Transcript Slide 1

Outcomes Focussed Practice;
the Paradigm shift in Public Services
Rob Hutchinson, CBE
April 2007
Based on Results Based Accountability
(Mark Friedman )
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www.resultsaccountability.com
www.trafford.com
www.raguide.org
Every Child Matters – what is it about?
• Response to Laming enquiry into the death of Victoria
Climbie – lack of accountability and no sharing of
information
• Improving outcomes for ALL children, and narrowing the
gap between those who do well and those who do not
• Strengthening the links between well being and
educational attainment
• Improving and integrating universal services
• Strong focus on families and parenting
• Earlier interventions and effective protection
• More specialist help to promote opportunity and prevent
problems
• Reconfiguring services around the child and family
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Every Child Matters HM Treasury, 2003
Children’s Trusts as Catalysts for Local Change
• Children and young people at the centre, within
communities
• Integrated people – staff trained with a common
core, multi-disciplinary teams, co-location and a
lead professional
• Integrated processes – information sharing and
common assessment
• Integrated systems – planning and commissioning
with pooled resources
• Inter-agency governance – director of children’s
services and lead member for children’s services
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Children’s Trusts involve…
Shared Vision
Children &
Young
People
Source: DfES
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Outcomes Accountability
is made up of two parts:
Community Wellbeing
about the well-being of
WHOLE POPULATIONS
For Communities – Cities – Counties – States - Nations
Service Effectiveness
about the well-being of
CLIENT POPULATIONS
For Programmes – Agencies – and Service Systems
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Outcomes Accountability
COMMON LANGUAGE
COMMON SENSE
COMMON GROUND
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THE LANGUAGE TRAP
Too many terms. Too few definitions. Too little discipline
Benchmark
Outcome
Result
Modifiers
Indicator
Measurable Core
Urgent
Qualitative
Priority
Programmatic
Targeted
Performance
Incremental Strategic
Systemic
Objective
Measure
Target
Lewis Carroll Center for Language Disorders
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Goal
DEFINITIONS
RESULT or OUTCOME
A condition of well-being for
children, adults, families or communities.
Children born healthy, Children succeeding in school,
Safe communities, Clean Environment, Prosperous Economy
INDICATOR or BENCHMARK
A measure which helps quantify the achievement of a result.
Rate of low-birthweight babies, crime rate, air quality index,
unemployment rate
PERFORMANCE MEASURE
A measure of how well a programme, agency or service system is
working.
Three types:
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1. How much did we do?
2. How well did we do it?
3. Is anyone better off? = Customer Results
From Ends to Means
From Talk to Action
RESULT or OUTCOME
ENDS
INDICATOR or BENCHMARK
PERFORMANCE MEASURE
Customer result = Ends
Service delivery = Means
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MEANS
IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE?
RESULT
1. Safe Community
INDICATOR
2. Crime Rate
PERF. MEASURE 3. Average Police response time
RESULT
INDICATOR
4. A community without graffiti
5. % of surveyed buildings without graffiti
RESULT
6. People have living wage jobs and income
INDICATOR
7. % of people with living wage jobs and income
PERF. MEASURE 8. % of participants in job training who get living
wage jobs
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POPULATION
ACCOUNTABILITY
For Communities
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Results for All Residents
of the Nation, County, City or Neighbourhood
● A Prosperous Economy
● A Clean Environment
● Healthy and Safe Communities
● Children Ready for and Succeeding in School
● Parents and Other Adults Healthy and Self-Sufficient
● Older People Living with Dignity in Setting of Their Own
Choice
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Outcomes
• 5 Outcomes:
(Supported by parents, carers and families)
* Stay safe
* Be healthy
* Enjoy and achieve
* Make a positive contribution
* Achieve economic well being
• Portsmouth 8:
Children and Young People should grow up -
* Having an active say in any development
* Healthy
* Emotionally secure and confident
* Having succeeded as far as they can at school
* Having facilities and opportunities to play safely
* Having stayed out of trouble
* Living in a safe place
* Having the opportunity to succeed in their dreams
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MEANS
not
ENDS
To Improving Results
In Themselves
1. COLLABORATION
2. SYSTEMS REFORM
3. SERVICE INTEGRATION
4. DEVOLUTION
5. FUNDING POOLS
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The Matter of Baselines
H
M
OK?
L
O
O
Point to Point
History
Turning the Curve
Forecast
Baselines have two parts: history and forecast
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Rebound
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Performance Measures Against the Portsmouth 8
Baseline
Indicator
Teenage conceptions
1998
1999
2000
2001
Infant mortality
1998
1999
2000
2001
Breastfeeding rates
2002
2001
2000
1999
1998
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Portsmouth
54.3
53.0
39.1
47.7
8.9
5.4
6.8
8.8
at birth
80.9%
70.7
69.7
69.5
66
National/local data
source
England
47.0
45.3
43.8
42.3
Wards in 1999
Charles Dickens 121.7
Fratton 76.6
Paulsgrove 71.2
England and Wales
5.7
5.8
5.6
5.5
For 3 month period
Apr-Jun03, 20%
mothers were
breastfeeding after 2
weeks and 13% when
baby was 6 weeks old
ONS (number/
1000 conceptions in
population
under 18 years)
ONS
(number
per 1000 live
births)
PHT – percent
mums
breastfeeding
their baby
Practical Steps to Change Children’s Lives
• Agree the Results/Outcomes you want
• Decide how to measure whether you have achieved them
• Draw up the data/facts/figures
• Create Community Boards
• Find new partners
• Agree priorities
• Build up the 1%
• Think from the child’s viewpoint and engage young people
• Develop Champions
• Aim for Tipping Point
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DfES Toolkit
Turning the Curve Toolkit:
– http://www.everychildmatters.gov.uk/resourcesand-practice/EP00201/
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Performance Accountability
For Services
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Programme Performance Measures
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Quantity
Quality
How
Much
How
Well
did we do?
did we do it?
(#)
(%)
Effect
Effort
Programme Performance Measures
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Quantity
Quality
How much
did we do?
How well
did we do it?
Is anyone
better off?
#
%
Effort
Not All Performance Measures Are Created Equal
Quantity
Quality
How much did we do?
How well did we do it?
Least
2nd Most
Important
Important
Effect
Is anyone better off?
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3rd Most
Important
Most
Important
Effort
Drug/Alcohol Treatment Programme
Quantity
Quality
How much did we do?
How well did we do it?
Number of
persons
treated
Percent of
staff with
training/
qualification
Effect
Is anyone better off?
Number of clients Percent of clients
off alcohol &
off alcohol &
drugs
drugs
- at discharge
- 12 months after
discharge
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- at discharge
- 12 months after exit
Separating the Wheat from the Chaff
Types of Measures Found in Each Quadrant
How much did we do?
How well did we do it?
# Clients/customers
served
% Common measures
# Activities (by type
of activity)
% Activity-specific
measures
e.g. client staff ratio, workload ratio, staff
turnover rate, staff morale, % staff fully
trained, % clients seen in their own language,
worker safety, unit cost
e.g. % timely, % clients completing activity,
% correct and complete, % meeting standard
Is anyone better off?
% Skills / Knowledge
#
#
#
#
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(e.g. parenting skills)
Point in Time
vs. Point to Point
Improvement
% Attitude / Opinion
(e.g. toward drugs)
% Behaviour
(e.g.school attendance)
% Circumstance
(e.g. working, in stable housing)