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Developing an outcomes based framework for children’s commissioning Sheila McFarlane

Developing an outcomes based framework for children’s commissioning Sheila McFarlane Southern Derbyshire CCG/Derby City Council 22 November 2017. Supported by COBIC and CORC. ‘I’ statements Service user’s expectations. I only have to tell my story once.

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Developing an outcomes based framework for children’s commissioning Sheila McFarlane

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  1. Developing an outcomes based framework for children’s commissioning Sheila McFarlane Southern Derbyshire CCG/Derby City Council 22 November 2017 Supported by COBIC and CORC

  2. ‘I’ statementsService user’s expectations • I only have to tell my story once. • I am able to access information and support in a format that suits me at the time I need it. • I know who to contact and am confident that they will support me to get the right help quickly. • I know that those who care about me will be involved at the right time. • I feel that I am listened to and am involved in decisions about my care. • I feel safe and can trust the people who are helping me. • I trust that all those caring for me will work together to get me the right support when I need it. • I am confident that the support I get will make a difference to me. • I feel that I am being treated as a person and all my needs are considered. • Where my care is not working for me I am able to try alternative options. • I know that I can get the help I need whoever I am and wherever I am. • I will be supported through the transition to adulthood in a way that is appropriate for me.From consultation with young people on Integrated Behaviour Pathway July 2013

  3. Phase 1 Work to establish what children, young people and their families want from services and how they want to be treated

  4. Phase 2 deliverables CORC • Engagement CYP, providers, commissioners • Refined fit for purpose ‘Outcomes Framework’ • Outcomes, indicators, performance management • Improved knowledge of key stakeholders of outcome based commissioning • worked case examples • toolkit of appropriate progress measurement tools • performance data dashboards illustrating data analysis and reporting

  5. The outcomes framework in outline

  6. 3 Key Elements Individual case notes and reports Service Dashboard Did we achieve what set out to achieve? What are we working on together? Who am I? How well is our service helping CYPs and how good is their experience? User / Patient Outcomes How good was the experience? Integrated Delivery Outcomes Strategic Outcomes How well are we improving the health and quality of life for our population? Partnership / Commissioning Dashboard

  7. Worked Example Basic information is collected about service users

  8. Worked Example Agreeing a goal

  9. Worked Example Agreeing a user-patient goal Based on what Joseph wants, what his teacher wants for him, and what his school is able to offer, we can collaboratively agree on what we will work on with Joseph DRAFT

  10. Worked Example What type of goal has been set? Each goal can be aligned with one of 26 statements from Southern Derbyshire CYP about what outcomes are important to them. These statements each fall under one of the 4 key categories below DRAFT Joseph’s goal is to Improve his Health & Wellbeing and therefore improve his educational attainment

  11. Worked Example How will progress be measured? We want to make sure Joseph is achieving what is important to him so his teacher and educational psychologist discuss with Joseph how to measure his progress toward his user-patient goals The best way to measure progress may vary depending on the type of service, and the type of work being done. However, whatever measurement is used should be evidence-based, practical, and meaningful for the goal of the child or young person

  12. Worked Example After 1 term… DRAFT

  13. Worked Example Measured progress DRAFT Based on what was measured, Joseph has made positive progress toward his user-patient goals

  14. Worked Example What happens to Joseph’s Data at the Service Level? Who is our School giving extra support to ? What do they need help with? DRAFT Are they improving?

  15. Worked Example What happens to Joseph’s Data at the Commissioning Level? Are South Derbyshire services helping to improve health and wellbeing? DRAFT

  16. Phase 2 Learning • Partners – powerful vision and strategic commitment • Wide variation in experience of outcomes working • CYP feedback – importance of using measurement tools • Need to rationalise and align data collection and flow to all levels

  17. Project phase 3 Implementation April 2017 – September 2018 • Move towards commissioning for outcomes support to commissioning and service staff to have the confidence to make the cultural shift needed • Test the framework • Voluntary and community sector • SEND • 0-19 public health nursing • Learn and roll out

  18. Work with VCS • Data Gap Analysis • Self Assessment (against CORC BPF) • Agreeing Data Specification with CCG Data Manager • 5 services moving forward to collect and flow data

  19. Next Steps • VCS in data collection period • VCS due to report and flow data end of Jan early Feb • Key learning and feedback March 2018 • SEND – 2 mainstream, 2 Enhanced Resource, 2 Special Schools, focusing on EHC Plans • Light touch (0-19, Eating Disorder) due to start Jan 2018.

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