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Life Stage Outcome Planning in West Lothian A Logic Modelling Approach

Life Stage Outcome Planning in West Lothian A Logic Modelling Approach. Logic Modelling in West Lothian.

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Life Stage Outcome Planning in West Lothian A Logic Modelling Approach

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  1. Life Stage Outcome Planning in West LothianA Logic Modelling Approach

  2. Logic Modelling in West Lothian • Logic modelling is a tool used in the development of monitoring and evaluation plans to help to identify the person centred short-, medium- and long-term outcomes that are delivered by the key activities of a programme or strategy (Health Scotland). • Logic Modelling work in West Lothian was initiated by the Health Improvement team in the CHCP to help plan more effective interventions to tackle health and social inequalities across the whole of West Lothian. • We used expertise from consultants at Blake Stevenson with support from NHS Health Scotland. The aim of the model was to:

  3. Stages in Logic Modelling – The Theory! • Identify the intended long-term person centered outcomes & strategic aims (including targets). • Identify the main actions & group under strategic aims. • Identify what underlying assumptions are being made regarding the delivery of activities. • Identify the short-term and medium-term outcomes that might be expected to arise from each group of actions; agree timescale by which these are likely to be observed. • Check whether short-, medium- and long-term outcomes are logically linked and are plausible, testable and do-able. • Identify the external factors that will influence the outcomes identified and in what ways/directions these are likely to impact. • Develop a framework for outcomes to guide data collection.

  4. Logic Modelling & Life Stage Planning

  5. Outcomes for people - not services West Lothian is planning outcomes on a Life Stage basis as follows (boundaries overlap): • Early years • School aged children • Young people in transition (14-25) • Adults of working age • Older adults

  6. Stage 1 – Identifying evidence of need National/ international research Existing national indicators Locally commissioned research Professional knowledge base Community engagement

  7. Stage 1 - Prioritising people ‘Badged’lifestyle behaviours Priority groups of people Life Stages Lifestyle ‘Unbadged’ life circumstances Inequalities Life Chances Life Circumstances

  8. Stage 1 - Life circumstances

  9. Life chances & Lifestyles – behaviours • Diet • Alcohol consumption • Smoking • Drug misuse • Physical activity • Self-harming/suicidal behaviours • Criminal behaviour • Anti-social behaviour

  10. Stage 1 - People in context COMMUNITY FAMILY PERSON

  11. Stage 1 - Populated chart • Substance misuse • Physical activity • Diet Families with children aged 0-5 years Life Stages Lifestyle Life Circumstances • Employment/skills • Poverty • Family circumstances • Access to services Young (single) mums Life Chances

  12. Stage 2 - 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 Doable = you have the sufficient resources to enable you to achieve the outcomes 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

  13. Stage 2 - Outcomes for early years Health Warning! More work to be done on indicators….

  14. The Outcome Planning Process • Unravelling the threads of activities, outputs & outcomes has been more difficult than anticipated. • Agreeing with users & partners which activities lead to short, medium & long term outcomes has taken longer than expected. • It’s not perfect, but we’re agreed that thinking through the outcome logic together will help to improve the reach and engage with the most disadvantaged and most vulnerable in our community.

  15. Stage 2 – The gap….

  16. Evaluation – Adapted Re-Aim R Increase Reach E Increase Effectiveness A Increase Adoption I Increase Implementation M Increase Maintenance

  17. Stage 3 - Effective interventions

  18. Progress to-date Research gathered by Life Stage Working Groups on what works, has led to the categorisation of activities which are required to ensure services reach target populations and provide sufficient positive impact to deliver outcomes as existing (green), requiring redesign (amber), or new (pink). A larger scale mapping exercise is now being planned.

  19. We will need to consolidate & monitor indicator sets and performance measures across groups / services to ensure consistency. Constantly review/update our models Use CPP structure to report progress Regularly review joint working arrangements This is a WORK IN PROGRESS! Stage 4 – Monitoring

  20. Information Sharing • Outcome charts are recorded using ‘Doview’ software. • Information is being shared between partners via the Communities of Practice websites at: www.communities.idea.gov.uk/welcome.do • Data are being shared via a Local Information system on Wlinfo.

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