Supporting People National Outcomes Framework Longterm services:

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Supporting PeopleNational Outcomes
FrameworkLong-term services
www.spclientrecord.org.uk Training slides
(Background and Guidance)
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Background the need for an Outcomes Framework

• Spring 2006
• Consensus for some time that KPIs do not really
  tell us enough about outcomes for service users
• Need to move away from processes inputs to a
  focus on outcomes
• Concern that we need to be better able to
  demonstrate what the public investment in SP
  really delivers, both nationally and locally and
  for individuals
• Agreement on the need for a consistent approach
• National Outcomes Framework needs to measure SP
  contributions to wider government objectives
• Framework needs to evidence the wider overarching
  outcome of supporting enabling independence

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Background the development of the Outcomes
Framework

• Summer Autumn 2006
• CLG Outcomes Working Group set up May/ June
  2006 includes AA reps from
• each region providers
• Outcomes framework begins to take shape
  modelled on the 5 high level outcomes
• from Dfes Every Child Matters Programme
• Detailed Indicators developed to underpin each
  high level outcome
• Requires a needs based support plan to be in
  place for each user
• Modelled on the Client Record Form
• to be completed for individual users at the point
  of departure from the service for all short term
  services
• to be completed for individual users as part of
  the annual review of the support plan for long
  term services
• Great debate on hard versus soft outcome
  measures
• Still need to build in flexibility locally
  still to develop local basket of indicators

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Background the 5 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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Background Comprehensive Spending Review/ PSAs

• Central Government currently agreeing new
  National Set of PSAs Indicators
• Huge reduction in terms of number of indicators
• Currently 1200 indicators collected across
  government
• Reducing to 200 by April 2008
• Crucial that SP is included as an indicator as
  this is the mechanism to be
• part of the new Local Government Performance
  Framework
• SP Outcome data to help demonstrate local
  targets within Local Area
• Agreements

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Overview the Outcomes Form for Long term services

• Short Walk through the Outcomes Form for Long
  Term Services
• Need to understand that 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, 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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LongTerm Services Form - Provider, Service and
User details

• One outcomes form should be completed for each
  user currently receiving long term support.
• Captures data relating to the Provider, service
  and characteristics of the service user
• Provider IDs (5 digit National Client Record
  Provider ID
• 8 digit National Provider ID)
• Provider name
• Service name, service ID, service type, AA
• Client characteristics such as age, gender,
  economic status, ethnicity, faith, disability,
  applicable client groups
• Then we move onto the 5 outcome domains..

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Standard format for each domain

• 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
• Is Ongoing Support required? Y/N
• If the Outcome was not achieved, 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 are being 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
• Support in relation to managing any debt, with
  the actual outcome of having reduced their debt
• Support in relation to paid work, with the
  actual outcome of being 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) and 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 participating 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 the
  desired people

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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 primary health care, 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 drug and / or alcohol
  services with the actual outcome that the person
  is better managing their drug/alcohol use
• Support in relation to assistive technology /
  aids and adaptations with the actual outcome that
  the person is better managing independent living

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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 5 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
• 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 involvement
  and control, with the actual outcome of having
  achieved more control and involvement, either at
  service level or within the wider community

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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 section
called Outcomes. 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 information1

• On line web entry system
• This method is accessible through our website
  www.spclientrecord.org.uk under Outcomes. In
  order to send us Outcome information, providers
  need a log-in and password. To obtain these,
  providers need to visit the website at
  www.spclientrecord.org.uk CROSS section, and
  sign up for web entry. Please fill in the
  details and submit the client record office will
  then send the provider a log-in and password via
  email. Once providers have these, they can fill
  in the Long Term Outcomes Forms on line, under
  Enter Outcome Form by clicking submit. If
  providers have previously had a log-in and
  password for either of the Outcome pilots or
  currently submit Client Record Forms by this
  method, the same log-in and password should be
  used.

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How to submit outcomes information 2

•     Electronic submission using SP Digital
•  
• SP digital software is available to download from
  our website www.spclientrecord.org.uk in the
  section SP Digital 2008/9. This method allows
  providers to complete the forms on screen.
  Providers then save the file and email it to us
  as an attachment to outcomedata_at_st-andrews.ac.uk.
  Providers will receive an automatic reply to
  confirm that we have received the email. If
  providers require any help with this please
  contact our digital helpdesk 01334 467322, or
  email sphelp_at_st-andrews.ac.uk.

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How to submit Outcomes information 3

• Submission using our specification for
  providers own systems
•  
• This specification will be available as a word
  document from our website www.spclientrecord.org.u
  k in the section SP Digital 2008/9. This
  method allows providers to submit Outcome forms
  to us using their own system. Data should be
  emailed as an attachment to outcomedata_at_st-andrews
  .ac.uk.

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Outcomes information

• WEBSITE www.spclientrecord.org.uk
• See section called SP Outcomes for more
  information about SP Outcomes
• Download Guidance
• Download WORD version of the form
• Training slides
• To sign up for a login and password for web
  entry, see section called CROSS
• Need more help or information? Contact the SP
  Outcomes team on
• telephone [phone] or email
  sphelp_at_st-andrews.ac.uk