National Outcomes linked to Integration of Health & Care

1. National Outcomes linked to Integration of Health & Care

2. Principles of the Public Bodies (Joint Working) Bill Integrated services should be • integrated from the point of view of the recipient, • take account of the particular needs of different recipients, • take account of the particular needs of recipients in different parts of the area in which the service is being provided, • planned and led locally in a way which is engaged with the community and local professionals, • best anticipates needs and prevents them arising, and • makes best use of the available facilities, people and other resources.

3. Inputs output process What do we mean by Outcomes? outcome

4. Why are outcomes important? • If we provide support or a service to someone, did they actually benefit? • We could provide excellent, safe services, but if we have not considered what the person wants…..? • Develop what we do well at the individual level • Keeping people at the heart of all we do

5. Why national outcomes? • The country needs to be assured that the new integrated partnerships are focussed on the right things and will deliver the policy ambition • The intention to have a single set of national outcomes with robust data that meets statistical standards, will allow benchmarking, which in turn supports continuous improvement This is not the whole story however, and partnerships will understand the importance of local data to underpin service improvement and local performance management.

6. Links to Community Planning • Community Planning brings public services (and third and business sectors) together to plan and agree the best way to use resources to support the public in improving their outcomes. • Scottish Government and COSLA see Community Planning as the overarching framework for the local planning and delivery of services and outcomes, to be strengthened through legislation in 2014-15 and the formal auditing of Community Planning partnerships from 2013. • Supporting the public to live ‘healthier’ ‘independent’ lives cannot be delivered by the HSCP alone – many other inputs such as housing, leisure, community safety, etc. may also be required. Propose to make Outcomes 1 and 2 link to CPP as well as HSCP

7. Doing it right - with and for –every individual every time The Personal Outcomes Approach: • Engagement with individuals and carers • Recording of information on outcomes based on good conversations with the person • Use of information on personal outcomes to inform decision making within the health and care partnership

8. Health & Care Experience Survey • In order to bring in a focus on personal outcomes, we need national data on experience and outcomes from the perspective of people who use health and care services and support • This data could be used for accountability, and benchmarking, and to stimulate understanding and improvement at local level

9. Health & Care Experience Survey Proposal: extend the existing primary care survey to be a health and care survey Robust methodology with 145,569 returns (12,000 social care users) Limitations: designed around GP practice improvement so limited space for social care Will not provide detail required for improvement on its own – a “can-opener”

10. 7 National Outcomes • Healthier living • Independent living • Positive experiences and outcomes • Carers are supported • People are safe • Engaged workforce • Effective resource use

11. How will we track progress? • There are already many ways of measuring ‘proxies’ for the 7 national outcomes, but they tend to count inputs or processes or outputs • The Public Bodies (Joint Working) Bill provides a chance to bring in a focus on personal outcomes • Proposing to gather information at local and national level that tells us something about people’s experience • Tried to keep the number of new indicators small

12. The Outcomes 1. Healthier livingIndividuals and communities are able and motivated to look after and improve their health and wellbeing, resulting in more people living in good health for longer, with reduced health inequalities. 2. Independent living People with disabilities, long term conditions or who become frail are able to live as safely and independently as possible in the community, and have control over their care and support. 3. Positive experiences and outcomes People have positive experiences of health, social care and support services, which help to maintain or improve their quality of life. 4. Carers are supported People who provide unpaid care to others are supported and able to maintain their own health and wellbeing including by having a life outside of caring. 5. People are safe People using health, social care and support services are safe-guarded from harm and have their dignity and human rights respected. 6. Engaged workforce People who work in health and social care services are positive about their role and supported to improve the care and treatment they provide. 7. Effective resource use The most effective use is made of resources across health and social care services, avoiding waste and unnecessary variation.

13. The Draft Indicators Outcomes can take a long time to be achieved and depend on many separate inputs. The Working Group are asking for your views on a set of indicators, that will give information about progress towards achieving the outcomes. A list of possible indicators are included in your pack There are indicators about personal outcomes - these have been taken from the Talking Points Personal Outcomes Framework There is a separate list of indicators about system outcomes, these are already collected

14. How can you contribute beyond today? • A consultation questionnaire is available in your pack, at the back of the room, on line • By answering the questions and returning the questionnaires this will help confirm the outcomes to be used, and inform the development of the indicators that will be used to measure performance.

15. The Workshop Questions • Do the proposed national outcomes support the ambition and principles of the Bill? If not, what would you change or add? • Will the proposed outcomes and indicators support the wider use of a personal outcomes approach? • What are your views on the strengths and weaknesses of the draft indicators? Will they allow us to measure progress towards achieving the national outcomes?