Results Based Accountability

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Results Based Accountability

• Richard Morton
• Partnership Support Unit, WLGA
• 07867 553757
• richard.morton_at_wlga.gov.uk

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Joint Partnership Event16th October 2009

• Introduce Results Based Accountability
• Discuss RBA Flying Start example

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Results Based Accountability
A disciplined way of embedding outcome based
decision making into planning, delivery and
accountability for partnerships and projects.

• RBA increasingly popular in UK and elsewhere . .
  .
• Turns talk quickly into actions
• Explains both collaborative and service
  accountability and how they fit back together
• Embeds performance management into planning and
  delivery

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Two Types of Accountability
Population Accountability collective or
collaborative responsibility for the well being
of populations (e.g. children in Cardiff,
families in BGSR)

• Performance Accountability the responsibility
  of a project or service for specific results for
  its clients (e.g. clients of a drug cessation
  programme)

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English National Indicator Set

• Outcome 4 Healthy Successful Adults
• (Population Accountability)
• NI131 Timeliness of social care assessment
• (Performance Accountability)

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3 Essential Definitions
Outcome is a condition of well-being for a
population (or sub-pop) stated in plain language
Children in are born healthy
Families in live in a safe community
Indicator is a piece of measurable information
which helps quantify achievement of an Outcome
Rate of low birthweight babies in
Crime rate in
Performance Measure is a measure of how well an
individual service etc is working
3 types

• How much did we do?
• How well did we do it?
• Is anyone better off?

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Population and Performance Accountability
CONDITION OF WELL-BEING High achievement for
young people in Cardiff
INDICATOR GCSE passes
End
Contribution
Young People in Cardiff WHOLE POPULATION
Education Support Project
PERFORMANCE MEASURE Young people attending who
pass Key Stages
Means
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Population AccountabilityFrom Talk to
ActionFrom Ends to Means

• For partnerships, collaboratives and
  communities

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1. Condition of Well Being
Children in Newport are safe
2. What does this look like?
Safe at home, from crime bullying etc
DD1
3. How can we measure these conditions?
young people victims of crime
4. How are we doing?
Baselines stories
5. Which partners?
Police, YOTs, schools, families etc
6. What works to do better?
DD2
Best ideas, new ideas etc
7. What are we going to do?
Action plan and budget by when and how?
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Possible meeting agenda

• This meeting is about the following outcome(s) .
  . . .
• Updated or new data
• New story behind the baseline(s)
• Any new partners
• Any new information on what works
• New information on financing
• Changes to action plan and budget
• Adjourn

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Coventry CYP Partnership Databook
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(No Transcript)
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Performance AccountabilityFrom Talk to
ActionFrom Ends to Means

• For projects, programmes, services and service
  systems

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Two Types of Accountability
Population Accountability collective or
collaborative responsibility for the well being
of populations (e.g. children in Cardiff,
families in BGSR)

• Performance Accountability the responsibility
  of a project or service for specific results for
  its clients (e.g. clients of a drug cessation
  programme)

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Performance Measures
Quantity
Quality
or
How much did we do?
How well did we do it?
Effort
or
Is anyone better off as a result?
Effect


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Performance Measures
Substance Misuse Service
How much did we do?
How well did we do it?
young people seen 1-to-1 sessions
staff with higher qualification 1st
appointments within 2 weeks of referral
Is anyone better off as a result?
young people using service who are off drugs at
end of 12 week intervention young people using
the service who are off drugs 6 weeks after end
of intervention
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(No Transcript)
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HOW POPULATION AND PERFORMANCE ACCOUNTABILITY FIT
TOGETHER
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Fitting it all Together
POPULATION ACCOUNTABILITY Outcome Healthy
children Indicator low birth weight
Contributory Relationship
Alignmentof measures
How much? sessions service users
How well? sessions to schedule satisfied
Appropriateresponsibility
Is anyone better off?
service users stopping while pregnant
service users stopping while pregnant
Customer Result
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How it all fits together
Community Strategy
Outcome Healthy City
HSCWB Strategy
Indicator low birth weight in city as a whole
CYP Plan
Outcome Flying Start in life
Flying Start
Indicator low birth weight in Flying Start
population
Ante-natal health project Customer result
service users stopping smoking
Outcomes contributions align
indicators/measures make sense appropriate
accountability what matters is outcomes not
plans and process
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Notable Practice from Wales

• Cardiff LSB Neighbourhood Management project
• Cardiff Flying Start
• Action For Children
• Torfaen Public Service Framework
• Blaenau Gwent Common Outcomes across main
  Partnerships

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POPULATION
FLYING START POPULATION
Children are healthy thriving
Children families are safe
Parents enjoy parenting
OUTCOMES
INDICATORS

• fully immunised

• meeting development milestones

• breastfed at 6 months

Health visiting
Diatetics
Speech language
GP immuni-sation
SERVICES
PERFORMANCE MEASURES
How Much? How well? Is anyone better off?
How Much? How well? Is anyone better off?
How Much? How well? Is anyone better off?
How Much? How well? Is anyone better off?
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Diatetics
How much did we do?
How well did we do it?

• of weaning parties.
• of practical food sessions provided to Flying
  Start groups.
• of get cooking courses run.
• of Gold Standard Award assessment visits.
• of OCN training courses provided for parents.
• of OCN training courses provided for
  professionals.

• of staff delivering services trained to OCN
  Level 2/3.
• weaning parties being delivered to set standard
• parents attending 80 of cooking course

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Is anyone better off?

• of parents and staff completing OCN who have
  sustained behavioural changes after 6 months
  follow up.
• of providers achieving the Gold Standard Health
  Award
• of parents reporting increased confidence in
  weaning.

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DD1
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How Can RBA Help You?

1. Planning performance management framework to
   deliver on collaborative duties
2. Planning performance management framework for
   funded projects (e.g. Cymorth)
3. Organise and explain how population and
   performance levels fit together e.g. CYP Plan and
   Cymorth projects
4. Make sense of multitude of partnerships and plans
   what matters is results not processes!
5. The future less small specific grants, less
   money, more emphasis on outcomes and
   collaboration

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Implementing Results Based Accountability Will
Require

• Leadership at a senior level.
• Ownership of a commitment to recognising success
  as better outcomes, not outputs.
• Championship by a senior project manager and from
  champions at different organisational levels.
• Partnership and multi-agency working. RBA is hard
  to implement where partnerships are not invested
  in.

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Resources

• Richard Morton, PSU-WLGA - 07867553757,
  richard.morton_at_wlga.gov.uk
• Mark Friedman Trying Hard Is Not Good Enough
  (Trafford Publishing, 2005)
• www.raguide.org website including
  implementation guide and examples
• www.resultsaccountability.com website including
  papers on Results Accountability and links to
  other resources

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Questions / Discussion