1. Alan Long Mears – from good to great through outcomes thinking

2. Mears Group

3. 210 responses from 113 Councils 75% said Time and Task system is an important blockage to development of outcomes thinking 90% say they pay on task and time system 13% say they pay by the minute LGIU has undertaken research into outcome based commissioning in care

4. The concept of outcome-focused services is highly valued but rarely delivered ‘Time-task’ models can cause a challenge in times of shrinking resources. Paying providers on a time basis gives them a poor incentive for investing in the maintenance and rehabilitation of service users Also pushes commissioners into a position where their only means of making savings is to reduce the hourly rate. Over time, this has a serious impact on care quality and on care workers. Defining and measuring outcomes is challenging, but possible. Relationships with providers are central to achieving better outcomes for individuals in receipt of care LGIU reports summary.

5. Quality is the best way to reduce long term cost Price for the delivery of outcomes not minutes Reward quality of care that delivers real long term cost reduction e.g. reduced residential care, fewer hospital admissions Integrate services together- Care, Assistive technology and Community equipment Accept we should be paid less if we don’t deliver outcomes Create the choice that service users want, not what is forced upon them Achieving great care needs change..

6. The system needs fundamental change not tinkering Needs much stronger partnership working between Providers, Commissioners and Service users Conclusion