1 Outcomes Focussed Practice; the Paradigm shift in Public Services Rob Hutchinson, CBE April 2007 Based on Results Based Accountability (Mark Friedman )

2 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 Every Child Matters HM Treasury, 2003

3 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

4 Children & Young People Leadership at every level Shared Vision Involvement of children & young people Children’s Trusts involve… Source: DfES

5 Outcomes Accountability is made up of two parts : Service Effectiveness about the well-being of CLIENT POPULATIONS For Programmes – Agencies – and Service Systems Community Wellbeing about the well-being of WHOLE POPULATIONS For Communities – Cities – Counties – States - Nations

6 Outcomes Accountability COMMON LANGUAGE COMMON SENSE COMMON GROUND

7 THE LANGUAGE TRAP Too many terms. Too few definitions. Too little discipline Benchmark Target Indicator Goal Result Objective Outcome Measure Modifiers Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic Lewis Carroll Center for Language Disorders

8 DEFINITIONS RESULT or OUTCOME INDICATOR or BENCHMARK PERFORMANCE MEASURE Children born healthy, Children succeeding in school, Safe communities, Clean Environment, Prosperous Economy Rate of low-birthweight babies, crime rate, air quality index, unemployment rate 1. How much did we do? 2. How well did we do it? 3. Is anyone better off? A condition of well-being for children, adults, families or communities. A measure which helps quantify the achievement of a result. A measure of how well a programme, agency or service system is working. Three types: = Customer Results

9 From Ends to Means From Talk to Action ENDS MEANS RESULT or OUTCOME INDICATOR or BENCHMARK PERFORMANCE MEASURE Customer result = Ends Service delivery = Means

10 1. Safe Community 2. Crime Rate 3. Average Police response time 4. A community without graffiti 5. % of surveyed buildings without graffiti 6. People have living wage jobs and income 7. % of people with living wage jobs and income 8. % of participants in job training who get living wage jobs IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE? RESULT INDICATOR PERF. MEASURE RESULT INDICATOR RESULT INDICATOR PERF. MEASURE

11 POPULATION ACCOUNTABILITY For Communities

12 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

13 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

14 MEANS not ENDS 1. COLLABORATION 2. SYSTEMS REFORM 3. SERVICE INTEGRATION 4. DEVOLUTION 5. FUNDING POOLS To Improving ResultsIn Themselves

15 The Matter of Baselines H M OK? L O O Point to Point Turning the Curve History Forecast Baselines have two parts: history and forecast

16 Rebound

17 Performance Measures Against the Portsmouth 8 Baseline

18 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 Practical Steps to Change Children’s Lives

19 DfES Toolkit Turning the Curve Toolkit: – and-practice/EP00201/ and-practice/EP00201/

20 Performance Accountability For Services

21 How Much did we do? ( # ) How Well did we do it? ( % ) QuantityQuality Programme Performance Measures

22 How much did we do? Programme Performance Measures How well did we do it? Is anyone better off? Quantity Quality Effect Effort # %

23 How much did we do? Not All Performance Measures Are Created Equal How well did we do it? Is anyone better off? Least Important Quantity Quality Effect Effort 2 nd Most Important 3 rd Most Important Most Important Least Most

24 How much did we do? Drug/Alcohol Treatment Programme How well did we do it? Is anyone better off? Number of persons treated Percent of staff with training/ qualification Number of clients off alcohol & drugs - at discharge - 12 months after discharge Percent of clients off alcohol & drugs - at discharge - 12 months after exit Quantity Quality Effect Effort

25 How much did we do? Separating the Wheat from the Chaff How well did we do it? Is anyone better off? # Clients/customers served # Activities (by type of activity) % Common 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 % Skills / Knowledge (e.g. parenting skills) # % Attitude / Opinion (e.g. toward drugs) # % Behaviour (e.g.school attendance) # % Circumstance (e.g. working, in stable housing) # % Activity-specific measures e.g. % timely, % clients completing activity, % correct and complete, % meeting standard Point in Time vs. Point to Point Improvement Types of Measures Found in Each Quadrant