International Seminar

1. International Seminar SCIE’s approach to good practice 15 April 2009 Amanda Edwards, Deputy Chief Executive Patricia Kearney, Head of Children’s Services Mike Fisher, Head of Quality & Research

2. Summary • Context • Good practice • Promotion • Evidence • Some Observations

3. Why is it important? • Ambitious policy and practice agenda in children’s and adult’s services • “Social Care Institute for Excellence (SCIE) will be expected to promote, identify, and disseminate best practice and innovation, acting as a catalyst for systemwide transformation.” Putting People First - A shared vision and commitment to the transformation of Adult Social Care, December 2007 • Help people make better decisions

4. Context • Demand for a relevant, swift response • Particular nature of central/local government relationship • Role is not always clear • Customer needs are very diverse • Wide range of stakeholders

5. Delivery channels • Maximum use of the web, new media and ICT • Video as well as text based materials • Knowledge hubs/gateways • Mobile technology • Social networking • Regional • Working with partners and regional networks and in Wales and Northern Ireland to support implementation and improvement • Differentiated • Work with independent sector – specific products, expert seminar • In partnership • Regulators • Joint guidelines with NICE • Centre for Excellence and outcomes in children’s services

6. Evidence • May not answer the question • Gaps in the evidence base • Uncertain findings • Means different things to different people • What counts as evidence is contested

7. Policy Practitioner knowledge Research A KNOWLEDGE BASE FOR SOCIAL CARE Organisational knowledge User knowledge Five sources of knowledge

8. Good practice SCIE guides resource and services (Self) reported good practice Good Practice Advice and guidance

9. Good practice – some principles and challenges • Extent to which practice is linked to the intended outcome • Strength of the evidence • Explicit about how recommendations are reached • Clear presentation • Degree of realism • Apply to SCIE work – but do we also apply to good practice advice on Social Care Online or to self reported good practice?

10. Next steps • Framework for identifying good practice • Assessing/rating evidence underpinning SCIE products • Learning from work with other partners • Centre for Excellence and Outcomes in Children’s Services (C4EO) – validated practice • NHS Evidence (portal) – accreditation of guidance producers • Recommendations • Should we be more explicit about the process? • And should we include costs?

11. Economic evaluation So far, SCIE’s reviews do not include economic evaluation incorporate economic studies into searching, mapping and reviews A societalperspective takes account of costs and benefits to all services, and to users and carers Initial focus on costs

12. Rating good practice practice that is effectivein achieving the services stakeholders want, at a price they are willing to afford processesthat are accessible and acceptable to users, and that can be implemented in daily practice outcomesthat stakeholders want research evidence is often unavailable or does not answer these questions

13. Research evidence lacking investment in social care research is low many areas lack high quality evidence and outcomes-based evidence very few controlled trials or economic evidence user accounts are lacking research runs 2+ years behind practice publication lead times are often 18 months

14. EBP definition: example

15. Good practice: factors

16. Good practice: rating

17. International seminar: good practice Is there a sufficiently robust evidence base to identify good practice? What are the political issues that need to be addressed in developing good practice? What are the practice delivery mechanisms to promote the adoption of good practice?