Your Outcome, Their Outcome

1
Your Outcome, Their Outcome

• Philippa Codd
• Development Director Care UK

2
Your Outcome - Provider

• The future of Social Care offers real challenges
  that equally effect Commissioners Providers
  alike, such as-
• Changing expectations about what are acceptable
  ways to meet need.
• The shift towards an outcome focus to
  commissioning provision.
• Resources not keeping up with demand.
• Different terminology
• The transformation taking place at varying
  degrees of pace
• Investment in change
• Training, Skills and Workforce Development
• Simple or Complicated?

3
Your Outcome - Provider

• Whose taking the lead?
• Where are the guidelines?
• Where is the investment coming from?
• Transformation Agenda
• Training funding
• What is CSCI putting into place now to change the
  way in which they are going to inspect into the
  future (cant wait too long) and how is this
  being communicated regionally?
• Providers misrepresented
• Need to decide whats right for their businesses

4
Your Outcome ProviderSharing Experience

• You understand outcome based care what does
  your own model look like?
• Develop your framework and process to support it
  (care planning, review, finance, HR, Compliance,
  Training, Quality, Policy Procedures)
• How will you gather management information call
  monitoring, reviews etc and how will you use
  this?
• Decide who you want to strategically partner
• Carry out a skills analysis of your workforce
• Become a Project Manager and draw up a plan from
  week 1 to week 52, 104 etc
• Partner other providers and share learning
  training enough work for all
• Build information databases
• What are the fundamental changes to the way in
  which your staff will be working in the future
  and how are you going to communicate this to them
  (long process).
• How will you communicate the changes to the
  service users or should you?
• Who is the champion?

5
Your Outcome - Commissioner

• Identify a champion
• Decide whether to pilot or whole system change
• Strong partnership approach with provider(s)
• Investment
• Joint project plan stakeholder meetings
• Communicate strategic outcomes, difficulties and
  allow any pilot to become a moveable feast
• Joint training to achieve a consistent approach
• Baseline evaluation
• Be very clear about expectations
• Allow provider to contribute to identifying
  outcomes
• Decide what management information you want
  collated and how this is going to be achieved
  (call monitoring etc) keep it simple and
  achievable
• Support this is a huge change and cannot be
  done overnight!

6
Their Outcome Service User

• Enabling
• In Control at the centre
• Encouragement
• Enablement Plan/Review
• Care does not have to be for life
• The service should support the service user
  during the periods that are needed and not as
  assessed on day one
• Involve the service users in the development of
  your service they know best
• How did they live their lives before receiving
  care
• Signposting to strategic partners
• Achieving health well-being
• Change, maintenance, Improvement outcomes dont
  forget the pink fluffy ones!
• Be realistic the service should simply be
  supporting an individual to remain living at home
  as independently as possible, continuing a
  standard living and life style as they wish and
  are able to achieve with the support of a
  homecare service

7
Finally

• This is not about hand gliding or climbing Mount
  Everest its just about the things all of us
  take for granted and do everyday
• Keep it simple to achieve the change
• The Change is good and should be embraced but
  dont underestimate the amount of work there is
  to be done on all sides.
• Group Discussion
• Questions Feedback