1. A National Community Care Outcomes Framework
April 2008
Hello
Earlier this year the ISD Steering Group asked ISD to make HEAT a priority for the coming year;
I will explain what has been happening

2. Key messages National performance framework
Community care outcomes framework – based on widespread research - 6 key elements
Central role of high quality single shared assessment
Plans for roll out

3. How can outcomes help us?
Agreeing outcomes for a service sets out what it is trying to do for the people using the service.
We can measure outcomes, and supporting indicators, so we can see how well a service is doing.

4. A new National Performance Framework
During the last year the old accountability process for performance management called the Performance Assessment Framework has been replaced by a new policy and approach
NHS Boards now are engaged with the HD performance management function through the development of Local Delivery Plans for health improvement and health care
The new framework for performance management which is represented by the acronym HEAT
Little did you know …………Concorde……………!!!!
Single Outcome
Agreements (LAs)
Community Care
Outcomes
HEAT

5. ‘HEAT’ Health Improvement for the people of Scotland
Efficiency and Governance Improvements
Access to Services
Treatment Appropriate to Individuals

6. Community Care Outcomes Framework
4 national outcomes.
16 performance measures.
5 existing targets (more later?)
Making a start in
Rollout in 2008 – 09.

7. High-Level Outcomes For Community Care Services
Improved Health
Improved Social Inclusion
Improved Well Being
Improved Independence and Responsibility

8. Six interlocking themes
User satisfaction
Faster access
Support for carers
Quality of assessment and care planning
Pro-active work with people at risk of admission to hospital
Moving services closer to people who use services/patients

9. User defined outcomes Quality of life Process Change Feeling safe
Having things to do
Seeing people
Staying well
Life as want
Dealing with stigma
Listened to
Having a say
Treated with respect
Responsiveness
Reliability
Improved confidence and skills
Improved mobility
Reduced symptoms

10. Outcomes people want from community care services are embedded in the measures
Timely access to a high quality single shared assessment is crucial
10 of the measures a by-product of electronic single shared assessment
All of the measures are based on research into outcomes people want

11. Overarching community care indicator (29)
Increase the proportion of people needing care or support who are able to sustain an independent quality of life as part of the community, through effective joint working

12. Community care outcomes in national performance frameworks
2 targets and one standard in HEAT
One overarching indicator and 2 others available for use in SOAs
Partnerships expected to agree the
outcome(s) relating to community
care which will be included in Single
Outcome Agreements

13. Final thoughts Outcomes can really improve performance
They demand a person-centred and therefore
integrated approach
Single shared assessment absolutely pivotal for community care outcomes
It will feel challenging
We know it makes sense!