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Introduction to Personal Outcomes and the Talking Points Approach

Introduction to Personal Outcomes and the Talking Points Approach. Dr Ailsa Cook ailsa.cook@ed.ac.uk. What do we mean by outcomes?. The impact or end result of service(s) on a person ’ s life

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Introduction to Personal Outcomes and the Talking Points Approach

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  1. Introduction to Personal Outcomes and the Talking Points Approach Dr Ailsa Cook ailsa.cook@ed.ac.uk

  2. What do we mean by outcomes? The impact or end result of service(s) on a person’s life The user or carer is involved in identifying desired outcomes = setting goals in partnership with services

  3. Inputs outcome output process

  4. Which outcomes? • Research with service users and carers identified most important outcomes across Community Care • University of York (1995-2005) • University of Glasgow (2004-2006) • JIT / VOCAL / East Renfrewshire (2006-2007) • Two outcomes frameworks underpin Scottish Government Community Care Outcomes Approach

  5. Outcomes: service user

  6. Outcomes: people living in a care home

  7. Outcomes: Carer

  8. Development of the Approach • Build on previous research at Universities of Glasgow and York • Work with JIT since 2006 • Workshops with 7 partnerships 2006 • Pilot work with 10 early implementer Partnerships 2007 – 2008 • Outcomes embedded in CCOF and NMIS • Name changed from UDSET – Talking Points late 2008

  9. Talking Points: Personal Outcomes Approach • Embeds focus on outcomes in day to day practice through: • Identification of outcomes important to service users / carers at assessment • Negotiating outcomes focussed care and support plans • Determining whether outcomes achieved at review, why/why not and what more can be done • Conversations about outcomes semi-structured and tailored to individual • Information on outcomes recorded at every stage through short narratives and tick boxes

  10. Exchange Model of Assessment EXCHANGE INFORMATION - Identify desired outcomes

  11. Talking Points: Personal Outcomes Approach • Information recorded at assessment, support plan and review used to ensure experiences of service users and carers included in: • Service improvement – what is working well, for whom and why? • Planning – what are the key issues facing client groups / communities? How do services need to change to address these? • Performance management – are we delivering good outcomes for service users and carers in this service / partnership? • Commissioning and contract management – which providers deliver the best outcomes? • Qualitative and quantitative data on individual outcomes gathered systematically and consistently • Information used in a range of ways • Maximising outcomes for individuals • Service improvement / staff development • Planning, commissioning, performance management • Staff training and feedback essential to data quality

  12. Dimensions of change implementing an outcomes approach Performance Improvement

  13. Progress in implementation • Almost all partnerships and approx 40 providers using Talking Points approach • From whole systems implementation to focussed / early pilots e.g. intermediate care • Consensus on principles and philosophy underpinning approach • Considerable shared learning on effective implementation • Increasing alignment across policy areas, nb scrutiny bodies, reshaping care, LTC, dementia strategy, SDS • Support for implementation via JIT website and COP • Continued development work nb commissioning, communication, engagement with health, pilot in care homes

  14. Is it making a difference? • Lots of evidence that service users and carers feel more listened to and empowered • Growing numbers of individuals whose lives have been transformed • Staff doing their job the way they want • Organisations working and thinking differently • Supports personalisation, re-ablement, community capacity building • People realise getting the views of service users and carers • Essential • Possible

  15. Implementation with people with dementia • Semi-structured nature of approach inclusive to people with dementia • Communication tools such as Talking Mats have been used to support work • Successful implementation with providers and assessment and review teams (including in care homes) • Non specialist staff required additional support to include people with dementia in approach • Lack of confidence and experience at engaging with people with dementia • Time for relationship building and more exploratory approach to capturing info needs to be protected

  16. Talking Mats

  17. Support for implementation • Material and resources posted on JIT website (http://www.jitscotland.org.uk/action-areas/user-and-carer-involvement/) • NB digital stories • Communication Skills (communication difficulties and outcomes focussed conversations) • Using Outcomes Data • Care Home Pilot and Framework (coming soon) • Community Care Outcomes Community of Practice http://www.communities.idea.gov.uk/welcome.do

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