National Outcomes Framework LongTerm Services

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National Outcomes FrameworkLong-Term Services
www.spclientrecord.org.uk Training slides for
service providers managers and staff April
2009 Last Updated 19/03/2009
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Introduction

• The Outcomes Framework is being administered by
  the Centre for Housing Research (SP Client Record
  and Outcomes Office).
• In March 2009, we wrote out to service providers
  in England with details of changes to the
  Outcomes Forms for April 2009 along with Quick
  Reference Cards. Forms and Guidance can be
  downloaded from www.spclientrecord.org.uk
• Information about the team at the SP Client
  Record and Outcomes Office and how to contact us
  is given at the end of this document.
• These training slides are intended to give
  guidance on completion of Outcome
• Forms for Long-Term Services.
• The Outcomes Framework for Long-Term Services
  began in July 2007.

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Ringfencing

• From April 2009 the ringfence on Supporting
  People funding will be removed. This increased
  flexibility will provide Authorities with the
  opportunity to come up with new and innovative
  ways to support vulnerable people in a range of
  different situations.
• This means that the services Outcomes forms
  should be completed for will no longer be
  identified through their funding stream (i.e.
  Supporting People funding) but by the nature of
  the service being for housing-related support
  purposes. Guidance on this is provided in the
  National Indicator Handbook of Definitions.
• www.communities.gov.uk/localgovernment/performanc
  eframeworkpartnerships/
• nationalindicators/

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Purpose of the Long-Term Outcome Form

• To provide information about clients who are
  currently in long-term housing-related services.
• The project is now in its third year and you
  should submit details for clients in long-term
  services annually at the time of support plan
  review. This should be done using a sampling
  method which will collect outcomes information on
  a snapshot basis. Your sample should be
  completed, dated and submitted between 1st April
  2009 and 31st March 2010. You must submit
  information electronically using one of the two
  submission methods.

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The Five High Level Outcomes

• Overarching SP Outcome is Supporting Enabling
  Independence
• Five outcome domains
• Achieve economic well being
• Enjoy and achieve
• Be healthy
• Stay safe
• Make a positive contribution

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Overview the Outcomes Form for Long-Term services

• Short Walk through the Outcomes Form for Long
  Term Services
• This approach is based on the expectation that
  individual
• service users will have a clear, needs based
  support plan in place which
• identifies key areas where they need support.
• The intention is to capture the actual outcomes
  achieved for the user where they
• have an identified support need.
• There is also the ability if support was
  required and the need was met, to record whether
  the client has an ongoing need for support.
• There is also the ability, throughout the form,
  for the provider to indicate why the
• relevant actual outcome was not achieved this
  could be for reasons relating to
• the user, reasons relating to the service or a
  range of external factors.

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Who should complete the Long-Term Outcome Form
and when should it be completed

• A Long-Term Outcome Form should be completed
  for clients currently in one of the
  following long-term services
• Supported Housing, Sheltered Housing, Peripatetic
  Warden, Adult Placement, Supported Lodgings,
  Floating Support, Very Sheltered Housing
  (optional), Almshouses (optional).
• The following services are excluded from the
  Outcomes Framework
• Home Improvement Agencies, Community Alarms,
  Leasehold Services.
• Long-Term Outcomes forms should be completed at
  the time of support plan review of those clients
  identified in the sample for the year and should
  be submitted electronically to the Client Record
  and Outcomes Office as soon as possible
  thereafter.

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National Client Record Provider ID

• This is a 5 digit number which is unique for
  each Administering Authority (AA) with whom each
  provider organisation has housing-related
  support.
• These ID numbers are allocated by the Client
  Record Outcomes Office. If you are unsure,
  please contact our Helpdesk on 01334 461765 or
  email sphelp_at_st-andrews.ac.uk.

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National Provider ID (8 digits)

• This is an 8 digit number allocated to your
  provider organisation by Communities and Local
  Government (CLG).
• There should be one National Provider ID for
  your organisation regardless of where services
  are based in England or which Administering
  Authority is funding your service.
• You can check the National Provider ID from the
  website www.spkweb.org.uk under Hub services
  National Provider database or contact us on
  01334 461765 or email sphelp_at_st-andrews.ac.uk.
• If there is more than one National Provider ID
  listed on the spkweb that pertains to your
  organisation or you cannot find your
  organisation, then you should contact Abigal
  Adjei in CLG on 0207 9444775, email
  abigal.adjei_at_communities.gsi.gov.uk

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Help with Questions

• Q0.3 Organisation Name You should enter the
  name of the organisation that holds the
  housing-related contract to provide the service,
  (this also applies for services which have been
  subcontracted).
• Q0.4 SP Administering Authority You should
  enter the name of the authority that funds your
  service.
• Q0.5 Service Name Please record the name of
  the service.
• Q0.6 Service ID This is a unique service Id
  which is allocated to each housing-related
  support service funded by the administering
  authority which can be found on the contract
  schedule issued by the funding authority. The
  format of the SP service Id varies and can be
  numeric or a mixture of letters and numbers.
  Please record the full number.

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Help with Questions

• Q0.7 Agreed Support Plan in Place - Please
  indicate Yes or No.
• Q0.8 Does the client agree with the outcomes
  reported - Please indicate Yes or No. This
  question is designed to capture whether the
  service user has been involved in and agrees with
  the outcomes that are being reported. Since this
  information is being captured as part of the
  review of the support plan, we anticipate that
  service users will be involved in and in
  agreement with the assessment of the actual
  outcomes being captured for them in relation to
  their identified needs.
• Q0.9 Service Type The Long-Term Outcomes form
  should be completed for clients currently in
  Supported Housing, Sheltered Housing, Peripatetic
  Warden, Adult Placement, Supported Lodgings,
  Floating Support, Very Sheltered Housing
  (optional), Almshouses (optional).
• Q0.10 New Question Does your service work in
  partnership with other agencies to deliver
  support if Yes, please indicate which agencies.
• Please note that this question focuses on
  partnership working to deliver services to
• this particular client.
• A similar question on the Client Record Form
  focuses on partnership working
• undertaken by the service in general.

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Help with Questions

• Q0.11 New Question Does the client have an
  Individual Budget Please indicate Yes/No/ Dont
  Know. IBs provide funding directly to the client
  (or an intermediary). They are intended to give
  clients greater choice and control over the mix
  of support services received.
• Q0.12 Date form completed Please indicate the
  date the form was completed. This should be
  within the financial year (1st April 2009 to 31st
  March 2010).
• Q0.13 Client/Tenant Code - Please enter a code
  to identify the client, this code will be used by
  the Client Record Outcomes Office for any
  queries on the form. If a Client Record form has
  been completed, please use the same code.
• Q0.14 Age/Sex/Economic Status Please indicate
  the age, sex and economic status of the client.

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Hep with Questions

• Q0.15 Ethnic Origin - The client should define
  the response to this question. If the client does
  not wish to answer this question, please tick the
  Did not wish to disclose category. Note that
  the categories used are the same as in the 2001
  Census, and also includes the option of
  Gypsy/Romany/Irish Traveller as this has been
  identified as an Ethnic Minority Group by the
  Commission for Racial Equality.
• Q0.16 User defined Ethnic coding Optional use
  for provider to show country of origin.
• Q0.17 Faith Please indicate clients religion.
  The client should define the response to this
  question. If the client does not wish to answer
  this question, then please tick the Did not wish
  to disclose category. The categories used are
  the same as those for the 2001 UK Census.
• Q0.18 Disability Please indicate if client has
  a disability. The client should define the
  response to this question. If the client does not
  wish to answer this question, then please tick
  the Did not wish to disclose category.

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Help with Questions

• Q0.19 Client Groups Please choose one primary
  and up to three secondary client groups. The
  primary group should describe the predominant
  needs of the client.
• Q0.20 Is the client intending this service to
  provide a home for life. Please indicate Yes or
  No. This question is only applicable to clients
  in receipt of a long term accommodation based
  service and seeks to establish whether,
  regardless of the persons health problems, level
  of frailty or disability, the client considers
  and intends that the service will provide a home
  for life for them. This question should not be
  completed for clients in receipt of a long-term
  floating support service

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Format for each domain on the Five High Level
Outcomes

• Questions under each domain follow a standard
  format
• This format is
• Did the person need support in relation to a
  particular area/ activity? Y/N
• Actual Outcome achieved? Y/N
• If Yes, does the client need ongoing support with
  this? Y/N
• If the outcome did not happen, why not? Various
  reasons can be given here factors to do with
  the client, the service or wider external
  factors. More than one can be used.

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Outcome domains 1 Economic Well Being its
indicators

• This outcome domain aims to capture the number of
  service users who have been supported to achieve
  measurable improved outcomes in relation to one
  or more of the 3 support needs listed below
• Support in relation to maximising income, with
  the actual outcome of having maximised income
  including being in receipt of all the correct
  benefits.
• Support in relation to reducing overall debt,
  with the actual outcome of having reduced their
  debt
• Support in relation to obtaining paid work,
  with the actual outcome of (i)being in paid work
  or (ii) having participated in paid work

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Outcome domains 2 Enjoy and achieve its
indicators

• This outcome domain aims to capture the number of
  service users who
• have been supported to achieve measurable
  improved outcomes in
• relation to one or more of the 4 support needs
  listed below
• Support in relation to training and/or education,
  with the actual outcome of i) having
  participated in the desired training/education
  and ii) if applicable, has the client achieved
  the qualification
• Support in relation to leisure/cultural/faith/info
  rmal learning activities, with the actual outcome
  of having participated in the chosen activities
• Support in relation to work like activities e.g.
  unpaid work or work experience with the actual
  outcome of having participated in the chosen work
  like activities
• Support in relation to contact with external
  services, groups, friends and family, with the
  actual outcome of having made contact with
  (i)external services/groups and (ii)
  family/friends

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Outcome domains 3 Be healthy its indicators

• This outcome domain aims to capture the number of
  service users who have been supported to achieve
  measurable improved outcomes in relation to one
  or more of the 4 support needs listed below
• Support in relation to physical health services,
  with the actual outcome that the person is better
  managing their physical health
• Support in relation to mental health services,
  with the actual outcome that the person is better
  managing their mental health
• Support in relation to substance misuse with the
  actual outcome that the person is better managing
  their substance misuse issues
• Support in relation to assistive technology/aids
  and adaptations with the actual outcome that the
  person is managing independent living better as a
  result of assistive technology/aids and
  adaptations

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Outcome domains 4 Staying safe its indicators

• This outcome domain aims to capture the number of
  service users who have been supported to achieve
  measurable improved outcomes in relation to one
  or more of the 6 support needs listed below
• Support in relation to maintaining their
  accommodation and/or avoiding eviction, with the
  actual outcome of having maintained their
  accommodation until the point of departure from
  the service
• New Question Support in relation to
  securing/obtaining settled accommodation, with
  the actual outcome of having secured/obtained
  settled accommodation.
• Support in relation to improving their
  compliance with statutory orders and related
  processes, with the actual outcome of having
  complied with statutory orders processes
• Support in relation to self harm with the
  outcome that the person is better managing self
  harm
• Support in relation to risk of harm to others
  with the outcome that the person has avoided harm
  to others
• Support in relation to risk of harm from others
  with the outcome that the person has minimised
  the risk of harm from others

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Outcome domains 5 Making a positive contribution
its indicators

• This outcome domain aims to capture the number of
  service users who have been supported to achieve
  measurable improved outcomes in relation to the
  support need listed below
• Support in relation to having more choice and/
  or involvement and/ or control, with the actual
  outcome of having achieved more choice and/ or
  involvement and/ or control, either at service
  level or within the wider community or both

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More details about all of the domains
Detailed descriptions and examples for each
question are provided in the guidance
manual. This can be downloaded from
www.spclientrecord.org.uk under the 2009/10
section. Information is also available during web
entry - by clicking on the help button you will
be taken to the relevant section of the guidance
document.
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How to submit outcomes information

• There are two methods of submission available
• web entry via CROSS system
• submission from providers own system in XML
  format using web
• services.
• On-line web entry system.
•  
• This method is accessible through our website
  www.spclientrecord.org.uk under CROSS. In
  order to send us Outcome information, you require
  a log-in and password. If you do not already
  have these, please go to www.spclientrecord.org.uk
  CROSS section, and sign up for web entry.
  Please fill in your details and submit the
  Client Record Outcomes office will then send
  you a log-in and password via email. Once you
  have these, you can fill in your Outcome forms on
  line, under Enter Outcome Form then clicking
  Validate.

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How to submit outcomes information

• Submission from providers own system in XML
  format using web
• services.
•  
• This method allows you to submit Outcome forms to
  us using your own housing management system. Web
  services enables secure data transmission and XML
  format improves data quality. For more
  information on this method of submission please
  contact us on 01334 467322.
•  

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Client Record Outcomes website
www.spclientrecord.org.uk

• All client Record and Outcome documentation is
  available from our website. The site is divided
  into several sections. These include
• Client Records download the current Client
  Record form, Guidance, Quick Reference Card and
  Training Slides.
• Outcome Forms (Short-Term) download the
  current Outcomes Form for Short-Term Services,
  Guidance, Quick Reference Card, FAQ document and
  Training Slides. There is also a facility to
  enter Feedback on the Outcomes Form.
• Outcome Forms (Long-Term) download the current
  Outcomes Form for Long-Term Services, Guidance,
  Quick Reference Card, FAQ document, Sampling
  Instructions and Training Slides. There is also
  a facility to enter Feedback on the Outcomes
  Form.
• CROSS enter Client Records and Outcome forms
  on-line.
• Publications download Annual Reports, Key
  Findings, Short Articles.
• News and Contact sections.

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Contact Details

• Postal Address
• SP Client Record Outcomes Office
• CHR The Observatory
• University of St Andrews
• Buchanan Gardens
• St Andrews
• Fife
• KY16 9LZ
• Client Record Helpdesk Telephone [phone]
• Outcomes Helpdesk Telephone [phone]
• Email sphelp_at_st-andrews.ac.uk
• Fax [phone]
• Website www.spclientrecord.org.uk