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Optimising Older
People’s Quality of Life:
an Outcomes Framework
Optimising Older People’s Quality of Life:
an outcomes framework
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Why an outcomes framework?
Where does this fit in? Who is it for?
Strategic outcomes model
Effective contributions to outcomes
Third sector contributions – Stitch in Time
Nested models
Monitoring & evaluation
Why an
Outcomes
approach?
National Outcome
‘Our people are able to maintain their independence as they get
older and are able to access appropriate support when they need it’
Outcomes Framework
Optimising Older People’s Quality of Life
Single Outcome Agreements /
Community Planning Partnerships
Integrated Health & Social Care
Partnerships
Outcomes for Older People
Health & Wellbeing outcomes
From Personal to National Outcomes
Outcome Level
Focus
Example
Individual / Personal
Defined by a person as what
change/improvement is
important to them in life
I want to be able to get
back to my walking group
Service / Project
Defined by a service as a key
change to work towards with
clients/users
We work with older people
to improve their ability to
get out & about
Organisational
Defined by organisations as a
priority aim/goal to work towards
The older people we work
with are more socially
included/ connected
Defined across organisations as
a shared outcome to work
towards
Older people are able to
maintain independent
living for longer
Defined by government as
priorities for cross-govt activity
We live longer, healthier
lives
(local authority, NHS
board, 3rd sector)
Local Partnership
(CPP, H&SC)
National
Source: Talking Points: Personal Outcomes Approach, JIT June 2012
Physical health
& function
Mental health & wellbeing,
staying positive and in control
Independent living
Healthy lifestyle,
Keeping active, eating well
Social environment
Secure & supportive
relationships
Participation in
community life
Making a positive
contribution
Physical environment
Housing, neighbourhood,
Transport/mobility
Feeling safe
What
Outcomes
are valued?
Financial/material security,
Key population groups
PREVENTION - Keeping
people healthy, active and
independent for longer EARLY INTERVENTION
- those whose health
and independence is at
risk /in transition
TREATMENT AND CARE those with high support
needs and their carers
Joint Strategic Commissioning
Joint Strategic Commissioning Learning Development Framework, JIT, Nov 2012
Good practice in outcomes-based JSC
Requires the capacity to –
• Co-produce an outcomes
framework with partners
Change/re-design
procurement processes so that
effective services/actions are
commissioned
• build the awareness and
capacity of local providers to
support and promote this
approach.
A Stitch in Time?
To explain the third sector's contribution to
Reshaping Care for Older People
• Overview model
• Nested models – e.g. Day care in West Lothian,
Community Transport in Edinburgh
• Case studies – e.g. Community Connecting
(Edinburgh), Reducing social isolation for older
people in Midlothian
• Literature reviews
• Indicator bank
For more information, see: A Stitch in Time...
Nested models
Monitoring and evaluation
Setting
Outcomes
Collecting
information
Evaluation Pathway
Learning from
your findings
www.evaluationsupportscotland.org.uk
Analysing and
Reporting
Contacts for further information
Scottish Government
[email protected]
Health Scotland
[email protected]
Evaluation Support Scotland
[email protected]