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Outcomes from social prescribing

Outcomes from social prescribing. Evidence from Southwark and elsewhere. Jane Harris 16 th May 2019. Overview. Why measure outcomes in social prescribing? How to choose which outcomes to measure How to choose useful measures of these outcomes What is currently being measured in Southwark?

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Outcomes from social prescribing

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  1. Outcomes from social prescribing Evidence from Southwark and elsewhere Jane Harris 16th May 2019

  2. Overview • Why measure outcomes in social prescribing? • How to choose which outcomes to measure • How to choose useful measures of these outcomes • What is currently being measured in Southwark? • Suggestions for effective indicators to use

  3. A useful way of thinking about outcomes: the logic model THEN IF MONITORING Inputs Activities Outputs Outcomes Impacts £ • The resources needed to implement the project / programme, e.g. staff The things the programme does The “products” that result from the activities The immediate consequences and change that are a result of the activities • The longer-term results in people’s lives or in a system, which the service or activity may contribute towards, but which go beyond the direct and immediate change

  4. The next step: identifying outcome measures to enable evaluation

  5. Outcomes being measured in Southwark OUTCOMES • Increased engagement in activities • Increased confidence • Increased happiness • Increased independence • Increased ability to manage own health • Improved home environment • Reduction in use of health services WAYS OF MEASURING • Case studies • Bespoke questionnaires (self- report) • Friends and Family Test • Onward referrals • Patient Activation Measure (?) • Number of GP appointments (PCN service) • Number of A&E visits (PCN service) • Hospital admissions (PCN service)

  6. Observations from the review so far • Many different approaches being taken to measuring outcomes. • Not many services are using validated outcomes measures. • Qualitative methods are most popular and in some cases these are most appropriate – for example, some people with dementia may not be able to complete questionnaires. • Sometimes there is confusion in reports between outputs and outcomes. • There are obvious challenges in devising an approach which is proportionate and feasible within the resources available. • In particular, we know it is challenging for voluntary organisations to develop systems for collecting information on outcomes. • Accessing health service usage data may be challenging, but worth doing – good partnership working is essential.

  7. Possible criteria for choosing outcome measures • Has it been validated and tested to ensure psychometric validity? This is important, because if it has not, the tool is not a reliable measure of the change the service is seeking. • Howlong does it take to complete? Ideally, we would not want to use measures that usually take longer than 5 minutes, as people are less likely to complete them. • Who is it aimed at? Is it a measure that is specific to a particular group, or can it be used across service user groups? • Is it widely used in similar services? If it is, findings from your service can be compared with findings from elsewhere. • Is it free to use? If there is an equivalent measure which is free there will be no need to incur cost. • Are there any other considerations? For example, how has the measure generally been received by service users?

  8. Possible tools to use

  9. Finally • Thank you and any questions? Jane Harris janeharris@cordisbright.co.uk 020 7330 9170

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