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Personal outcome approaches
Yvette BurgessHousing Support Enabling Unit
Overview
Talking points and Better Futures: side by side
Personal plans
Personal outcomes
Prevention
Talking Points
Quality of Life
Feeling safe
Having things to do
Seeing people
Staying as well as you can be
Living where you want / was you want
Dealing with stigma and discrimination
Change
Improved confidence
Improved skills
Improved mobility
Reduced symptoms
Process
Listened to
Having a say
Treated with respect
Responded to
Reliability
Better Futures: 5 goals
Accommodation
Health
Safety and Security
Social and Economic Wellbeing
Employment and meaningful activity
Aspects common to Better Futures and Talking Points
Importance of the conversation – not a tick box exercise
Flexibility built in – range of outcomes
Charting a journey – one that is relevant to the individual
Skills associated with leading this conversation
Better Futures: promoting individual outcomes and reflection
Scale 0 to 4 used
Targets set individually
Timescale for achieving targets varies
Reviews : as frequently as is relevant but at least 6 monthly
Graphics designed to assist individual reflection
Counterfactual
Questions
How do you currently identify outcomes important to individuals?
How are you recording these?
How to you find people relate to the approach you are taking?
To what extent are you developing your approach in conjunction with commissioners who are funding services?
Outcomes – this time it’s personal!
What matters for older peopleFeeling safeHaving meaningful things to do and opportunities to
meet and support each otherStaying as well as possibleLiving where and how you want toEliminating or dealing with discrimination and
stigmaBeing listened to, having your say in
services/supports - and being treated with respect and dignity
Review of Community Care Outcomes Framework
> build on the learning from the Community Care Outcomes Framework to inform the development and use of a single suite of outcomes and indicators, for both reshaping Care for Older People and the Integration of Health and Social Care, particularly in relation to personal outcomes,
> to continue to encourage and support local use of the Talking Points: Personal Outcomes Approach to focus practice on personal outcomes and to draw information from that process to inform performance management and joint commissioning
> to support local partnerships to take a whole systems approach in their use of the single suite of outcomes and indicators, and
> to promote the use of contribution analysis at local level to develop logic models for use in devising local joint performance management frameworks
4 ingredients of integration recipea) Nationally agreed outcomes that apply across adult health and social care;
b) Joint accountability to Ministers, local government Leaders and the public for delivery of those outcomes;c) A single integrated budget for each partnership that includes community health, adult social care and elements of acute spend; d) Strong clinical and professional leadership, and engagement of the third sector, in commissioning and planning of services.
Personal Outcomes Approach – next stepsPersonal outcomes clearly not often the
responsibility of one agencyIntegration of Health and Social Care for all adults One suite of outcomes – to include personal
outcomesNHS developing a person-centred health and care
programmeCare homes outcomes framework to be embedded
in new National Care Home Contract Service Specification
