Transcript Document

Developing a National Outcomes
Framework
Cathryn Thomas
SSIA Programme & Improvement Lead
An Outcomes Framework?
- Policy and political context
- Understanding and measuring an
outcome?
- Impact on practice
Sustainable Social Services for Wales:
A Framework for Action (SSS:FFA)
“We want to see social work and the relationship with the
social worker as a means of enabling people to make
changes in their lives”
“We know that social workers are not simply the deliverers
of pre-determined care, but co-creators of the support that
people need”.
The Social Services & Well-being (Wales) Act 2014
• Sets out the key priority of Welsh Government’s
intentions to promote independence and provide
service users with greater control
• Strong emphasis on empowering, recognising and
supporting the resources and autonomy of service
users and staff alike.
Part 2 General functions
Section 5. Well-being duty
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A person exercising functions under this Act must seek to promote the wellbeing of:– People who need care and support, and
– Carers who need support.
Section 8. Duty to issue a statement of the outcomes to be achieved
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The Welsh Ministers must issue a statement relating to the well-being of:a) People in Wales who need care and support, and
b) Carers who need support.
The statement must be issued within 3 years beginning with the date on
which the Act received Royal Ascent.
What well-being means
What people expect
Well-being
I know and understand what care, support and
opportunities are available to me
Also for children: “welfare” as that word is
interpreted for the purposes of the Children Act
1989
Physical and mental health and emotional wellbeing
I get the help I need, when I need it, in the way I
want it
I am healthy
I am happy
Also for children: Physical, intellectual, emotional,
social and behavioural development
Protection from abuse and neglect
I am safe and protected from abuse and neglect
Education, training and recreation
I can learn and develop to my full potential
I can do the things that matter to me
Domestic, family and personal relationships
I belong
I have safe and healthy relationships
Contribution made to society
I can engage and participate
I feel valued in society
What well-being means
What people expect
Securing rights and entitlements
My rights are respected
Also for adults: Control over day-to-day life
I have voice and control
I am involved in making decisions that affect my
life
My individual circumstances are considered
I can speak for myself or have someone who can
do it for me
I get care through the Welsh language if I need it
Social and economic well-being
I am supported to work
Also for adults: Participation in work
I have a social life and can be with the people that
I choose
I do not live in poverty
I get the help I need to grow up and be
independent
Suitability of living accommodation
I have suitable living accommodation that meets
my needs
A National Performance Measurement Framework
The Social Services Performance Management Framework Technical Group
considered the purpose of a performance measurement framework to:•
provide national, consistent and robust evidence in relation to the provision of
well-being outcomes that will evidence responsibility and accountability for local
delivery to the Welsh Ministers.
•
be outcomes focussed and drive the shift in service provision to focus on wellbeing outcomes for people.
and…….
• support local authority social services to secure well-being
outcomes for people, and use this evidence to drive service
improvement and learn and improve, including ensuring
commissioned services are right to meet the needs of the
population.
• underpin and inform the regulation and inspection regime.
Pilot Project to explore reporting on aggregated personal outcomes
Aim; to arrive at a small number of national measures which report on the
extent to which outcomes are being achieved for individuals
Challenge; to find a way to record and measure the extent to which
interventions deliver the changes needed for each individual and to aggregate
these up to provide a national picture against the national outcomes
Further consideration; how this looks for the authority, service, team, and
client group.
Coordinated and supported by SSIA, with technical support coming from Data
Unit Wales
The Working Group
Membership:Wrexham, Flintshire, Neath Port Talbot, Denbighshire,
Caerphilly, Monmouthshire, Blaenau Gwent , Bridgend
Welsh Government (policy, statistics and inspection),
NHS Informatics,
SSIA and Data Unit Wales
Life of the Project
Milestones
Timescales
Establish pilot sites & service cohorts
Aug 14 – October 14
Working Group agree structure and
process for recording
Sept 14 - Dec 14
Workforce training
Jan - March 15
Coaching and mentoring support
March - July 15
Authorities record outcomes
April - Sept 15
Working grp evaluate pilot and agree
recommendations
Oct - Nov 15
Report to WG technical group
Christmas 15
Likely key issues
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Degree of complexity we are able to create in
terms of reporting within project timescales
Understanding and skills base of front-line staff
and managers
Supportive ICT systems
Service cohort complexities
Departmental understanding and support
A Personal Outcome?
Outcomes are defined as what matters to people using services, as well as the
end result or impact of activities, and can be used to both plan and evaluate
activity. Personal outcomes are distinct from outcomes for services,
organisations or indeed nations.
So, by personal outcomes we mean the impact of support on a person’s life,
and not the outputs of services.
Performance measures have historically focused on activity indicators, on
inputs, outputs and processes, rather than outcomes for people.
For example
“Imagine making a birthday cake for a child. The inputs are the
ingredients eggs, flour, sugar and fruit, the process is the mixing and
baking, the output is the cake. The desired outcome is a happy child”.
“However, there has to be discussion with the child to see if the
outcome has been successful. The child may have wanted a chocolate
cake while you have made a fruit cake and the impact make’s the child
unhappy, not a successful outcome!
Source: Talking Points, (Cook and Miller, 2012).
Imagine wanting to learning to cook a meal.
The inputs are the having the ingredients, and the
process is preparing the meal.
The desired outcome is the impact on the individual of
being able to successfully prepare a meal.
Was the outcome successful? – discussion with client.
Developing skills and supporting the move
towards outcomes focused practice
Collaborative Communication Skills:
Rhoda Emlyn-Jones
Achieving Sustainable Change
A 3 day course which:• equips workers with the skills and strategies for
collaborative communication
• helps lower barriers and engage service users
• demonstrates clear direction and purpose in workers’
conversations with service users
• helps service users be more self motivated and build on
their own strengths and resources (clearly key to
citizen centred engagement)
But.........
It’s not enough on it’s own,
It’s not a stand alone solution because………..
…..successful embedding of this approach will
need service managers and wider the organisation
to understand what is being asked of front-line
staff and the impact this may have on service
delivery and recording
….and ongoing mentoring/support is essential!!
Talking Points
Early messages
• preparing the ground
•Recording
•Reporting
•Anaylsis
•Cultural shift
Group work and
feedback
Please consider
1. In terms of personal practice, score yourself
between 1 and 5 as to how ready you are to
practice within an outcomes focussed model
2. In terms of your team/service score yourself
between 1 and 5 as to how able your team is to
practice within an outcomes focussed model
3. What key messages would you like to feedback
to ADSSC and WG
Cathryn Thomas
SSIA Programme & Improvement Lead
[email protected]
www.ssiacymru.org.uk/outcomes