1. Delivering Outcomes Alison Petch Director, research in practice for adults

2. Outcomes INDIVIDUAL OUTCOME = the impact of a service or other activity on an individual ie what difference does it make

3. 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

4. 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 2.3.2006 SPRU (Social Policy Research Unit) outcomes programme DH MASCri (Modernising Adult Social Care research initiative) programme

5. 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

6. 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

7. User-defined outcomes (2) PROCESS – way in which support delivered Being listened to Valued and treated with respect Having choice Reliability Responsiveness

8. User-defined outcomes (3) CHANGE Reducing risk Regaining skills and confidence Regaining mobility

9. 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

10. ‘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

11. ‘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