Outcome Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico Websites raguide.org resultsaccountability.com Book - DVD Orders amazon.com resultsleadership.org SIMPLE COMMON SENSE PLAIN LANGUAGE MINIMUM PAPER USEFUL Outcome Based Accountability is made up of two parts: Population Accountability about the well-being of WHOLE POPULATIONS For Communities – Cities – Counties – States - Nations Performance Accountability about the well-being of CUSTOMER POPULATIONS For Programs – Agencies – and Service Systems Results and Performance Accountability COMMON LANGUAGE COMMON SENSE COMMON GROUND THE LANGUAGE TRAP Too many terms. Too few definitions. Too little discipline Benchmark Outcome Result Modifiers Indicator Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic Measure Goal Objective Target CoreYour qualitative made upsystemic jargonobjectives here Measurable urgentstrategic indicators Lewis Carroll Center for Language Disorders DEFINITIONS OUTCOME Population A condition of well-being for children, adults, families or communities. Being Healthy - Staying Safe - Enjoying and achieving Making a Positive Contribution - Economic Well-being Safe Communities - Clean Environment INDICATOR A measure which helps quantify the achievement of an outcome. Rate of low-birthweight babies - Rate of confirmed child abuse Percent 16 & 19 yr. olds with 5 A-C GCSE’s - Rate of volunteering Rate of child poverty Crime rate - Air quality index Performance PERFORMANCE MEASURE A measure of how well a program, agency or service system is working. 1. How much did we do? Three types: 2. How well did we do it? 3. Is anyone better off? = Customer Outcome From Ends to Means From Talk Talk to From toAction Action Population OUTCOME ENDS Performance INDICATOR PERFORMANCE MEASURE Customer outcome = Ends Service delivery = Means MEANS IS IT A OUTCOME, INDICATOR OR PERFORMANCE MEASURE? OUTCOME 1. Safe Community INDICATOR 2. Crime Rate PERF. MEASURE 3. Average Police Dept response time OUTCOME 4. An educated workforce INDICATOR 5. Adult literacy rate OUTCOME 6. People have living wage jobs and income INDICATOR 7. % of people with living wage jobs and income PERF. MEASURE 8. % of participants in job training who get living wage jobs Results – Indicators – Performance Measures in Amharic, Cambodian, Laotian, Somali, Spanish, Tigrigna, Vietnamese Translation Guide/Rosetta Stone Not the Language Police Ideas Group 1 Group 2 1. A condition of well-being for children, adults, families & communities OUTCOME RESULT 2. 3. etc. TRANSLATION Back to the Idea Group 3 etc. GOAL POPULATION ACCOUNTABILITY For Whole Populations in a Geographic Area Fiscal Policy Studies Institute Santa Fe, New Mexico www.resultsaccountability.com www.raguide.org Community Outcomes for Christchurch, NZ 1. A Safe City 2. A City of Inclusive and Diverse Communities 3. A City of People who Value and Protect the Natural Environment 4. A Well-Governed City 5. A Prosperous City 6. A Healthy City 7. A City for Recreation, Fun and Creativity 8. City of Lifelong Learning 9. An Attractive and Well-Designed City Outcomes for Children, Families and Communities A Working List ● Healthy Births ● Healthy Children and Adults ● Children Ready for School ● Children Succeeding in School ● Young People Staying Out of Trouble ● Stable Families ● Families with Adequate Income ● Safe and Supportive Communities Georgia Policy Council for Children and Families RESULTS ● Healthy Children ● Children Ready for School ● Children Succeeding in School ● Strong Families ● Self Sufficient Families Every Child Matters – Children Act Outcomes for Children and Young People Being Healthy: enjoying good physical and mental health and living a healthy lifestyle. Staying Safe: being protected from harm and neglect and growing up able to look after themselves. Enjoying and Achieving: getting the most out of life and developing broad skills for adulthood. Making a Positive Contribution: to the community and to society and not engaging in anti-social or offending behaviour. Economic Well-being: overcoming socio-economic disadvantages to achieve their full potential in life. Our Health, Our Care, Our Say – White Paper Outcomes for Adults 1. Health & Emotional Well-being 2. Quality of life 3. Making a positive contribution 4. Exercising choice & control 5. Freedom from discrimination & harassment 6. Economic well being 7. Personal dignity & respect Note that 8. Effective leadership and (9. Effective commissioning are means and not ends Source: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07 REPORT CARDS Georgia Dayton, OH Santa Cruz, CA Lehigh Valley, PA Country New Zealand Neighborhood City Portsmouth, UK Kruidenbuurt Tilburg, Netherlands Leaking Roof (Outcomes thinking in everyday life) Experience Inches of Water BASELINE Measure Not OK ? Fixed Turning the Curve Story behind the baseline (causes) Partners What Works Action Plan #2 Outcomes Criteria for Choosing Indicators as Primary vs. Secondary Measures Communication Power Does the indicator communicate to a broad range of audiences? Proxy Power Does the indicator say something of central importance about the outcome? Does the indicator bring along the data HERD? Data Power Quality data available on a timely basis. Choosing Indicators Worksheet Safe Community Outcome _______________________________ Candidate Indicators Communication Power Proxy Power Data Power Measure 1 H M L H M L H M L H H H H H L Measure 2 Measure 3 Measure 4 Measure 5 Measure 6 Measure 7 Measure 8 Data Development Agenda Three Part Indicator List for each Outcome Part 1: Primary Indicators ● 2 or 3 or 4 “Headline” Indicators ● What this outcome “means” to the community ● Meets the Public Square Test Part 2: Secondary Indicators ● Everything else that’s any good (Nothing is wasted.) ● Used later in the Story behind the Curve Part 3: Data Development Agenda ● New data ● Data in need of repair (quality,timeliness etc.) The Matter of Baselines H M OK? L Point to Point History Turning the Curve Forecast Baselines have two parts: history and forecast The Cost of Bad Outcomes The costs of remediating problems after they occur Convergence of Cost & Revenue Revenue $300 billion Cost Investment Track Invest in prevention to reduce or avoid out-year costs. COST OF BAD OUTCOMES United States 1970 to 2010 2005 Newcastle, UK 20.00% 18.00% 16.00% 14.00% 12.00% 10.00% 8.00% 6.00% 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Ncle 14.5 14.5 16.8 14.5 Revised 9 Nov 2007 17 15 11.9 10.6 9.5 9.3 Source: Connexions Tyne and Wear, UK Paulsgrove, Portsmouth, UK Youth Nuisance Figure 5: Pre and Post Turning the Curve Exercise Breakdown of offences committed for the data periods 01/01/04 31/03/04 and 01/01/05 - 31/03/05 250 225 200 175 150 125 100 75 50 25 0 01/01/04 - 31/03/04 Criminal Damage Public Order 01/01/05 - 31/03/05 Theft Overall Decrease MADD Rebound Alternative to Traditional Evaluation Methods: DEMONSTRATING a CONTRIBUTION to complex change efforts… requires 3 elements: Given a Curve to Turn 2 …and it had a timely relationship to…. 3 …. a turn in the curve. 1 We tried a bunch of stuff that had a credible chance of making a difference … c FPSI “If I include you, you will be my partner. If I exclude you, you will be my judge.” - Rosell Performance Accountability For Services, Agencies and Service Systems Fiscal Policy Studies Institute Santa Fe, New Mexico www.resultsaccountability.com www.raguide.org “All Performance Measures that have ever existed for any service in the history of the universe involve answering two sets of interlocking questions.” Program Performance Measures Quantity Quality How Much How Well did we do? did we do it? (#) (%) Performance Measures Effort How hard did we try? Effect Is anyone better off? Program Performance Measures Effort How Much How Well Effect Quantity Quality Input Effort How much service did we deliver? How well did we deliver it? Output Effect Program Performance Measures How much change / effect did we produce? What quality of change / effect did we produce? Effect Effort Program Performance Measures Quantity Quality How much did we do? How well did we do it? Is anyone better off? # % Effort Education Quantity Quality How much did we do? How well did we do it? Number of students Student-teacher ratio Effect Is anyone better off? Number of 16 olds with 5 A to C GCSE’s Percent of 16 yr olds with 5 A to C GCSE’s Number of fixed term exclusions Rate of fixed term exclusions Effort Education Quantity Quality How much did we do? How well did we do it? Number of students Student-teacher ratio Effect Is anyone better off? Number of 16 olds with 5 A to C GCSE’s Percent of 16 yr olds with 5 A to C GCSE’s Number with good school attendance Percent with good school attendance Effort Pediatric Practice Quantity Quality How much did we do? How well did we do it? Number of patients treated Percent of patients treated in less than 1 hour Effect Is anyone better off? # children fully immunized % children fully immunized (in the practice) (in the practice) Effort Drug/Alcohol Treatment Program Quantity Quality How much did we do? How well did we do it? Number of persons treated Percent of staff with training/ certification Effect Is anyone better off? Number of clients Percent of clients off of alcohol & off of alcohol & drugs drugs - at exit - 12 months after exit - at exit - 12 months after exit Home Care Services How much did we do? How well did we do it? # visits per week # of persons served Ave length of visit % service users who say the service is reliable, flexible, respectful, friendly (SPRU)) # visits Is anyone better off? # entry into hospital, residential or nursing care Rate entry into hospital, residential or nursing care # carers report the service helped the service user remain at home % carers report the service helped the service user remain at home Effort Fire Department Quantity Quality How much did we do? How well did we do it? Number of responses Response Time Effect Is anyone better off? # of fires kept to room of origin % of fires kept to room of origin Effort General Motors Quantity Quality How much did we do? How well did we do it? # of production hrs Employees per vehicle produced # tons of steel Effect Is anyone better off? # of cars sold % Market share $ Amount of Profit Profit per share $ Car value after 2 years % Car value after 2 years Source: USA Today 9/28/98 Effort Not All Performance Measures Are Created Equal Quantity Quality Quality How much did we do? How well did we do it? Least Also Very Important Important Effect Is anyone better off? Most Important RBA Categories Account for All Performance Measures (in the history of the universe) TQM Cost Process Input Quality Effort Quantity Efficiency Admin overhead, Unit cost Efficiency, Staffing ratios, Staff turnover Staff morale, Access, Waiting time, Waiting lists, Worker safety Customer Satisfaction Product Output Impact Effect (quality service delivery & customer benefit) Benefit value Cost / Benefit ratio Return on investment Client results or client outcomes Effectiveness Value added Productivity RBA Categories Account for All Performance Measures (in the history of the universe) TQM Cost Process Input Quality Effort Quantity Efficiency, Admin overhead, Unit cost Staffing ratios, Staff turnover Staff morale, Access, Waiting time, Waiting lists, Worker safety Customer Satisfaction Product Output Impact Effect (quality service delivery & customer benefit) Benefit value Cost / Benefit ratio Return on investment Client results or client outcomes Effectiveness Value added Productivity RBA Categories Account for All Performance Measures (in the history of the universe) TQM Cost Product Output Impact Benefit value * Customer Satisfaction 1. Did we treat you well? (quality service delivery & customer benefit) Effect Process Input Quality Effort Quantity Efficiency, Admin overhead, Unit cost Staffing ratios, Staff turnover Staff morale, Access, Waiting time, Waiting lists, Worker safety Effectiveness Value added Productivity 2. Did we help you with your problems? Cost / Benefit ratio Return on investment Client results or client outcomes * World’s simplest complete customer satisfaction survey RBA Categories Account for All Performance Measures (in the history of the universe) TQM Cost Process Input Quality Effort Quantity Efficiency, Admin overhead, Unit cost Staffing ratios, Staff turnover Staff morale, Access, Waiting time, Waiting lists, Worker safety Customer Satisfaction Product Output Impact Effect (quality service delivery & customer benefit) Benefit value Cost / Benefit ratio Return on investment Client results or client outcomes Effectiveness Value added Productivity Effort The Matter of Control Quantity Quality How much did we do? How well did we do it? Most Control Effect Is anyone better off? Least Control PARTNERSHIPS The Matter of Use 1. First Purpose is to Improve Performance as a contribution to improving results 2. Avoid the Performance Measurement Equals Punishment Trap ● Acknowledge the experience as real. ● Work to create a healthy organizational environment ● Start small. ● Build bottom-up and top-down simultaneously. Comparing Performance 1. To Ourselves First Can we do better than our own history? 2. To Others When it is a fair apples/apples comparison. 3. To Standards When we know what good performance is. Comparing Performance 1. To Ourselves First Can we do better than our own history? 2. To Others When it is a fair apples/apples comparison. 3. To Standards When we know what good performance is. Using a Baseline CHART ON THE WALL Comparing Performance 1. To Ourselves First Can we do better than our own history? Reward? 2. To Others When it is a fair apples/apples comparison. 3. To Standards When we know what good performance is. Punish? Comparing Performance 1. To Ourselves First Can we do better than our own history? 2. To Others When it is a fair apples/apples comparison. 3. To Standards When we know what good performance is. The Matter of Standards 1. Quality of Effort Standards are sometimes WELL ESTABLISHED ● Child care staffing ratios ● Application processing time ● Handicap accessibility ● Child abuse response time Effort Quantity Effect BUT 2. Quality of Effect Standards are almost always EXPERIMENTAL AND 3. Both require a LEVEL PLAYING FIELD and an ESTABLISHED RECORD of what good performance is. ● Hospital recovery rates ● Employment placement and retention rates ● Recidivism rates Advanced Baseline Display Create targets only when they are: FAIR & USEFUL Goal (line) Target or Standard ● Avoid publicly declaring targets by year if possible. Your Baseline Comparison Baseline Instead: Count anything better than baseline as progress. Effect Effort Program Performance Measures Quantity Quality How much did we do? How well did we do it? Is anyone better off? # % All Data have two Incarnations Lay Technical Definition Definition Graduation Rate % enrolled June 1 who graduate June 15 % enrolled Sept 30 who graduate June 15 % enrolled 9th grade who graduate in 12th grade 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 % Common measures # Activities (by type of activity) % Activity-specific measures e.g. client staff ratio, workload ratio, staff turnover rate, staff morale, % staff fully trained, % clients seen in their own language, worker safety, unit cost e.g. % timely, % clients completing activity, % correct and complete, % meeting standard Is anyone better off? % Skills / Knowledge # # # # (e.g. parenting skills) Point in Time vs. Point to Point Improvement % Attitude / Opinion (e.g. toward drugs) % Behavior (e.g.school attendance) % Circumstance (e.g. working, in stable housing) Effort Choosing Headline Measures and the Data Development Agenda Quantity Quality How much did we do? How well did we do it? # Measure 1 ---------------------------- % Measure 8 ---------------------------- # Measure 2 ---------------------------- % Measure 9 ----------------------------- # Measure 3 ---------------------------- % Measure 10 --------------------------- # Measure 4 ---------------------------- % Measure 11 --------------------------- # Measure 5 ---------------------------- % Measure 12 --------------------------- # Measure 6 ---------------------------- % Measure 13 --------------------------- # Measure 7 ---------------------------- % Measure 14 --------------------------- #3 DDA #2 Headline Effect Is anyone better off? # Measure 15 ---------------------------- % Measure 15 ---------------------------- # Measure 16 ---------------------------- % Measure 16 ---------------------------- # Measure 17 ---------------------------- % Measure 17 ---------------------------- # Measure 18 ---------------------------- % Measure 18 ---------------------------- # Measure 19 ---------------------------- % Measure 19 ---------------------------- # Measure 20 ---------------------------- % Measure 20 ---------------------------- # Measure 21 ---------------------------- % Measure 21 ---------------------------- #2 DDA #3 Headline #1 Headline #1 DDA Select 3 to 5 Performance Measures at each level of the organization 3-5 3-5 3-5 3-5 ? . . 3-5 3-5 3-5 Be disciplined about what’s most important. “Get over Don’t it!” get distracted. Pick the 3 – 5 most important of the 9 – 15 measures or create composites. Customer Outcomes LR UR How Population & Performance Accountability FIT TOGETHER THE LINKAGE Between POPULATION and PERFORMANCE POPULATION ACCOUNTABILITY Being Healthy Rate of low birth-weight babies POPULATION OUTCOMES Staying Safe Rate of child abuse and neglect Enjoying and Achieving Percent with 5 A-C GCSE’s PERFORMANCE ACCOUNTABILITY Child Protection Service # of investigations completed % initiated within 24 hrs of report # repeat Abuse/Neglect % repeat Abuse/Neglect CUSTOMER OUTCOMES Contribution relationship Alignment of measures Appropriate responsibility THE LINKAGE Between POPULATION and PERFORMANCE POPULATION ACCOUNTABILITY Healthy Births Rate of low birth-weight babies POPULATION OUTCOMES Children Ready for School Percent fully ready per K-entry assessment Self-sufficient Families Percent of parents earning a living wage PERFORMANCE ACCOUNTABILITY Job Training Program # persons receiving training Unit cost per person trained # who get living wage jobs % who get living wage jobs CUSTOMER OUTCOMES Contribution relationship Alignment of measures Appropriate responsibility Population Accountability to which you contribute to most directly. Outcome: Indicators: Every time you make a presentation, use a two-part approach Story: Partners: What would it take?: Role: as part of a larger strategy. Your Role Performance Accountability Service: Performance measures: Story: Partners: Action plan to get better: Population Accountability to which you contribute to most directly. Result: Indicators: Every time you make a presentation, use a two-part format Story: Partners: What would it take?: Role: within the larger strategy. Your Role Performance Accountability Service: Performance measures: Story: Partners: Action plan to get better: Different Kinds of Progress 1. Data a. Population indicators Actual turned curves: movement for the better away from the baseline. b. Service performance measures: customer progress and better service: How much did we do? How well did we do it? Is anyone better off? 2. Accomplishments: Positive activities, not included above. 3. Anecdotes: Stories behind the statistics that show how individuals are better off. Framework Crosswalk Analysis Population Results (For Population Well-being, Across Communities, Across Systems) 1. Population 2. Results (Outcomes, Goals) 3. Indicators (Benchmarks) Data Development Agenda Report Card 4. Baseline 5. Story behind the baseline Cost of Bad Results Research Agenda Part 1 6. Partners 7. What works Research Agenda Part 2 8. Action Plan (strategy) 9. Funding Plan (budget) Example Framework: Logic Model __________ Goal Program Performance (For Programs, Agencies and Service Systems) 1. Customers (Clients) 2. Performance measures Customer results Quality of Effort Quantity of Effort Data Development Agenda 3. Baseline 4. Story behind the baseline Research Agenda Part 1 5. Partners 6. What works Agency/program actions Partner's actions Research Agenda Part 2 7. Action Plan (strategy) 8. Funding Plan Outcome Output Activity Input Board of Directors Meeting AGENDA 1. New data 2. New story behind the curves 3. New partners 4. New information on what works. 5. New information on financing 6. Changes to action plan and budget 7. Adjourn What’s Next? A Basic Action Plan for Outcome Based Accountability TRACK 1: POPULATION ACCOUNTABILITY ● ● ● ● Establish outcomes Establish indicators, baselines and charts on the wall Create an indicators report card Set tables (action groups) to turn curves TRACK 2: PERFORMANCE ACCOUNTABILITY ● Performance measures, and charts on the wall for programs, agencies and service systems ● Use 7 Questions program by program in management, budgeting and strategic planning IN CLOSING “If you do what you always did, you will get what you always got.” Kenneth W. Jenkins President, Yonkers NY NAACP THANK YOU ! Websites raguide.org resultsaccountability.com ------Book - DVD Orders-----amazon.com resultsleadership.org EXERCISES Fiscal Policy Studies Institute Santa Fe, New Mexico www.resultsaccountability.com www.raguide.org All Children and Young People in the NW Succeed in Literacy and Numeracy and Can Lead Productive Lives 70 GCSE 5+ A*-C 65 2008 National Target 60 55 How do we maintain momentum? 50 45 This is our baseline 40 North West England 35 North West incl Eng & Maths England incl Eng & Maths 30 2001 2002 2003 2004 2005 2006 2007 2008 PSA 10 All Children and Young People in the NW Have Healthy Lifestyles and Productive Lives Under 18 conception rates per 1000, 15-17 year old females 55 Under 18 Conception Rates This is our baseline 50 How do we turn the curve? 45 40 35 North West 30 England 25 2010 National Target 20 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 PSA 3 All Children and Young People in the NW Can Lead Productive Lives 16 14 Percentage NEET Manchester Manchester North West 12 England 10 North West 8 England 6 4 2 2004 2005 Actual Data 2006 2007 2008 2009 Projected reduction required to meet 2010 target 2010 PSA 12 All Children and Young People in the NW Can Lead Productive Lives 80 Percentage of 19 year olds with at least Level 2 qualification 75 2006 National Target 70 How do we maintain momentum? 65 This is our baseline North West England 60 2004 2005 2006 2007 2008 PSA 11 All children and young people in the NW live in stable and safe environments and Can Lead Productive Lives 10 Percentage care leavers with 5+ GCSEs A*-C 9 8 7 6 This is our baseline North West England 5 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 PSA Turn the Curve Exercise: Population Well-being 5 min: Starting Points - timekeeper and reporter - geographic area - two hats (yours plus partner’s) 10 min: Baseline - pick an outcome, and an indicator curve to turn - forecast – OK or not OK? 15 min: Story behind the baseline - causes/forces at work - information & research agenda part 1 - causes 15 min: What works? (What would it take?) - what could work to do better? - each partners contribution - no-cost / low-cost ideas - information & research agenda part 2 – what works 10 min: Report convert notes to one page Two pointers to action 4. --------- Off the Wall ONE PAGE Turn the Curve Report: Population Outcome: _______________ Indicator Baseline Indicator (Lay Definition) Story behind the baseline ----------------------------------------------------- (List as many as needed) Partners ----------------------------------------------------- (List as many as needed) Three Best Ideas – What Works 1. --------------------------2. --------------------------3. ---------No-cost / low-cost 4. --------- Off the Wall Sharp Edges The first step in performance accountability is to DRAW A FENCE Around something that has ORGANIZATIONAL OR FUNCTIONAL IDENTITY The Whole Organization Division A Division B Unit Unit 1 Division C Creating a Working Baseline from Group Knowledge Graduation Rate 75% Now Not OK? Turn the Curve Exercise: Program Performance 5 min: Starting Points - timekeeper and reporter - identify a program to work on - two hats (yours plus partner’s) 10 min: Performance measure baseline - choose 1 measure to work on – from the lower right quadrant - forecast – OK or not OK? 15 min: Story behind the baseline - causes/forces at work - information & research agenda part 1 - causes 15 min: What works? (What would it take?) - what could work to do better? - each partners contribution - no-cost / low-cost ideas - information & research agenda part 2 – what works 10 min: Report Convert notes to one page Two pointers to action 4. --------- Off the Wall ONE PAGE Turn the Curve Report: Performance Service: _______________ Performance Measure Baseline Performance Measure (Lay definition) Story behind the baseline ----------------------------------------------------- (List as many as needed) Partners ----------------------------------------------------- (List as many as needed) Three Best Ideas – What Works 1. --------------------------2. --------------------------3. ---------No-cost / low-cost 4. --------- Off the Wall Sharp Edges THANK YOU ! WEBSITES: www.raguide.org www.resultsaccountability.com BOOK ORDERS: www.trafford.com www.amazon.com 20 Minute Exercise 2 customers 1 measure 1 measure Discuss how we’re doing 2 partners 2 what works ideas (1 nc/lc) Discuss how to implement 40 20 Minute Exercise 1 population POPULATION ACCOUNTABILITY 1. What population are we concerned about? (e.g. U.S. population) 1 result 1 indicator 2. What condition(s) do we want for this population? (Americans are free of cancer.) 3. How could we measure these conditions? ( (e.g. cancer rates) Discuss how we’re doing 2 partners 2 what works ideas (1 nc/lc) Discuss how to implement 4. How are we doing on the most important of these measures? (baseline history) 5. Who are the partners with a role to play in doing better? 6. What works – what would it take – to do better? (What is our role?) 7. What do we propose to do? Some data for the Turn the Curve Exercises All Children and Young People in the NW Succeed in Literacy and Numeracy and Can Lead Productive Lives 70 GCSE 5+ A*-C 65 2008 National Target 60 55 How do we maintain momentum? 50 45 This is our baseline 40 North West England 35 North West incl Eng & Maths England incl Eng & Maths 30 2001 2002 2003 2004 2005 2006 2007 2008 PSA 10 All Children and Young People in the NW Have Healthy Lifestyles and Productive Lives Under 18 conception rates per 1000, 15-17 year old females 55 Under 18 Conception Rates This is our baseline 50 How do we turn the curve? 45 40 35 North West 30 England 25 2010 National Target 20 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 PSA 3 All Children and Young People in the NW Can Lead Productive Lives 16 14 Percentage NEET Manchester Manchester North West 12 England 10 North West 8 England 6 4 2 2004 2005 Actual Data 2006 2007 2008 2009 Projected reduction required to meet 2010 target 2010 PSA 12 All Children and Young People in the NW Can Lead Productive Lives 80 Percentage of 19 year olds with at least Level 2 qualification 75 2006 National Target 70 How do we maintain momentum? 65 This is our baseline North West England 60 2004 2005 2006 2007 2008 PSA 11 All children and young people in the NW live in stable and safe environments and Can Lead Productive Lives 10 Percentage care leavers with 5+ GCSEs A*-C 9 8 7 6 This is our baseline North West England 5 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 PSA