someone who is acting on behalf of the client.
In range (1b)’family’ includes partners where they exist.
In range 1d), this may be through service specifications as well as through direct purchasing decisions about the client.
In range (1e), other agencies who may have a rightful say in the services offered would include such agencies as the courts.




Unit B6TB 04 (SC8) Contribute to the development, provision and review of care programmes                                                                                          4
SC8                Contribute to the development, provision and review of care programmes

Element SC8.2                  Contribute to planing how clients’ needs can best be met

                                                                                                Type of evidence — state evidence index no(s)
 Performance criteria                                                                                                                                   Date
                                                                            DO              P           W              RA             Q         Other
 1          The summary of the client’s needs and wishes
            is made available to everyone involved in
            agreeing the services to be delivered,
            consistent with the client’s wishes and the
            services which need to be planned
 2          Appropriate assistance is offered in adequate
            time to those responsible for arranging care
            planning meetings
 3          The client, family and friends are encouraged
            and supported to participate in the process
 4          Contributions made by the worker are clear,
            accurate and made at an appropriate time
 5          The worker’s behaviour and actions are
            designed to represent the client’s views to
            others in the service, consistent with their role
 6          The client is supported to put their point of
            view across clearly when there are differences
            of opinion on their needs, and a resolution is
            sought
 7          Decisions regarding how to meet the client’s
            needs of the service are recorded accurately,
            legibly and completely by the worker and
            disseminated to the appropriate people




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SC8                Contribute to the development, provision and review of care programmes

Element SC8.2                 Contribute to planing how clients’ needs can best be met

                                                                                                Type of evidence — state evidence index no(s)
 Range                                                                                                                                                        Date
                                                                            DO              P           W              RA             Q         Other
 1        Care planning meetings
 a)       for new clients

 b)       for clients whose needs have changed

 2        Encouraged and supported by the worker:
 a)       to prepare how they will present their views

 b)       advising on process

 c)       advising on possible outcomes

 d)       arranging transport


Notes on this element
The needs which the client may have of the service might be: educational; finance and employment; recreational; legal and advocacy; emotional; social; physical.

Differences of opinion in pc6 might be between: clients, carers and their family and friends; clients and the service providers; clients and purchasing organisations; different
service providers.

The reference to ‘family’ in pc3 includes partners where they exist.




Unit B6TB 04 (SC8) Contribute to the development, provision and review of care programmes                                                                                          6
SC8                Contribute to the development, provision and review of care programmes

Element SC8.3                  Agree services to be provided to meet clients’ needs

                                                                                                Type of evidence — state evidence index no(s)
 Performance criteria                                                                                                                                   Date
                                                                            DO              P           W              RA             Q         Other
 1          The options available to meet the identified
            needs of the client are communicated to the
            client and appropriate others in a form which
            allows them to comment constructively and is
            consistent with service specifications
 2          When clients are not able to agree the nature of
            the services themselves, the planning is
            undertaken with someone who is able to speak
            on the client’s behalf and is acting in their best
            interests
 3          The aims of the services that are to be provided
            are discussed with the client and their family
            and friends in a manner which allows any
            differences of opinion between the different
            parties to be reconciled
 4          Client and their family and friends are
            provided with the appropriate support to
            evaluate the options available and clarify and
            misunderstandings
 5          The action plan proposed for the client is
            consistent with the client’s agreed needs, any
            working agreement and resource constraints
 6          Final decisions regarding the plan are recorded
            accurately, legibly and completely and
            disseminated to the appropriate people




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SC8                Contribute to the development, provision and review of care programmes

Element SC8.3                  Agree services to be provided to meet clients’ needs

                                                                                                Type of evidence — state evidence index no(s)
 Range                                                                                                                                                        Date
                                                                            DO              P           W              RA             Q         Other
 1        Support:
 a)       advice and information

 b)       time

 c)       opportunity to listen and talk things through


Notes on this element
The needs which the client may have of the service might be: educational; finance and employment; recreational; legal and advocacy; emotional; social; physical.

Differences of opinion in pc3 might be between: clients, carers and their family and friends; clients and the service providers; clients and purchasing organisations; different
service providers.

The reference to ‘family’ in pc3 and 4 includes partners where they exist.




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SC8                Contribute to the development, provision and review of care programmes

Element SC8.4                  Contribute to reviewing the effectiveness of care programmes

                                                                                                Type of evidence — state evidence index no(s)
 Performance criteria                                                                                                                                   Date
                                                                            DO              P           W              RA             Q         Other
 1          The delivery of the service to the client is
            monitored regularly against the agreed plan,
            consistent with the worker’s role
 2          Clients and those involved in their care are
            actively encouraged to take a full and active
            part in the review process
 3          The effectiveness of the services in meeting the
            client’s needs is discussed and reviewed with
            those involved, in an appropriate manner, level
            and pace
 4          Those involved are actively encouraged to
            offer their opinions on the services provided
            and suggest how they might be improved
 5          Clients are assisted to identify changes in their
            needs and circumstances that may require
            alterations to existing service specifications
            and care plans
 6          Clients are supported to clarify the reasons for,
            and implications of, changes in their needs and
            circumstances and their eligibility to receive
            services
 7          Reassessment is arranged in an appropriate
            timescale when clients’ needs have changed
 8          Necessary changes to the service delivery plan
            are recommended and discussed with the
            relevant people
 9          When the services that are supplied do not
            match the service specifications, this is fully
            explored with all those involved to identify
            what the actual problems are
 10         Records of the review process and the
            outcomes agreed are accurate, legible and
            complete and communicated to everyone who
            needs them
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SC8                Contribute to the development, provision and review of care programmes

Element SC8.4                  Contribute to reviewing the effectiveness of care programmes

                                                                                                Type of evidence — state evidence index no(s)
 Range                                                                                                                                                          Date
                                                                            DO              P           W              RA             Q         Other
 1          Changes in needs and circumstances:
 a)         the client’s needs have changed
 b)         the client has decided that they do not wish to
            receive one or more services
 c)         the client’s social support system has changed
 d)         other factors in the client’s life have changed
            their ability to manage their situation
 e)         external factors which have an impact on the
            care programme
 f)         the client’s circumstances have changed

Notes on this element

Complete records in performance criterion 10 means that the records are signed, dated and contain all the relevant information.

If the client is not able to express their own views and interests (e.g. a young child in foster care, someone with dementia), then the programme should be reviewed with someone
who is acting on behalf of the client.

In performance criterion 3, those involved include: the client, the client’s family and friends who are affected by the services and the effectiveness of their delivery, those who
are delivering services to the client on a day-to-day basis, others involved in planning, monitoring and reviewing the client’s needs, those responsible for agreeing service
specifications, people in other care teams who are also offering services to the client which affect, or are affected by, the services under discussion here. The family includes
partners, where they exist.
Range (1e): external factors which have an impact on the care package will include: changes to state entitlements.

Range (1f) the client’s circumstances have changed will include: the client has inherited some money, the client has moved on to a new stage of development, the client’s
savings have become exhausted, someone supporting the client has stopped doing so or the client’s skills or abilities have changed.




Unit B6TB 04 (SC8) Contribute to the development, provision and review of care programmes                                                                                             10
SC8                Contribute to the development, provision and review of care programmes

Knowledge specification for the whole of this unit
You must show your assessor that you know and understand the following:
(the numbers after each knowledge statement refer to performance criteria)

 Legislation, policy and good practice                                                                                   Relates to performance   Select evidence
                                                                                                                         criteria                 index no(s)
 1      Why clients should be involved in deciding who can contribute to the planning of the service                     SC8.1.4
 2      Why inconsistencies and gaps should be identified by the worker and remedied as far as possible                  SC8.1.9
 3      Why the worker’s role in acting as a key point of contact should be explained to the client                      SC8.1.2
 4      The relevant legislation and guidelines which may have an effect on the worker’s role in obtaining               SC8.1.5
        information, the client’s rights to assessment, and the information which can be collected, stored or accessed
        (such as the Children Act, Disabled Person’s Act, Data Protection Act)
 5      Why information should be disseminated in time to allow for adequate preparation to take place                   SC8.2.2
 6      Those to whom the summary of the client’s needs and wishes of the service should be sent                         SC8.2.1
 7      Why records of decisions should be made and the possible consequences if this is not done                        SC8.2.8, SC8.4.10
 8      Why the organisation’s proposals should be communicated in a way which allows for constructive criticism         SC8.3.1
 9      The purpose of noting disagreements                                                                              SC8.3.5
 10     Why final decisions should be recorded and disseminated to the appropriate people and why the consent of         SC8.3.6
        the client is important
 11     The purpose of monitoring and evaluating service delivery                                                        SC8.4.1
 12     The purpose of actively seeking client’s and others’ views                                                       SC8.4.4
 Services and products                                                                                                   Relates to performance
                                                                                                                         criteria
 13     Potential sources of information for particular clients                                                          SC8.1.8
 14     The functions and resources within the organisation and the relationship of this to the needs of the client      the whole unit SC8
 15     Other agencies which might be more appropriate for meeting some clients’ needs                                   SC8.3.1, SC8.3.5
 Factors which influence what you do
 16     How changes in the client’s needs, circumstances and stage of development may affect the care management         the whole unit SC8
        process and what is included in service delivery and the overall package of care
 17     The needs which clients may have                                                                                 SC8.10
 18     The personal beliefs, preferences and experiences of clients which may influence their views of their needs      SC8.1.3
        and the willingness with which they will communicate these to others
 19     What constitutes the necessary information for service planning                                                  SC8.1.9
 20     The reasons why clients and others may feel powerless and vulnerable during the care planing process and         SC8.1.7
        ways of counteracting this
 21     The worker’s role regarding the particular client                                                                SC8.1.1
 22     The role and purpose of care planning meetings                                                                   SC8.2.1, SC8.2.2
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SC8                Contribute to the development, provision and review of care programmes

 23     The ways in which discrimination and stereotyping may affect the behaviour of those at care planning           across element SC8.2
        meetings (including the organisation’s staff)
 24     The difference between the client’s views of the service and the needs which may be established for them       SC8.2.7
 25     The ways in which behaviour may be affected by the circumstances in which individuals are placed               whole element SC8.2.7
 26     The reasons which there might be for monitoring the client’s and other’s behaviour during meetings (e.g. for   whole element SC8.2
        medical reasons) and the ways in which this can be achieved
 27     The conflicts which may arise when agreeing a client’s needs and the fact that needs are not cut and dried     SC8.2.7
 28     The disagreements and misunderstandings which might arise between those involved in the planning               SC8.3.4
 29     The resource limitations which there are on the organisation in which the worker is placed and the effect      SC8.3.5
        which this will have on the service offered to clients
 30     The role of other agencies who are working in the planning process and the particular benefits and strengths   SC8.3.3
        which each brings to the process
 31     The meaning of ‘relevant information’ in terms of monitoring and evaluation                                    SC8.4.1
 How to achieve important outcomes
 32     Methods of communicating clearly to clients and the steps which should be taken when there are                 SC8.1.2
        communication difficulties
 33     Ways of creating opportunities to build relationships with clients                                             SC8.1.3
 34     Methods of building trust and relationships with others, especially when the worker is in some form of power   SC8.1.3
        relationship
 35     Methods of reaching working agreements with clients so that negotiations may proceed                           SC8.1.3
 36     Methods of acknowledging the views, opinions and suggestions of others                                         SC8.1.3, SC8.1.4
 37     Methods of offering one’s own views, opinions and suggestions so that they are likely to be perceived as       SC8.1.7
        non-threatening and the reasons for doing this
 38     Methods of summarising information so that all the essential points are covered whilst including no            SC8.1.9
        redundant information
 39     Methods of organising meetings and disseminating information for meetings                                      SC8.2.1, SC8.2.2.
 40     Ways in which the client and others can be encouraged to become involved in the process and empowered to       SC8.2.3
        contribut
 41     Methods of communicating information at meetings so that the contributions are clear, accurate and timely      SC8.2.5
 42     Ways of describing behavioural changes without casting one’s own interpretation of their meaning onto them     SC8.2.5
 43     How to prepare effectively for care planning meetings                                                          SC8.2.6
 44     Ways in which the worker’s behaviour can represent the client’s views to others in the service                 SC8.2.6
 45     Methods of communicating proposals to clients so that they can comment constructively and do not feel          SC8.3.1
        disempowered
 46     Ways in which inter-organisation or multi-disciplinary working can contribute to more effective delivery of    SC8.3.1
        care
 47     Ways in which the client and relevant others can be encouraged to participate in planning the service          SC8.3.2
Unit B6TB 04 (SC8) Contribute to the development, provision and review of care programmes                                                      12
SC8                Contribute to the development, provision and review of care programmes

 48         Ways of negotiating with others so that a working agreement can be reached                                       SC8.3.3
 49         Methods of communicating the services which can be offered to clients so that their expectations are realistic   SC8.3.1
 50         The ways in which the client’s and others’ views can be incorporated into the monitoring and evaluation          SC8.4.1, SC8.4.4
            process.
 51         The ways in which monitoring and evaluation can contribute an improvement of the service to the client and       SC8.4.1
            a more effective use of resources overall
 52         Methods of monitoring the service                                                                                SC8.4.1
 53         Methods of proposing changes and modifications in ways which others will listen to even if they are not          SC8.4..7, SC8.4.8
            necessarily in agreement
 54         Methods of checking the accuracy of information                                                                  the whole of element SC8.4




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SC8                Contribute to the development, provision and review of care programmes


                                                                                                Type of evidence — state evidence index no(s)
 Knowledge and understanding                                                                                                                               Date
                                                                            DO              P           W              RA             Q            Other
 There is sufficient evidence of knowledge and
 understanding for this unit



                                                                                                Type of evidence — state evidence index no(s)
 Evidence requirements                                                                                                                                     Date
                                                                            DO              P           W              RA             Q            Other
 The evidence generated by the candidate meets the
 evidence requirements for this unit



 Assessor/Internal verifier comments




Candidate’s name                                                         Assessor’s name                                            IV’s name

Candidate’s signature                                                    Assessor’s signature                                       IV signature

Date                                                                     Date                                                       Date
Unit B6TB 04 (SC8) Contribute to the development, provision and review of care programmes                                                                         14

								
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