East Midlands Regional Outcomes Framework Sue Noon – Finance & Monitoring Team Leader – Nottingham City Beckie Pope – Business Support Officer – Nottingham City

One Framework National Framework Regional Framework Local Framework Sell it to Providers – one framework

Bringing it together

How it all began….. East Midlands ahead of the game – funding secured to develop a regional outcomes framework during 2006/07 Following the launch of CLG national outcomes framework in May 2007, EMRIG identified which of the (then) 198 national indicators were relevant to SP services and if and how the relevant NIs were being monitored. Project Board established – continued as Regional Outcomes Group

High Level Outcomes Achieve economic wellbeing Enjoy and achieve Be Healthy Stay safe Make a positive contribution

How did we choose what to monitor? Regional indicators were then developed to fill in the gaps. An initial set of regional indicators agreed for 2008/09.These were then refined for 2009 / 10 as a result of feedback from Providers and Administering Authorities. A selection of recommended indicators was created for each client group – but Administering Authorities could select more or different indicators based on local circumstances

Indicators for 2009/10 Support to reduce fuel poverty through improved fuel efficiency Support to develop parenting skills Moves from delayed discharge intermediate care settings Engagement with drug or alcohol treatment Under 18 pregnancy Improved/ maintained sexual health

Indicators for 2009/10 cont Smoking cessation Registration with GP / dentist Early access to maternity services Access to other primary health care Planned termination or sustainment of tenancy whilst in prison or hospital Repeat incidents of domestic abuse

Getting Started - Authority Provider Forum Client Groups Selection of 3 or 4 indicators Option to add local indicators for specific services or groups of services

Implementation: How should Providers be guided Guidance sheets on completion of the workbook and on the collection of the data. Training to be made available to providers Providers’ Forum – keeping providers informed Website Feedback/flexibility Provider representative on Regional group

The East Midlands Regional Book It helps us to keep in line with our ‘One Framework Approach’, as all our National, Regional and Local Data is recorded on the same workbook Provides a practical method of recording additional data without substantial extra work for Providers and SP teams It retains the look and feel of the National Workbook – as the Quarter pages are the same – and the new pages keep to similar fonts and colours. Separate sheet for the LPI’s/RPI’s

How can you set up the PI’s? Through the PI Configuration Page – which should be flexible enough to enter any new Local / Regional Performance Indicators with ease. We can add up to 30 Local and Regional Indicators if required, large enough for most/all authorities frameworks.

Flexible functionality Indicators can be created for individual client groups, and these can be manually overwritten for each service if required. The functionality within the workbook allows the provider to only see the questions relevant to their client group. So, its easier for ourselves and for our providers!

So what do we have? A workbook that looks similar to the National Workbook A workbook where outcomes frameworks can be entered quickly and changes can be made to the questions within a short time frame.

What Happens next Lincolnshire benchmarking tool Tested by three authorities All authorities to submit master workbooks for comparisons across the Region (Feb 10) Decide what will go in Regional Report

What happens next locally…. Can feed into: –Contract Management Process –Feedback good practice to providers –Benchmarking –Identifying trends

Nottingham examples Totals registered with a GP Qtr Total number of service users during the quarter Total number of service users on a local GP's list% Achieving

No of Service users being supported to manage their drug misuse Qtr Number of service users identified with drug misuse issues Number of those service users supported to better manage their drug misuse% Achieving

Support to develop parenting skills Qtr No of service users who needed support to develop parenting skills Number of service users supported to develop parenting skills% Achieving

Conclusion: Challenges along the way Size of Workbook – technical problems Getting providers on board Making sure team can be responsive and supportive Checking data quality Training – Providers and Team – Allow time Lessons learned – be flexible Investment of time regionally

Contacts Sue Francis – Beckie Pope – Luke Canvin – John Boyle – Thank you