Results Based Accountability

1. Results Based Accountability Richard Morton Partnership Support Unit, WLGA 07867 553757 richard.morton@wlga.gov.uk

2. Joint Partnership Event16th October 2009 • Introduce Results Based Accountability • Discuss RBA Flying Start example

3. Results Based Accountability RBA increasingly popular in UK and elsewhere . . . • Turns talk quickly into actions • Explains both collaborative and service accountability and how they fit back together • Embeds performance management into planning and delivery A disciplined way of embedding outcome based decision making into planning, delivery and accountability for partnerships and projects.

4. Two Types of Accountability Performance Accountability – the responsibility of a project or service for specific results for its clients (e.g. clients of a drug cessation programme) Population Accountability – collective or collaborative responsibility for the well being of populations (e.g. children in Cardiff, families in BGSR)

5. English National Indicator Set Outcome 4: Healthy & Successful Adults (Population Accountability) NI131: Timeliness of social care assessment (Performance Accountability)

6. Population Performance 3 Essential Definitions Outcome is a condition of well-being for a population (or sub-pop) stated in plain language Children in *** are born healthy Families in **** live in a safe community Indicator is a piece of measurable information which helps quantify achievement of an Outcome Rate of low birthweight babies in *** Crime rate in **** Performance Measure is a measure of how well an individual service etc is working 3 types • How much did we do? • How well did we do it? • Is anyone better off?

7. Population and Performance Accountability CONDITION OF WELL-BEING: High achievement for young people in Cardiff INDICATOR % GCSE passes End Contribution Young People in Cardiff WHOLE POPULATION Education Support Project PERFORMANCE MEASURE % Young people attending who pass Key Stages Means

8. Population AccountabilityFrom Talk to ActionFrom Ends to Means For partnerships, collaboratives and communities

9. 1. Condition of Well Being Children in Newport are safe 2. What does this look like? Safe at home, from crime & bullying etc DD1 3. How can we measure these conditions? % young people victims of crime 4. How are we doing? Baselines & stories 5. Which partners? Police, YOTs, schools, families etc 6. What works to do better? DD2 Best ideas, new ideas etc 7. What are we going to do? Action plan and budget – by when and how?

10. Possible meeting agenda • This meeting is about the following outcome(s) . . . . • Updated or new data • New story behind the baseline(s) • Any new partners • Any new information on what works • New information on financing • Changes to action plan and budget • Adjourn

11. Coventry CYP Partnership Databook

13. Performance AccountabilityFrom Talk to ActionFrom Ends to Means For projects, programmes, services and service systems

14. Two Types of Accountability Performance Accountability – the responsibility of a project or service for specific results for its clients (e.g. clients of a drug cessation programme) Population Accountability – collective or collaborative responsibility for the well being of populations (e.g. children in Cardiff, families in BGSR)

15. Performance Measures Quantity Quality or How much did we do? # How well did we do it? % Effort or Is anyone better off as a result? Effect % #

16. Performance Measures Substance Misuse Service How much did we do? How well did we do it? # young people seen # 1-to-1 sessions % staff with higher qualification % 1st appointments within 2 weeks of referral Is anyone better off as a result? % young people using service who are off drugs at end of 12 week intervention % young people using the service who are off drugs 6 weeks after end of intervention

17. XXX X XXX XXX X X X XXX X X X

18. HOW POPULATION AND PERFORMANCE ACCOUNTABILITY FIT TOGETHER

19. PERFORMANCE ACCOUNTABILITY Ante-Natal Smoking Project Fitting it all Together POPULATION ACCOUNTABILITY Outcome = Healthy children Indicator = % low birth weight Contributory Relationship Alignmentof measures How much? # sessions # service users How well? % sessions to schedule % satisfied Appropriateresponsibility Is anyone better off? # service users stopping while pregnant % service users stopping while pregnant Customer Result

20. How it all fits together Community Strategy Outcome = Healthy City HSCWB Strategy Indicator = % low birth weight in city as a whole CYP Plan Outcome = Flying Start in life Flying Start Indicator = % low birth weight in Flying Start population Ante-natal health project Customer result = % service users stopping smoking Outcomes & contributions align – indicators/measures make sense – appropriate accountability – what matters is outcomes not plans and process

21. Notable Practice from Wales • Cardiff LSB – Neighbourhood Management project • Cardiff Flying Start • Action For Children • Torfaen – Public Service Framework • Blaenau Gwent – Common Outcomes across main Partnerships

22. POPULATION FLYING START POPULATION Children are healthy & thriving Children & families are safe Parents enjoy parenting OUTCOMES INDICATORS • % fully immunised • % meeting development milestones • % breastfed at 6 months Diatetics Health visiting Speech & language GP immuni-sation SERVICES PERFORMANCE MEASURES How Much? How well? Is anyone better off? How Much? How well? Is anyone better off? How Much? How well? Is anyone better off? How Much? How well? Is anyone better off?

23. Diatetics How much did we do? How well did we do it? • # of weaning parties. • # of practical food sessions provided to Flying Start groups. • # of get cooking courses run. • # of Gold Standard Award assessment visits. • # of OCN training courses provided for parents. • # of OCN training courses provided for professionals. • % of staff delivering services trained to OCN Level 2/3. • % weaning parties being delivered to set standard • % parents attending 80% of cooking course 3 Is anyone better off? • % of parents and staff completing OCN who have sustained behavioural changes after 6 months follow up. • % of providers achieving the Gold Standard Health Award • % of parents reporting increased confidence in weaning. 1 2 DD1

24. How Can RBA Help You? • Planning & performance management framework to deliver on collaborative duties • Planning & performance management framework for funded projects (e.g. Cymorth) • Organise and explain how population and performance levels fit together e.g. CYP Plan and Cymorth projects • Make sense of multitude of partnerships and plans – what matters is results not processes! • The future – less small specific grants, less money, more emphasis on outcomes and collaboration

25. Implementing Results Based Accountability Will Require Leadership at a senior level. Ownership of a commitment to recognising success as better outcomes, not outputs. Championship by a senior project manager and from champions at different organisational levels. Partnership and multi-agency working. RBA is hard to implement where partnerships are not invested in.

26. Resources • Richard Morton, PSU-WLGA - 07867553757, richard.morton@wlga.gov.uk • Mark Friedman Trying Hard Is Not Good Enough (Trafford Publishing, 2005) • www.raguide.org – website including implementation guide and examples • www.resultsaccountability.com – website including papers on Results Accountability and links to other resources

27. Questions / Discussion