East Midlands Regional Outcomes Framework Sue Francis – Finance & Monitoring Team Leader – Nottingham Catherine Flint – Acting Commissioning Manager – Nottinghamshire Beckie Pope – Business Support Officer – Nottingham Ryan Esson – Supporting People Monitoring Officer - Derby

What is an Outcome? Outcomes can be expressed as changes in or for individuals, organisations or communities and can be defined as ‘A change over time that can be measured or evidenced’ Outcomes are changes that indicate whether an organisation has made progress towards achieving its aims. Outcomes help to measure to what extent a service makes a difference to the service users and therefore are essentially linked to monitoring and evaluation procedures.

High Level Outcomes Achieve economic wellbeing Enjoy and achieve Be Healthy Stay safe Make a positive contribution

One Framework National Framework Regional Framework Local Framework Sell it to Providers – one framework

Bringing it together

Benefits of an outcomes focus Ensures needs of service users are met as well as possible within available resources AND: Facilitates better commissioning & contract management Allows understanding of value of individual services Reduces bureaucracy by focussing on results rather than processes Allows links to be developed between SP and wider strategic goals, in particular those set in each authority’s Local Area Agreement and demonstrates the importance of SP services in meeting targets

Benefits of a regional outcomes focus A common approach CAN : Allow comparison and benchmarking of outcomes data across multiple authorities, making the data collected more useful Support regional and cross authority strategies and targets Reduce bureaucracy in providers in multiple authorities Reduce the development & administration costs for Administering Authorities

9 Regional Teams - a mix of unitary and two tier authorities Derby City Derbyshire Leicester City Leicestershire Lincolnshire Northamptonshire Nottingham City Nottinghamshire Rutland

How it all began….. East Midlands ahead of the game – funding secured to develop a regional outcomes framework during 2006/07 Project Board established – continued as Regional Outcomes Group Research undertaken on different outcomes monitoring models and providers consulted with During the life of the project CLG worked on development of the national outcomes framework (with input from East Mids project)

How did we choose what to monitor? Only practical method of recording additional data without substantial extra work for providers & SP teams was through the electronic workbook Initial basket of regional indicators drafted, expanding on the data collected through standard PIs – pilot project was undertaken

How did we choose what to monitor? Revised approach followed launch of CLG national outcomes framework in May 2007 NATIONAL INDICATOR SET – EMRIG identified which of the (then) 198 national indicators were relevant to SP services and if and how the relevant NIs were being monitored Regional indicators were then developed to fill in the gaps

How did we choose what to monitor? Set of regional indicators agreed for 2008/09 Recommended lists of indicators for each client group – but Administering Authorities could select more or different indicators based on local circumstances Option to add local indicators for specific services or groups of services

Continuing to develop the Framework Regional Outcomes Group (EMRIG sub- group) continues to meet Group includes provider representation Indicators and guidance amended for 2009/10

Indicators for 2009/10 Support to reduce fuel poverty through improved fuel efficiency Support to develop parenting skills Moves from delayed discharge intermediate care settings Engagement with drug or alcohol treatment Under 18 pregnancy Improved/ maintained sexual health

Indicators for 2009/10 contd Smoking cessation Registration with GP / dentist Early access to maternity services Access to other primary health care Planned termination or sustainment of tenancy whilst in prison or hospital Repeat incidents of domestic abuse

Processes How should the data be collected ? Identifying good practice for record keeping – validation visits Snapshots Specific address

How should Providers be guided Comprehensive Guidance Training to be made available to providers Providers’ Forum – keeping providers informed Website Feedback/flexibility Provider representative on Regional group Guidance on sheet

What happens to the data? Work in progress! Can feed into: –Contract Management Process –Feedback good practice to providers –Benchmarking –Identifying trends

How is it used? Protection of funding in changing SP landscape Used on: –Authority Level - LAA –Regional Level – GOEM –Service Level – Review Visual basic programme designed by Lincolnshire to drill down to detail pinpointing challenge and trends – Contact Available Can demonstrate the value of SP Services

The East Midlands Regional Book It helps us to keep in line with our ‘One Framework Approach’, as all our National, Regional and Local Data is recorded on the same workbook It retains the look and feel of the National Workbook – as the Quarter pages are the same – and the new pages keep to similar fonts and colours. Separate sheet for the LPI’s/RPI’s

How can you set up the PI’s? Through the PI Configuration Page – which (we believe) is flexible enough to enter any new Local / Regional Performance Indicators with ease. We can add up to 30 Local and Regional Indicators if required, large enough for most/all authorities frameworks.

Ease of access Indicators can be asked by individual client groups, and these can be manually overwritten for each service. The workbook also has the ability so the provider can only see the questions that they should be asked. So, its easier for ourselves and for our customers!

Importing the Workbook Dictionaries –PIs –Data Items –Targets Update workbook template Import/Upload as usual

So what do we have? A workbook that looks similar to the National Workbook A workbook where outcomes frameworks can be entered on quickly and changes can be made to the questions a service is asked very quickly A workbook that could be imported by a large percentage of authorities with a little work by the software suppliers.

Risks & Costs Size of Workbook – technical problems Costs of implementing/adapting workbook Getting providers on board Making sure team can be responsive and supportive Training – Providers and Team – Allow time Lessons learned – be flexible Above all Make it simple!

Contacts Sue Francis – Catherine Flint – Beckie Pope – Ryan Esson – Kevin Evans – Jez Allen Luke Canvin – John Boyle – Thank you