Outcomes Focussed Practice

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• Outcomes Focussed Practice
• the Paradigm shift in Public Services
• Rob Hutchinson, CBE
• April 2007
• Based on Results Based Accountability
  www.resultsaccountability.com
• (Mark Friedman )
  www.trafford.com
• www.raguide.org

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Every Child Matters what is it about?

• Response to Laming enquiry into the death of
  Victoria Climbie lack of accountability and no
  sharing of information
• Improving outcomes for ALL children, and
  narrowing the gap between those who do well and
  those who do not
• Strengthening the links between well being and
  educational attainment
• Improving and integrating universal services
• Strong focus on families and parenting
• Earlier interventions and effective protection
• More specialist help to promote opportunity and
  prevent problems
• Reconfiguring services around the child and
  family
• Every Child Matters HM Treasury, 2003

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Childrens Trusts as Catalysts for Local Change

• Children and young people at the centre, within
  communities
• Integrated people staff trained with a common
  core, multi-disciplinary teams, co-location and a
  lead professional
• Integrated processes information sharing and
  common assessment
• Integrated systems planning and commissioning
  with pooled resources
• Inter-agency governance director of childrens
  services and lead member for childrens services

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Childrens Trusts involve
Inter-Agency Governance strategic direction,
partnership and accountability
Integrated Strategy planning, commissioning,
pooled resources
Integrated Processes information sharing, common
assessment
Integrated People common core,
multi- disciplinary teams co-location
Children Young People
Families Community
Leadership at every level
Involvement of children young people
Shared Vision
Source DfES
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Outcomes Accountabilityis made up of two parts
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Outcomes Accountability
COMMON LANGUAGE COMMON SENSE COMMON GROUND
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THE LANGUAGE TRAP Too many terms. Too few
definitions. Too little discipline
Benchmark
Outcome
Result
Modifiers Measurable Core
Urgent Qualitative Priority
Programmatic Targeted
Performance Incremental Strategic
Systemic
Indicator
Goal
Objective
Measure
Target
Lewis Carroll Center for Language Disorders
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DEFINITIONS
RESULT or OUTCOME
A condition of well-being for children, adults,
families or communities.
Children born healthy, Children succeeding in
school, Safe communities, Clean Environment,
Prosperous Economy
INDICATOR or BENCHMARK
A measure which helps quantify the achievement of
a result.
Rate of low-birthweight babies, crime rate, air
quality index, unemployment rate
PERFORMANCE MEASURE
A measure of how well a programme, agency or
service system is working. Three types
1. How much did we do? 2. How well did
we do it? 3. Is anyone better off?
Customer Results
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From Ends to Means From Talk to Action
RESULT or OUTCOME
ENDS
INDICATOR or BENCHMARK
MEANS
PERFORMANCE MEASURE
Customer result Ends
Service delivery Means
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IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE?
1. Safe Community 2. Crime Rate 3. Average
Police response time 4. A community without
graffiti 5. of surveyed buildings without
graffiti 6. People have living wage jobs and
income 7. of people with living wage jobs and
income 8. of participants in job training who
get living wage jobs
RESULT
INDICATOR
PERF. MEASURE
RESULT
INDICATOR
RESULT
INDICATOR
PERF. MEASURE
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POPULATIONACCOUNTABILITY

• For Communities

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Results for All Residentsof the Nation, County,
City or Neighbourhood
? A Prosperous Economy ? A Clean Environment ?
Healthy and Safe Communities ? Children Ready for
and Succeeding in School ? Parents and Other
Adults Healthy and Self-Sufficient ? Older People
Living with Dignity in Setting of Their Own Choice
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Outcomes

• 5 Outcomes (Supported by parents, carers
  and families)
• Stay safe
• Be healthy
• Enjoy and achieve
• Make a positive contribution
• Achieve economic well being
• Portsmouth 8 Children and Young People should
  grow up -
• Having an active say in any development
• Healthy
• Emotionally secure and confident
• Having succeeded as far as they can at
  school
• Having facilities and opportunities to play
  safely
• Having stayed out of trouble
• Living in a safe place
• Having the opportunity to succeed in their
  dreams

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MEANS not ENDS
To Improving Results
In Themselves
1. COLLABORATION 2. SYSTEMS REFORM 3. SERVICE
INTEGRATION 4. DEVOLUTION 5. FUNDING POOLS
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• The Matter of Baselines
• H
• 
  
• M OK?
• L
• O
• 
  O
• 
  Point to Point
  Turning the Curve
• History
  Forecast
• Baselines have two parts history and forecast

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Rebound
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Performance Measures Against the Portsmouth 8
Baseline
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Practical Steps to Change Childrens Lives

• Agree the Results/Outcomes you want
• Decide how to measure whether you have achieved
  them
• Draw up the data/facts/figures
• Create Community Boards
• Find new partners
• Agree priorities
• Build up the 1
• Think from the childs viewpoint and engage young
  people
• Develop Champions
• Aim for Tipping Point

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DfES Toolkit

• Turning the Curve Toolkit
• http//www.everychildmatters.gov.uk/resources-and-
  practice/EP00201/

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• Performance Accountability
• For Services

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Programme Performance Measures
Quantity
Quality
HowMuch did we do? ( )
HowWell did we do it? ( )
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Programme Performance Measures
Quantity
Quality
How much did we do?
How welldid we do it?
Effect Effort
Is anyonebetter off?


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Not All Performance Measures Are Created Equal
Quantity
Quality
How much did we do?
How well did we do it?
LeastImportant
2nd MostImportant
Least
Effect
Effort
Is anyone better off?
3rd MostImportant
MostImportant
Most
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Drug/Alcohol Treatment Programme
Quality
Quantity
How much did we do?
How well did we do it?
Percent ofstaff withtraining/qualification
Number ofpersonstreated
Effect
Effort
Is anyone better off?
Number of clientsoff alcohol drugs - at
discharge - 12 months after discharge
Percent of clientsoff alcohol drugs - at
discharge - 12 months after exit
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Separating the Wheat from the Chaff
Types of Measures Found in Each Quadrant
How much did we do?
How well did we do it?
Clients/customers served
Activities (by type of activity)
Is anyone better off?