Measurable Outcome
Based Planning
Lee Mummery
Learning & Development Advisor
Schedule
Transforming Lives
The legislative background
What is an outcome?
Types of outcomes
Stories, conversations and strengths
Measuring Outcomes
Shaping our Future:
Transforming Lives
Proactive, Preventative, Personalised
Right Skills,
Right People
What community
based support
is available to meet
the identified needs?
What natural support
is available to meet
the identified needs?
Strength Based and
Preventative
Approach
Strength Based
Conversations /
Gathering Life Stories
Tiered interventions
Outcomes: The
legislative background
Independence,
Wellbeing & Choice
Care Act 2014
Our Health,
Our Care,
Our Say
Self Directed Support,
Person Centred Planning
& Personalisation
Think Local,
Act Personal
Valuing People
Putting People
First
Outcomes
What is an outcome?
Does everyone mean the same thing
by the term outcome?
Are there different types of
outcomes?
What is an
outcome?
Personal outcomes: e.g. “I want to improve
my physical health
Organisation outcomes: We want our
services to be person-centred and outcome
focused
National outcomes: People are to be
supported to maintain or improve their
wellbeing
What is an Outcome?
Personalised /
individualised
Something I want
to achieve or
happen
Goals
Aspirations
Does everyone mean the
same thing by the term
outcome?
A task is not
an outcome!
Different types of
personal outcomes
 Change outcomes: Outcomes that are aimed at making
changes in relation to ones life. This can include
progression towards independence, developing new
skills, change ones living environment, becoming
healthier, having a wider social life, being more involved
in your community..
 Maintenance outcomes: Outcome with a focus on
maintaining ones current lifestyle, level of independence
 Prevention outcomes: Outcomes aimed at preventing a
future need (Social care, health, housing etc)
ripfa 2014
Different types of
outcomes – Time limited
An outcome can have a long or a short timescale,
depending on what it is and depending on the
person whom is trying to achieve it. The support
they receive and can tap into is also a significant
factor.
When undertaking crisis intervention work, we will
often look to have time-limited outcomes that have a
focus on supporting the person to manage the crisis
and then return to their previous situation, whereby
they were using their own strengths and resilience to
manage day-to-day living
Personalised outcomes:
Let’s start with a story
Let’s talk about…
The importance of
conversation..
So by definition….
..an outcomes-focused approach must also be
person-centred, placing the person at the centre of
discussions from the outset, and finding ways to
engage and empower them so that they are able to
explain their concerns, problems and situation.
The person, their context, their history and desired
outcomes can then be understood and they can
discuss and negotiate with those supporting them,
their desired outcomes and how they might be
achieved.
Where people lack capacity their representative or
independent mental capacity advocate (IMCA) will be
involved.
Outcome examples
I want to improve my physical health
I want to become more involved in my local
community
I want to widen my social opportunities
I want to develop my day-to-day living skills
I want to become independent with my personal
care
I want to feel safe in my own home
I want to live in a place that I choose
Making Outcomes
Measurable
Specific (Tasks and actions needed to achieve
the outcome)
Measurable (How will we measure progress?)
Achievable (Is the person able to do this? Are
the given tasks and the timescale appropriate?)
Realistic (Is the person likely to succeed?)
Timed (Give an appropriate amount of time to
achieve the outcome and set beginning and end
dates)
Principals defining an
outcome focused approach
 Understand outcomes as the impact or
end result of support and/or services on
a person’s life:
 BUT start by defining expectations and
outcomes with the person
 Support the Person to be as involved
and influential as they are able
 Focus on strengths and capabilities
more than deficits
 Identify the person’s role as well as
other people and services in their life
 Believing that the participation of the
person is core to practice
Think about….
Preventative approaches to deliver wider
life outcomes (For ineligible needs
Staged outcomes within support planning
Adopting the ‘Progression’ model and
supporting people towards greater
independence
Developmental outcomes
Time limited interventions
Being innovative
You are some of the best placed people
to help individuals recognise and utilise
their inner and outer strengths in
achieving their outcomes
What are peoples strengths?
Potential areas
of individuals strengths
The Local
Community
Individual
Strengths
Circle of
Support
Outcomes
Many desired outcomes do not, on the
face of it, fall within the remit of local
authority social care services.
Partnership working with a range of other
private, independent, voluntary and
statutory agencies are necessary to
support the range of outcomes desired, in
a ‘whole-systems’ approach.
Outcomes
It is about harnessing the wider
community, to meet desired outcomes of
individuals.
This will rely on co-production
Integrated outcome
planning
Service User
Employment
Circle of Support
You and other
service providers
Education
Housing
Social Care Professionals
Health
Measuring Outcomes
How do we measure outcomes?
We look at the progress from where the person was
to where they are now and we consider whether the
outcome has been achieved
Start
Progress
Outcomes
Measuring
Outcomes
Outcome Achieved! Great!
Outcome not achieved?
 Outcome still relevant & appropriate?
 Revise or reset the outcome
 Review the steps
 Review and reset the tasks and involvements
 Reset start and end dates and if appropriate,
staged review points
Quality improvements
everywhere!
 It is well evidenced that using an outcomes focused
approach can bring real quality of life improvements for
people
 But its also about the providers. United Response, a
social care provider, used person-centred thinking tools
to train staff. They reported that…….
“Staff became even more enthusiastic about what
they were doing, and this had a huge positive impact
on the people we support”
(Stirk & Sanderson 2012)
The End
Any questions?