An outcomes-based strategic framework for public health planning and performance

1. An outcomes-based strategic framework for public health planning and performance 11th October 2011 Insert name of presentation on Master Slide William Beer and Jonathan West

2. Content • Rationale and development • Worked examples • A model for multi-agency partnerships? • Application in Gwent so far • Potential application for the public health system in Wales An outcomes-based planning framework for public health planning and performance

3. Rationale and development • Health through the life-course • Strategic drivers • People, their needs and the intervention points are different at different stages in life • Can help to prevent inequities in health • Provides focus for improving the management of overlapping services • Justification for working upstream An outcomes-based planning framework for public health planning and performance

4. Rationale and development • Donabedian • "Outcomes... the ultimate validation of effectiveness and quality...“ • NSW Health Outcomes Programme • Change in the health of an individual, group of people or population • RBA outcome • A condition of wellbeing in the population • Easily understood and communicated An outcomes-based planning framework for public health planning and performance

5. Our outcomes • Babies are born healthy • Pre-school aged children are healthy, safe and develop to their potential • School aged children and young people are safe, healthy and equipped for adulthood • Working age adults live healthier lives for longer • Older people age well in to their retirement • Frail people are happily independent An outcomes-based planning framework for public health planning and performance

6. Rationale and development An outcomes-based planning framework for public health planning and performance • Logic model / “driver diagrams” • Currency with new Health Boards through 1000 lives • Provides the clear line of sight between activity and outcome • Fits nicely with RBA

7. An outcomes-based planning framework for public health planning and performance

8. An outcomes-based planning framework for public health planning and performance

9. A model for multi-agency partnerships? • Re-centralising the concept of health • “A state of complete physical, mental and social wellbeing...” • Applying the ”Wider Determinants of Health” • Clear line of sight for partners’ contributions An outcomes-based planning framework for public health planning and performance

10. Application in Gwent so far An outcomes-based planning framework for public health planning and performance

11. Potential application for the public health system in Wales • Planning • aligning actions towards synergistic priorities • defining our relative and specialist contribution • Performance • a “clear line of sight” between action and outcome An outcomes-based planning framework for public health planning and performance

12. Potential for wider application: Inclusivity An outcomes-based planning framework for public health planning and performance Public Health Wales – measures LPHTs and partnerships Public Health Wales Observatory Health protection Screening Public Health Wales Institute and other academia Partnerships Wider NHS services, WG policy..?

13. Thank you Questions? An outcomes-based planning framework for public health planning and performance