Presentation on theme: "Commissioning for Outcomes through an Asset-based model"— Presentation transcript:
1Commissioning for Outcomes through an Asset-based model WelcomeCommissioning for Outcomes through an Asset-based modelWelcome.Ready for Day 1 of 2?!
2WelcomeCONTEXT - Social Value Act - Commissioning Councils - Austerity measures - Return on investment (but not SROI) - One model across commissioning. - Presented to Commissioning Academy - VC Sutton training.Welcome.Ready for Day 1 of 2?!
3First things first… What is an asset based model? InitiateFirst things first… What is an asset based model?In Community Development:“Asset approaches make visible, value and utilise the skills, knowledge, connectionsand potential in a community. They promote capacity, connectedness, reciprocity andsocial capital. The aim is to redress the balance between meeting needs and nurturing the strengths and resources of people and communities.” (Glass Half Full, 2010)In Health & Wellbeing: “Asset working seeks ways to value the assets, nurture and connect them for the benefit of individuals, families and neighbourhoods. Instead of starting with the problems, it starts with what is working, what makes us feel well and what people care about. The more familiar deficit approach starts with needs and deficiencies and designs services to fix the problem and fill the gaps. This creates dependency and people can feel disempowered.” (Morgan et al. eds. Health Assets in a Global Context. Springer 2010).Put in context of a GP meeting a patient with suspected early onset dementia, a needs based model would focus on the illness. An assets based model would look at the assets within the individual. Could be good physical health, supportive family, community groups, good access to heritage sites. Etc.
440 Developmental Assets Investigate MAPS stumbled across 40 DA about 5 years ago.
5History of 40 Developmental Assets InvestigateHistory of 40 Developmental AssetsCreated in 19902.2 million young people over timeMost widely used approach to positive youth development in the United StatesGrounded in extensive research in youth development, resiliency, and prevention.Represent the relationships, opportunities, and personal qualities that young people need to avoid risks and to thrive.Started with young people but now extends beyond and has been adapted to be appropriate for all ages.
6Reasons for using Assets InvestigateReasons for using AssetsUser friendly.Great tool for training, strategic planning, monitoring, goal setting and evaluation.Makes ‘soft outcomes’ measurableCompliments all sectors.Based on longitudinal researchIt works!
7Developmental Assets: EXTERNAL InvestigateSUPPORTSUPPORT Family support Positive family communication Other adult relationships  Caring neighbourhood Caring school/work climate  Family involvement in school/work Factors that a person has AROUND them that influence themEMPOWERMENTEMPOWERMENT Community values all people People as resources  Service to others  Safety Same thing with community assets – some communities require services to be in place to gain these assets.BOUNDARIES &EXPECTATIONSBOUNDARIES & EXPECTATIONS Family boundaries  School/work boundaries  Neighbourhood boundaries  Role models  Positive peer influence  High expectations CONSTRUCTIVEUSE OF TIMECONSTRUCTIVE USE OF TIME Creative activities  Youth/adult programmes  Faith community  Time at home 
8Developmental Assets: INTERNAL InvestigateCOMMITMENT TO LEARNINGAchievement motivation Work/school engagement Personal study Bonding to Work/school Reading for pleasure Factors that a person has WITHIN them that influences themPOSITIVE VALUESCaring Equality and social justice Integrity Honesty Responsibility Restraint Equal playing field – from a commissioning perspective it is helpful for putting assets in a specification.POSITIVE IDENTITYPersonal power Self-esteem Sense of purpose Positive view of personal future SOCIAL COMPETENCEPlanning and decision making Interpersonal competence Cultural competence Resistance skills Peaceful conflict resolution 
9Power to Protect Power to Promote InvestigatePower to ProtectPower to Promote
10PROBLEMATIC BEHAVIOUR (result of having less Assets)49% 27% 11% 3%49% 18% 6% 1%32% 21% 11% 3%61% 38% 19% 7%PROBLEM ALCOHOL USEUSE OF ILLICITDRUGSSEXUALACTIVITYVIOLENCEInvestigate0- 1011- 2021- 3031- 40Number of AssetsKEY:POSITIVE BEHAVIOUR(result of having more Assets)8% 17% 30% 47%36% 67% 74% 88%26% 47% 69% 89%50% 65% 77% 85%SUCCEEDSIN SCHOOLVALUESDIVERSITYMAINTAINSGOOD HEALTHEXHIBITSLEADERSHIPMake clear that % is THE LIKELIHOOD of problematic or positive behaviour.If we buy into the theory that we can use assets to achieve outcomes then how willing are we to change how we commission services to achieve them?Problematic = Protect fromPositive = Promote
13InitiateWhat does an Asset based model have to do with outcomes based commissioning?So, back to the original question.Refer back to CPI leaky roof example…
14Why Commission for Outcomes? InitiateInclusive process that encourages the participation of individuals and communitiesPlain language, common sense and easy to understandFocus on results not process - the ends not the meansAnswers the question “so what?”
16Neighbour with DIY skills Recommended local roofing company Leaking Roof (Results thinking in everyday life)Initiateinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing companyGreen things are assets – bucket, DIY skills, roofing company, etc.
17Higher level outcome: A safe and happy home Leaking Roof (Results thinking in everyday life)Initiateinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing companyinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing companyHigher level outcome:A safe and happyhomeHigh level outcome – a safe and happy homeA number of curves need to be turned to reach high level outcome (security, fridge, etc) – these act as sub-groups to reach the overall outcomeinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing companyinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing companySecurityWell stocked fridgeinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing companyinches of WaterTurning the CurveBucketNeighbour with DIY skillsRecommended local roofing company
18Commissioner Verification Local alignment - e.g. LB Sutton services for CYP with disabilitiesInitiateSafeguardingFocus on FamilyAchievements & AttainmentVulnerable ChildrenHealthy LivingCYP PLAN STRATEGICPRIORITIESWHOLE WHOLE WHOLE WHOLE WHOLEFamilyResilienceComplex NeedsSocialIntegrationIndependenceChallengingBehaviourDISABILITYOUTCOMESFOR CYPCommissioner VerificationCYPLD example to introduce these layers…Focus on second column as example (re: disabled YP…) – there are services commissioned for this.Back to the sailor in the boat – how does he relate to the high level outcome of ‘Healthy Living’? E.g. Works at a leisure centre running a swimming group for disabled YP – starts at a point of strength for how to achieve high level outcomes.Assets help provider perspective.SUBGROUP SUBGROUP SUBGROUP SUBGROUP SUBGROUPDELIVERYACHIEVEMENTProviderInformation(SI) Disabled children and young people’s need for additional adult support to access play and leisure is reduced(FR) Positive family relationships and routines are established and sustained(I) Disabled young people enter adult life equipped to achieve their potential in terms of health, education, employment and training, self-care, living independently, relationships and community participation(CN) Positive family relationships and healthy routines are established and maintained(CB) children and young people are provided with alternative strategies to manage anxiety, anger, frustrationASSETS ASSETS ASSETS ASSETS ASSETS
19RADA (Relative Assessment of Developmental Assets) ConsolidateExample of Impact Measurement ToolReal example re individual assets.Can use relevant subgroups/assets for outcomes rather than all 8 subgroups – can be combination of individual and community.User-friendly, user participation, visual.Advocacy example is a diamond – 4 areas – broad or specific as you like.Doesn’t negate other questions that need to be asked.Use for indiviudals/whole service/annual reviews.