West Lothian Life Stage Outcome Planning Model: Planning Well Jane Kellock, Health Improvement Manag

1
West Lothian Life Stage Outcome Planning
ModelPlanning WellJane Kellock, Health
Improvement Manager
2
What do we want to achieve?

• Improve quality of life raising the bar
• Reduce inequalities closing the gap

3
How do we want to achieve it?

• Working together towards greater collaborative
  competence
• Involving key people directors, front line
  workers and community members
• Evidenced based planning
• Planning for long term outcomes
• Planning upstream, preventative work
• Incorporating a community development approach
• Integrating the equality agenda

4
Phases

• Phase 1 (2007) development of the model
• Phase 2 (2008-2010) 5 pilots in 5 geographical
  ward areas
• Phase 3 (?2010) roll out West Lothian wide

5
Stages of Implementation

• Stage 1 Customer Need
• Stage 2 Develop Outcomes
• Stage 3 Implementation
• Stage 4 Monitor

6
Tools

• Customer Need Life ven diagram
• Develop Outcomes - logic modelling
• Implementation REAIM
• Monitor Covalent

7
Methods

• 6-7 distinct processes
• Involving 5 Life Stage Working Groups
• Each with 3 lead officers
• With community engagement plans
• Plus additional expert input

8
Evidence of need triangulation
National/ international research
Existing national indicators
Professional knowledge base
Locally commissioned research
Community engagement
9
People in context
COMMUNITY
FAMILY
PERSON
10
Prioritising people
Life Stages
Badged lifestyle behaviours
Lifestyle
Priority groups of people
Unbadged life circumstances
Inequalities
Life Chances
Life Circumstances
11
Life stage

• Outcomes are for people
• Early years Armadale/Blackridge
• School aged children Broxburn/Uphall/Winchburgh
• Young people in transition Livingston North
• Adults of working age Fauldhouse/Briech Valley
• Older adults Bathgate

12
Life circumstances
13
Life chances
14
Lifestyles our behaviours

• Diet
• Alcohol consumption
• Smoking
• Drug misuse
• Physical activity
• Self-harming/suicidal behaviours
• Criminal behaviour
• Anti-social behaviour

15
Populated chart early years
Early years, including pre-pregnancy, pregnancy
and first year
Life Stages
Substance misuse issues, physical activity, diet,
lack of play, chaotic lifestyles
Lifestyle
Employment, skills, poverty, family
circumstances, domestic abuse, access to services
Young (single) mums Disengaged fathers
Life Chances
Life Circumstances
16
Outcome planning
Resources/ inputs
Activities
Outputs
Short term outcomes
Medium term outcomes
Long term outcomes
Your planned work
Your intended results
Performance Management
National indicators and local indicators at
datazone level
Plausible it is reasonable to expect that
outputs will lead to short term outcomes, short
term outcomes will lead to medium term outcomes
and so on
Doable you have the sufficient resources to
enable you to achieve the outcomes
17
Outcomes for early years
Health Warning! More work to be done on community
outcomes, inputs and activities
Health Warning! More work to be done on
indicators.
18
Effective interventions
19
Critical Success Factors

• High level buy in from CPP
• Buy in from budget holders
• Effective community engagement
• Accurate data at small granularity

20
Contact

• Jane Kellock
• Health Improvement Manager
• West Lothian CHCP
• jane.kellock_at_westlothian.gov.uk
• 01506 775552