Measurable Outcome Based Planning Lee Mummery Learning & Development Advisor

Schedule  Transforming Lives  The legislative background  What is an outcome?  Types of outcomes  Stories, conversations and strengths  Measuring Outcomes

Shaping our Future: Transforming Lives Proactive, Preventative, Personalised Strength Based and Preventative Approach Strength Based Conversations / Gathering Life Stories Tiered interventions What natural support is available to meet the identified needs? What community based support is available to meet the identified needs? Right Skills, Right People

Outcomes: The legislative background Independence, Wellbeing & Choice Valuing People Think Local, Act Personal Care Act 2014 Self Directed Support, Person Centred Planning & Personalisation Our Health, Our Care, Our Say Putting People First

Outcomes  What is an outcome?  Does everyone mean the same thing by the term outcome?  Are there different types of outcomes?

What is an outcome?  Personal outcomes: e.g. “I want to improve my physical health  Organisation outcomes: We want our services to be person-centred and outcome focused  National outcomes: People are to be supported to maintain or improve their wellbeing

What is an Outcome? Personalised / individualised Something I want to achieve or happen GoalsAspirations

Does everyone mean the same thing by the term outcome? A task is not an outcome!

Different types of personal outcomes  Change outcomes: Outcomes that are aimed at making changes in relation to ones life. This can include progression towards independence, developing new skills, change ones living environment, becoming healthier, having a wider social life, being more involved in your community..  Maintenance outcomes: Outcome with a focus on maintaining ones current lifestyle, level of independence  Prevention outcomes: Outcomes aimed at preventing a future need (Social care, health, housing etc) ripfa 2014

Different types of outcomes – Time limited  An outcome can have a long or a short timescale, depending on what it is and depending on the person whom is trying to achieve it. The support they receive and can tap into is also a significant factor.  When undertaking crisis intervention work, we will often look to have time-limited outcomes that have a focus on supporting the person to manage the crisis and then return to their previous situation, whereby they were using their own strengths and resilience to manage day-to-day living

Personalised outcomes: Let’s start with a story

Let’s talk about…

The importance of conversation..

..an outcomes-focused approach must also be person-centred, placing the person at the centre of discussions from the outset, and finding ways to engage and empower them so that they are able to explain their concerns, problems and situation.  The person, their context, their history and desired outcomes can then be understood and they can discuss and negotiate with those supporting them, their desired outcomes and how they might be achieved.  Where people lack capacity their representative or independent mental capacity advocate (IMCA) will be involved. So by definition….

Outcome examples  I want to improve my physical health  I want to become more involved in my local community  I want to widen my social opportunities  I want to develop my day-to-day living skills  I want to become independent with my personal care  I want to feel safe in my own home  I want to live in a place that I choose

Making Outcomes Measurable  Specific (Tasks and actions needed to achieve the outcome)  Measurable (How will we measure progress?)  Achievable (Is the person able to do this? Are the given tasks and the timescale appropriate?)  Realistic (Is the person likely to succeed?)  Timed (Give an appropriate amount of time to achieve the outcome and set beginning and end dates)

Principals defining an outcome focused approach  Understand outcomes as the impact or end result of support and/or services on a person’s life:  BUT start by defining expectations and outcomes with the person  Support the Person to be as involved and influential as they are able  Focus on strengths and capabilities more than deficits  Identify the person’s role as well as other people and services in their life  Believing that the participation of the person is core to practice

Think about….  Preventative approaches to deliver wider life outcomes (For ineligible needs  Staged outcomes within support planning  Adopting the ‘Progression’ model and supporting people towards greater independence  Developmental outcomes  Time limited interventions

Being innovative  You are some of the best placed people to help individuals recognise and utilise their inner and outer strengths in achieving their outcomes What are peoples strengths?

Individual Strengths Circle of Support The Local Community Potential areas of individuals strengths

Outcomes  Many desired outcomes do not, on the face of it, fall within the remit of local authority social care services.  Partnership working with a range of other private, independent, voluntary and statutory agencies are necessary to support the range of outcomes desired, in a ‘whole-systems’ approach.

Outcomes  It is about harnessing the wider community, to meet desired outcomes of individuals.  This will rely on co-production

Integrated outcome planning Circle of Support You and other service providers Social Care Professionals Housing Education Employment Health Service User

Measuring Outcomes How do we measure outcomes? We look at the progress from where the person was to where they are now and we consider whether the outcome has been achieved Start Progress Outcomes

Measuring Outcomes  Outcome Achieved! Great!  Outcome not achieved?  Outcome still relevant & appropriate?  Revise or reset the outcome  Review the steps  Review and reset the tasks and involvements  Reset start and end dates and if appropriate, staged review points

Quality improvements everywhere!  It is well evidenced that using an outcomes focused approach can bring real quality of life improvements for people  But its also about the providers. United Response, a social care provider, used person-centred thinking tools to train staff. They reported that……. “Staff became even more enthusiastic about what they were doing, and this had a huge positive impact on the people we support” (Stirk & Sanderson 2012)

The End Any questions?