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I wouldn't walk on a tightrope without a safety net so I'm going to plant a few quid in various bookie accounts and Betdaq for when our beloved BF crashes at I'll be implementing a few relaxation techniques over the next few days starting with some interesting 'music' from 'Hemi Sync'.
I've tried these before and they're perfect for inducing different states of the mind, from calm and relaxed to hyper responsive and on the ball. I'll be plonking the headphones on before and even during trading who needs commentary? Ever since I started playing in-running I've always had a tendency to want to be a layer.
I find this especially over the jumps, where I'm literally afraid to back a selection in case it falls! I have been working on this 'phobia' over the last few weeks and happily I'm finding that backing can be as profitable as laying. I was well pleased with that and now I feel that I can make similar trades more often. I've found that in the past the task of compiling notes for the AW races has been very time consuming.
Therefore I'll be using a type of 'code' to highlight the running styles of each horse and I'll be storing these on Gruss notes. This usually happens when I'm having a good day and perhaps I'm relaxing a bit too much. If I do want to watch the telly then I should really switch of my screen. I has a few positives to report today. I backed and traded well at the start of the day and some basic form study paid dividends at Southwell. I also think that I judged a race well but didn't enter a trade as I correctly identified a tussle between 2 horses as being too close to call.
This also made me think on how I could have profited from this scenario and I'll be setting up some new custom buttons to cater for this when it happens again. Sitting here now I don't know why. Perhaps it was that I was late into the office so I gave myself not time to prepare. I had a good early chance at Lingfield and failed to make it pay as I was too slow to react. I can see now that this was probably due to me not be prepared in advance. Then sit down, relax, and visualise the extra winnings that will be coming my way.
I traded well early and felt confident and in control even though my wins were relatively small. However, as the day progressed I began to feel more and more tired, probably due to the fact that I have a cold. I was sensible and skipped a few races while I relaxed a bit and tried to get myself more focused. However, this has happened a few times in my last few months on the greyhounds but I've always shown a profit on the greyhounds at the end of each month.
The purpose of betting the greyhounds was to turn over more cash so as to offset the premium charge. After careful consideration I think that I'm going to shelve the greyhound strategy in favour of being more aggressive on my horse racing trading.
This will also mean that I'll be better prepared before each horse race instead of scrambling about between races placing greyhound bets. I think that I lost on the day but felt that I traded well and just had one of those days where a few things went against me. It's strange because I had a few beers with some of the STJ pre-race traders and they find Saturdays be be one of their best days.
Maybe at some point I'll analyze my previous years PL to see if this is true and maybe find out what days of the week and maybe what tracks are my most profitable.
I had a good lay bet in 1 race and didn't green-up as I felt that the horse was beat. The horse rallied from nowhere and I did my money! However I took the loss very well and it didn't effect my subsequent trading.
They often put ideas in your head just before the race starts and I then find it hard to watch the race unfold in an unbiased manner. I do tend to keep the headphones off until the last moment, but I must try harder! I might consider switching to pre-race trading. I'll have to give this some thought. I realised that I need to set some monthly targets and calculate these based upon my initial bank amount and the number of race meetings per month.
We'll stay in touch and it will be interesting to see how we all do in In the last couple of years doing that job I really hated it and couldn't wait to find another way of making a living. My journey home reminded of how fucked-off I used to be and that's made me even more determined to work hard and succeed in I realised that I'm best suited to a patient and aggressive strategy so I make sure that I put myself in this mindset before I start trading each day.
Did get a bit jittery during 1 or 2 wagers but all-in-all feel like that I'm already making progress. I spent some time trying to determine how much I need to win on a monthly basis and I'll publish this in a separate post. The complicated systems and black boxes are a thing of the past. Your trading is going to change right now. However, if you're looking for a simple, step-by-step strategy to make consistent profits. When you trade, are you apprehensive about whether your next trade is going to be a winner or a loser?
Do you get anxious and close trades early - or even revenge trade. They know that there are many ways to trade profitably - and that it all starts with a solid strategy. Pro traders know there is no set and forget systems out there - they've been there, done that and bought the t-shirt! Your success comes from taking a solid strategy and making it your own.
It's like making sure you have solid foundations upon which to build you house - the house is only as good as the foundation it is built on. I'm really talking here to traders here who are fed-up with the garbage that other people pass off as Forex products. If you've got a reasonable amount of brains, then you're not the type to fall for the promises of overnight riches.
I'm certainly not talking about overnight riches. I'm talking about steady progress. But, using it as your foundation, you will have a solid strategy to use as your process. This process is how you will improve, over time, to really pull big money from Forex. I found the manual very easy to understand and written in such a way that the strategy is clear and concise.
It is refreshing to find a Forex Manual as good as this. A good system, a good price and guess what. It is a logical system relying on core technical fundamentals that withstands the test of time and comprehensive in its simplicity covering all aspects of a trading plam.
A true blueprint for success for all levels. After reading the rules they seem very logical to the point I will be using a demo account for a short period before having a serious bank to work from. I feel confident I have made the correct decision purchasing "50 pips a day". Will start practice run this coming week. I am a newbie and lots of systems make big promises. What I like the most is that I actually have to think before making the move.
My discretion and not auto pilot. Looking back over my charts I can see one distinct advantage of this method is that it will cut down on the number of trades thereby increasing the potential of the trades that do present themselves.
I downloaded 50 Pips Day a few days ago. I just got a chance to go through it. After testing it out a little on a practice account, it looks to be just the thing for which I've been looking. A straightforward strategy that is easy to implement and yields nice results.
Thanks for your help! This has proven to be a system I can follow and understand. Thank you so much for the simplicity. I can't tell you how much I've spent searching for something that was not so confusing and loaded down with complexity that I would eventually give up and put it on the shelf.
I'm already having great success. You have made it so much easier. I wanted to tell you I think it is very well written and easy to follow. This looks like a strategy I can actually use and I especially like the fact that it's based primarily on price action an no silly lagging indicators other than just the basic ones to ensure you're on the right side of the trend.
Thank you for offering this strategy to other traders. This is the first time I have felt comfortable that I may well have found the answer with "50 Pips a Day'. It seems to be very logical after reading it three times. Very easy to follow and a few unique twists that will be very helpful to newbies and experienced alike.
I have bought thousands of dollars worth of software, but nothing, and I mean nothing is as simple and reliable as this system for a newbie or experienced trader. Damn where were you 8 years ago? Thankyou sooo much Alan. If you can follow a few simple rules then you're halfway there!
I'm going to reveal a little of the strategy here. The strategy does this by making sure that we trade on pullbacks. Trading on pullbacks is core to the strategy and is why we have very small stop losses on our trades. The stoploss we get are usually in the 10 - 15 pip range. Which you know, if you're familiar trading Forex, is extremely small.
Trading foreign exchange on margin carries a high level of risk, and may not be suitable for all investors. The high degree of leverage can work against you as well as for you. Before deciding to invest in foreign exchange you should carefully consider your investment objectives, level of experience, and risk appetite. The possibility exists that you could sustain a loss of some or all of your initial investment and therefore you should not invest money that you cannot afford to lose.
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If you own a home in a flood-prone area, you will want to protect that asset from the risk of flooding — to hedge it, in other words — by taking out flood insurance. There is a risk-reward tradeoff inherent in hedging; while it reduces potential risk, it also chips away at potential gains.
Put simply, hedging isn't free. In the case of the flood insurance policy, the monthly payments add up, and if the flood never comes, the policy holder receives no payout. Still, most people would choose to take that predictable, circumscribed loss rather than suddenly lose the roof over their head. A perfect hedge is one that eliminates all risk in a position or portfolio. This is more an ideal than a reality on the ground, and even the hypothetical perfect hedge is not without cost.
Basis risk refers to the risk that an asset and a hedge will not move in opposite directions as expected; "basis" refers to the discrepancy. Derivatives are securities that move in terms of one or more underlying assets ; they include options. The underlying assets can be stocks, bonds. Derivatives can be effective hedges against their underlying assets, since the relationship between the two is more or less clearly defined.
Without the option, he stood to lose his entire investment. The effectiveness of a derivative hedge is expressed in terms of delta. Using derivatives to hedge an investment enables for precise calculations of risk, but requires a measure of sophistication and often quite a bit of capital. Derivatives are not the only way to hedge, however.
Strategically diversifying a portfolio to reduce certain risks can also be considered a—rather crude—hedge. For example, Rachel might invest in a luxury goods company with rising margins. She might worry, though, that a recession could wipe out the market for conspicuous consumption.
One way to combat that would be to buy tobacco stocks or utilities, which tend to weather recessions well and pay hefty dividends. This strategy has its tradeoffs: It also has its risks: They could both drop due to one catastrophic event, as happened during the financial crisis. This Factsheet provides an overview of commonly-used price risk management tools as well as concise and easily understandable definitions of terms used by those providing risk management advice. Futures markets are price discovery and risk management institutions.
In futures markets, the competing expectations of traders interact to discover prices. In so doing, they reflect a broad range of information that exists on upcoming market conditions. Futures markets are actually designed as vehicles for establishing future prices and managing risk so you can avoid gambling if you want.
For example, a wheat producer who plants a crop is, in effect, betting that the price of wheat won't drop so low that he would have been better not to have planted the crop at all.
This bet is inherent to the farming business, but the farmer may prefer not to make it. The farmer can hedge this bet by selling a wheat futures contract. Futures contracts are sometimes confused with forward contracts. While similar, they are not at all the same. A forward contract is an agreement between two parties such as a wheat farmer and a cereal manufacturer in which the seller the farmer agrees to deliver to the buyer cereal manufacturer a specified quantity and quality of wheat at a specified future date at an agreed-upon price.
It is a privately negotiated contract that is not conducted in an organized marketplace or exchange. Both parties to a forward contract expect to make or receive delivery of the commodity on the agreed-upon date. It is difficult to get out of a forward contract unless the other party agrees.
All forward contracts specify quantity, quality and delivery periods. If any of these conditions are not met, the farmer will usually have to financially compensate the buyer. It is essential you understand your legal obligations before entering into a forward contract in case you cannot meet the conditions of the contract.
Futures contracts, while similar to forward contracts, have certain features that make them more useful for risk management. These include being able to extinguish contract obligations through offsetting.
In fact, very few futures contracts are ever delivered upon. Futures contracts are traded on organized exchanges in a variety of commodities including grains, livestock, bonds and currencies.
They are traded by open outcry where traders and brokers shout bids and offers from a trading pit at designated times and places. This allows producers, users and processors to establish prices before commodities are traded. Futures prices are forecasts that can and do change according to a variety of reasons, such as crop or weather reports.
Hedgers are people who produce, process or use commodities and want to reduce their price risk or establish prices for commodities they will trade in the future. Speculators are people who attempt to profit through buying and selling, based on price changes, and have no economic interest in the underlying commodity.
Futures contracts have standardized terms established by the exchange. These include the volume of the commodity, delivery months, delivery location and accepted qualities and grades. The contract specifications differ, depending on the commodity in question. This standardization makes it possible for large numbers of participants to trade the same commodity, which also makes the contract more useful for hedging.
It helps to study speculation first - trading futures without an interest in the underlying commodity - in order to understand hedging.
You might take a short position sell futures , and if the price falls, profit from offsetting with a long position buying back futures:.
The business of a crop producer is to raise and market grain at a profitable price. As with any business, some years provide favorable profits and some years do not. Profit uncertainty for crop producers arises from both variance in the cost of production per bushel especially from yield variability and uncertainty of crop prices.
Many techniques are used by producers to reduce risk from production loss. These may include adequate size of machinery, rotating crops, diversification of enterprises, planting several different hybrids, crop insurance, and many others. Crop producers also have marketing techniques which can reduce the financial risk from changing prices.
Rising prices generally are financially beneficial to producers and falling prices are generally harmful. However, it is never known with certainty whether prices will rise or fall. Futures hedging can help establish price either before or after harvest. By establishing a price, the producer protects against price declines, but also generally eliminates any potential gain if prices rise.
Thus, through hedging with futures, producers can greatly reduce the financial impact of changing prices. Prices of corn and soybeans are established in two separate but related markets. The futures market trades contracts for future delivery. These future contracts are traded at a commodity exchange and are for a specific time contract delivery month , place primarily Chicago, Illinois , grade 2 yellow shelled corn , and quantity 1, or 5, bushel contract sizes.
The cash market is where the physical grain is handled by firms such as country elevators, processors, and terminals. The term basis refers to the price difference between the local cash price and the futures price. The basis is different at alternative marketing locations. Thus, for effective marketing, it is important to be aware of the local basis at country elevators, as well as at nearby processors or terminals. Local cash prices thus reflect two components: Figure 1 helps illustrate this point.
It is helpful to think of local cash prices in terms of the futures component and the basis component when examining marketing alternatives. Producer hedging involves selling corn futures contracts as a temporary substitute for selling corn in the local cash market. Hedging is a temporary substitute, since the corn will eventually be sold in the cash market. Hedging is defined as taking equal but opposite positions in the cash and futures market. For example, assume a producer who has harvested 10, bushels of corn and placed it in storage in a grain bin.
By selling 10, bushels of corn futures the producer is in a hedged position. In this example, the producer is long owns 10, bushels of cash corn and short sold 10, bushels of futures corn. Since the producer has sold futures, price has been established on the major component of the local cash price. This can be seen in Figure 1, which illustrates that the futures component is the most substantial portion of the local cash price.
Selling futures in a hedge leaves the local basis unpriced. Thus, the final value of the corn is still subject to fluctuations in local basis. However, basis risk variation is much less than futures price risk variation. By selling futures, the producer has eliminated the financial loss which would occur on the cash grain from a futures price decline. The hedge position is removed or lifted when the producer is ready to sell the corn in the cash market.
It is lifted in a simultaneous two-step process. The producer sells 10, bushels of corn to the local grain elevator and immediately buys back the futures position.
The purchase of futures offsets the original short sold position in futures, and selling the cash grain converts the position to the cash market. Hedging involves taking opposite but equal positions in the cash and futures markets.
If you own 10, bushels of corn as discussed above, you are long cash corn. If you sell 10, bushels of corn on the futures market you are short corn futures. If the price increases as shown in Figure 2, the value of the cash corn also increases. However, the futures contract incurs a loss because you sold short corn futures and now have to buy corn futures at the higher price to close out the futures position.
If both the cash and futures prices increase by the same amount, the increase in the value of the corn will exactly offset the loss in the futures market. The net price received from the hedge is exactly the same as the cash price when the hedge was initiated not including trading cost, interest on margin money, or storage costs. If the price decreases as shown in Figure 3, the value of the cash corn also decreases.
However, the futures contract results in a gain because you sold short corn futures and now can buy corn futures back at a lower price to close out the futures position. If both the cash and futures price decrease by the same amount, the decrease in the value of the corn will exactly offset the gain in the futures market.
The net price received from the hedge is exactly the same as the cash price when the hedge was initiated not including trading cost, interest on margin money, and storage costs. The difference between the cash price and the futures price is the basis. The basis in the illustrations in Figure 2 and 3 is the same when the hedge is lifted as when it was initially placed. However, if the basis is smaller when the hedge is lifted as shown in Figure 4, the gain in the cash market will be greater than the loss in the futures market and the net price received from the hedge will be slightly larger.
The outcome is the same if prices decline Figure 5. The loss in value of the cash grain will be less than the gain in the futures market resulting in a higher net price.
Basis usually narrows from harvest into the winter, spring and summer; resulting in a higher price. However, a higher price is needed due to the cost of storing grain past harvest. Whether the basis narrows and by how much is not known until the hedge is lifted. Although hedgers can lock in the futures price when they hedge, they are vulnerable to basis changes. Hedging can also be used to establish a price for a crop before harvest.
Assume the hedge is placed before harvest but lifted at harvest. The net price not including trading cost or interest on margin money is the futures price at the time the hedge is placed, less the expected harvest basis. If prices are higher at harvest, the higher cash price is offset by the futures loss.
If prices are lower, the futures gain is added to the lower cash price. If you are a grain processor or livestock producer needing grain for processing or feed, hedging can be used to protect against rising grain prices.
Once again hedging involves taking opposite but equal positions in the cash and futures markets. But in this case, you dont have grain that you plan to sell but rather plan to buy grain at a future time period to fill your processing or feed needs. Instead of selling futures at the time of placing the hedge, you buy futures.
So you own grain futures in the futures market but are short grain in the cash market will need grain but dont own any. If grain prices rise as shown in Figure 6, you make money in the futures market because you purchased futures and can now sell them at a higher price. However, the grain for processing or feed needs now cost more.
So the gain in the futures market offsets the increase in the grain purchase price. If grain prices drop as shown in Figure 7, the futures you purchased at the beginning of the period must now be sold at a lower price.
However, the grain for your processing or feed needs now cost less. So the loss in the futures market offsets the decrease in the grain purchase price. If the difference between the cash and futures prices remains the same over the hedging period, the loss in one market will exactly offset the gain in the other market not considering transaction and interest costs. Once hedging principles are understood, a key decision in the hedging process is selecting the right commodity broker.
A producer or processor should expect the broker to accurately and quickly execute orders and serve as a source of market information.
Most brokerage firms have weekly market reports as well as periodic in-depth research reports on the market outlook which may be useful in formulating a marketing strategy. Also, a commodity brokerage firm that is familiar with local cash market opportunities has some distinct advantages. It is extremely important that a broker understand how hedging and price risk management fit into the marketing program of the producer or processor. The producer processor , and the broker must realize that hedging is a tool to reduce price risk.
However, producers processors sometimes use futures markets to speculate on price changes and thus are exposed to increase price risk.
Generally, speculation and hedging should be done in two separate accounts. Inexperienced hedgers should seek a broker willing to help them increase their understanding of market mechanics. After selecting a broker, formulating a marketing plan, and opening a hedge account, the producer is ready to place trading orders.
The broker can supply information on the types of orders to place. Once the broker receives the order, it will be phoned or wired to the floor of the commodity exchange.
The order is relayed to a pit broker who will execute it in the trading pit, provided it is within the current market range. A confirmation of the executed order is then phoned or wired back to the local broker. Many brokerage firms can execute the order while the client waits on the phone for the confirmation price. To maintain a position in the futures market, producers processors must deposit margin money with the brokerage firm.
Initial margin requirements provide financial security to insure performance on the futures commitment. If the producer processor sells buys a contract in the futures market and the futures price subsequently rises declines , this represents a loss of equity in the futures position.
These higher lower prices may require additional funds to maintain the hedge position. In the futures market the margin position is updated each day. Margin calls should not be viewed as a loss but rather as part of the cost of insuring against a major price decline increase. In a producer hedged position, losses on futures contracts are offset by the increasing value of the physical grain inventory. In a processor livestock producer hedged position, losses on futures contracts are offset by lower priced cash grain purchases.
Although margin calls should not be viewed as a loss, they complicate a producers cash flow. If prices rise, the futures loss must be paid additional margin as the loss accrues. However, the additional value of the grain is not realized until the grain is sold when the hedge is lifted. For grain processors and livestock producers, falling grain prices can result in margin calls before the benefits of lower priced cash grain purchases are realized.
So, a cash flow problem may occur. Once the position is closed out, the producer is no longer required to maintain a margin account for that transaction. Thus the producer processor can received his margin deposits, plus minus futures profits losses , less brokerage fees. Additional planning guidance documents published. These documents follow the publication earlier this week of Everyone Counts: The aim of the document is to support CCGs in ensuring that every plan is as strong as it can be by designing an approach that aims to strike a balance between local determination of priorities and the NHS Commissioning Boards responsibility for oversight.
The contract is for use by commissioners when commissioning healthcare services other than those commissioned under primary care contracts and is adaptable for use for a broad range of services and delivery models. The Quality Premium will be set at up to? Some of these will be local priorities and some national, such as improving the care of people with dementia.
Safeguarding Adults A National Framework of Standards for good practice and outcomes in adult protection work [author: This document collects best practice and aspirations together into a set of good practice standards - which is intended to be used as an audit tool and guide by all those implementing adult protectionwork. Included are some examples of good practice from around the country and further examples are detailed in recent publications by the Practitioner Alliance against abuse of Vulnerable Adults PAVA.
This document is a multi-agency task, and contributions reflect the support from partner organisations. The document cites the relevant legal statutes, includes a glossary, references and publications and useful websites. One of a series of information sheets on dementia which can be purchased singly or in bulk at a discounted price.
The aims of the training are: This material comprises material for trainers and participants at the Stages 1 and 2 training sesions. Stage 1 introduces the Single Assessment, the types of assessment, and the issues of consent and sharing information.
Stage 2 comprises practical exercises on applying Single Assessment to daily work. Examples of forms are included. Person Centred Care, proposes that the Single Assessment Process means "far less duplication and worry" for the older person, is this reflected in practice?
Kim Baker] September This summary report is of a study conducted as part of an MA at Keele University; it is in two stages. Stage one consists of a literature review that raises issues concerning the implementation of SAP using evidence from previous research on assessments for older people. The literature review does not accompany this summary but is available in the full report from the author.
Stage two consists of a research project which involved interviewing older people; exploring the experience of older people assessed using the new process and collating views from professionals via a questionnaire. The Table of Contents are:. This joint guidance 4pp is intended to signpost key guidance concerning responsibilities for protecting patient information. Personal, organisational, NHS Connecting for Health and NHS responsibilities are outlined, with links to relevant website for full documentation for codes of practice and guidelines.
Jane Taubman] [Draft 1: Includes instructions for writing, keeping and sending records. Explains clearly which FACE forms should be used for different assessment levels. When choosing which forms to use, practitioners should first consider that the depth of assessment should be in proportion to the needs identified. This means the documents can be used in a flexible variety of orders, though the Background is the basic minimum. Holistic common assessment of supportive and palliative care needs for adults with cancer assessment guidance [authors: This guidance 21 pp has been prepared in response to Key Recommendation 2 in "Guidance on cancer services: The guidance is for practitioners and managers providing or co-ordinating care of adults with cancer, to enable a unified approach to the assessment and recording of patients' needs.
It is designed for healthcare teams to employ as a benchmark against which current local processes of assessment can be appraised. This document sets out the main features of the holistic assessment and provides the core content of the assessment. The assessment comprises five domains: Also available on the Department of Health website at dh. Holistic common assessment of supportive and palliative care needs for adults with cancer report to the National Cancer Action Team [authors: This report 38 pp describes the methods used to develop and test a national specification for the assessment process in supportive and palliative care, and presents the underlying philosophy and principles on which it is based.
It also sets out the framework employed to develop the detailed guidance for healthcare teams. Annex 1 notes the interface with current and future policy initiatives: Annex 4 outlines the methods used to develop item content for domains of need, and lists tools identified in the original scoping exercise. Code of practice on confidential personal information [author: Healthcare Commission] January The purpose of this Code is to promote understanding of the Commission's obligations and practices and to provide reassurance about their use of personal information necessary to enable them to carry out their work.
As such, it is an example of good practice in sharing confidential personal information. Code of Practice in Relation to Confidential Information [author: Commission for Social Care Inspection] The Code will be reviewed annually and the next scheduled review is due in October A shared care pathway for people with dementia [in Cornwall and the Isles of Scilly] [author: This shared care pathway is a step-by-step, multidisciplinary, multi-agency, planned approach to care delivery for people with dementia.
It stresses a needs-led person-centred approach and the requirement for ongoing objective assessments. It is intended that the pathway will form a central part of training programmes for delivering health and social care.
The pathway is made up of a number of elements with their guidance notes: A range of appendices provide more detailed practice guidance. It is designed to be a dynamic, continuously developing document, responding to changes in evidence and experience.
Comments regarding the content and usefulness of the pathway are invited, and a feedback form is included in the document. Produced with the aid of Health Action Zone funding by the Cornwall and Isles of Scilly health and social care communities.
Julian Legat] March These guidelines 24 pp are for health and social services staff in South Cumbria. Web Link1, 24 pp; Web Link 2, A5 size handbook using colour. A collection of 15 documents in support of the Single Assessment Process in Darlington including an information sharing protocol, person held record content sheet, 2 day training programme, pre-training planning day, facilitator's timetable, buddy list, flow chart, GP practice referral form, learning and development framework, summary care plan, care plan reassessment, summary of need, contact assessment and overview assessment form and guidance,.
A new ambition for old age next steps in implementing the National Service Framework for Older People: Ian Philp] 20 April This resource document 62 pp from Professor Ian Philp, National Director for Older People, Department of Health sets out the priorities for the next phase of reform under three themes: It consists of ten programmes driven nationally and covers the second half of the 10 year National Service Framework for Older People.
It notes that there has been extensive engagement of health and social care practitioners and managers who have agreed local solutions to meeting SAP requirements. It refers to the White Paper, "Our health, our care, our say" Cm ; TSO, , which states that a Common Assessment Framework will be developed as a needs assessment for all adults with long-term conditions.
This document includes the text of the related report same title, 24 pp , augmented, and with Appendices and Annexes. It outlines the contents of previous reports relating to the NSF; and refers to examples of work on implementing the NSF in some localities.
Tel In , the Department of Health established an accreditation process for off-the-shelf assessment tools that have been developed by independent bodies for national use in overview assessment of older people's needs under the Single Assessment Process SAP.
An independent Accreditation Panel evaluated tools against a set of criteria, as listed in this document. Following the last meeting of the Panel on 7July , six tools have now achieved full accreditation: Tools that applied for accreditation but were unsuccessful were: This document 3 pp relates to the Care Programme approach CPA , which should be applied to older people with severe mental illness due to schizophrenia or other psychoses.
SAP, plus critical aspects of CPA, should be applied to other older people with severe functional or organic mental health problems, who, were they younger, would be provided for under CPA. The application of CPA to older people with depression, dementia and other mental health problems is detailed in an annex.
The Current Summary Record CSR is the means by which case information on an older person is stored and shared, subject to consent and confidentiality, among health and social care professionals. The change of name from the Single Assessment Summary is explained in the introductory note and the flowchart. Practice guidance for councils with social services responsibilities, in support of "From lip service to real service" Department of Health, This audit tool has been prepared in the context of the National Service Framework for Older People NSF , to act as practice guidance for all councils with social service responsibilities and other local stakeholders aiming to improve services for minority ethnic older people.
The main part of the audit tool is a diagnostic questionnaire covering: Local authority circular LAC 1 [Author: Denise Platt] 28 January Its purpose is to ensure that older people receive appropriate, effective and timely responses to their health and social care needs, and that professional resources are used effectively. The first part comprises summaries of the key implications of the guidance for the following groups: The second part, Guidance for local implementation, summarises what local NHS and councils need to do.
The third part, Annexes, give details on a range of implementation and practice matters, including the criteria that localities should use when reviewing and reporting on their progress with implementation. Key attributes of the soingle asessment process; Annex B, Key implications for older people and professionals; Annex C, Criteria for evaluating local approaches in assessment and implementation milestones; Annex D, Shared values; Annex E, Stages of assessment; Annex F, The domains of the single assessment process; Annex G, Joint working arrangements; Annex H, Assessment and admission to care homes for older people; Annex I, The single assessment summary; and Annex J, A strategy for joint staff development.
Final progress reviews are to be completed by 1 April , when the single assessment process will be implemented. Independence, choice and risk a guide to best practice in supported decision making 21 May This includes all NHS staff working in multi-disciplinary or joint teams.
The aim is to support empowerment through managing choice and risk. The executive summary and Section 1 introduce the ideas behind the guide: The document discusses how good approaches to risk and choice fit in with other policies and practices - for example, dementia and mental health problems - and with the needs of others such as carers.
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