Delivering Outcomes Alison Petch Director, research in practice for adults
Outcomes INDIVIDUAL OUTCOME = the impact of a service or other activity on an individual ie what difference does it make
Our Health, Our Care, Our Say Seven outcomes in the White Paper Improved health and well-being Making a positive contribution Economic well-being Freedom from discrimination Improved quality of life Choice and control Personal dignity
Outcomes – the context ‘merely restating the seven outcome headings does not provide the level of detail that is needed in order for performance objectives, targets and measures to be elaborated’ Henwood, Community Care SPRU (Social Policy Research Unit) outcomes programme DH MASCri (Modernising Adult Social Care research initiative) programme
SPRU – three types of outcomes MAINTENANCE – supporting an acceptable quality of life PROCESS – the way in which support is delivered CHANGE – the result of tackling barriers to achieving quality of life or reducing risks
User-defined outcomes (1) MAINTENANCE / QUALITY OF LIFE Safety Having things to do Social contact Staying as well as you can be Living where you want Living life as you want Dealing with stigma
User-defined outcomes (2) PROCESS – way in which support delivered Being listened to Valued and treated with respect Having choice Reliability Responsiveness
User-defined outcomes (3) CHANGE Reducing risk Regaining skills and confidence Regaining mobility
What service users want Holistic services that meet social, emotional and physical needs and build confidence Easy access to support when needed, including out of hours and weekends Support from specialist services A say in the nature, timing and location of service provision Good relationships with individual staff Good communication between staff and between different agencies
‘a good life’ People with well resourced, individualised packages of support report a good quality of life Advocacy is important for getting good support Integrated services generally meet the health needs of users
‘a good life’ Relationships with staff are very important to quality of life Choice, independence and opportunities to live a ‘normal’ life are valued Carers appreciate a one-stop shop which improves communication and the responsiveness of services