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Outcomes or Results Based AccountabilityGood Practice in the UKDr Andy Gill, 26.2.11
PurposeBasics of Results or Outcomes Based Accountability (0BA)Government policy and the changing contextExamples of good practice  focus on community or neighbourhood participationLey learning points
StyleInformalParticipatoryMaking a difference!
If I could change the world exerciseSpend 5 minutes in pairsAgree one best idea (has to be low or no cost) that would make the biggest difference to the quality of life of your local residentsWrite it downThere is a prize for the best idea!
5Population Accountabilityabout the well-being ofWHOLE POPULATIONSFor Communities  Cities  Counties - NationsPerformance Accountabilityabout the well-being ofCUSTOMER POPULATIONSFor Services -  Agencies  and Service SystemsOutcomes Based Accountabilityis made up of two parts:
6OUTCOME OR RESULTA condition of well-being for children, adults, families or communities.PopulationINDICATOR A measure which helps quantify the achievement of an outcome.PERFORMANCE MEASUREA measure of how well a service, agency or service system is working.Three types:PerformanceWORKING TOGETHER - COMMON LANGUAGE DEFINITIONSHealthy, Young people successful in school, Safe communities, Clean Environment, Prosperous EconomyRate of obesity, rate of 5 A-C GCSEs, crime rate, air quality index, unemployment rate        1. How much did we do? 2. How well did we do it? 3. Is anyone better off? =  Customer Results
7IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE?1.Safe Community2.Crime Rate3.Average Police response time4.A community without graffiti5.% of surveyed buildings without graffiti6.People have living wage jobs and income7.% of people with living wage jobs and income8.% of participants in job training who get living     wage jobs
8Some great questions for Neighbourhoods to get from talk to action in less than and hour!
9Turn the Curve Exercise: Population Well-being5 min:	Starting Points- timekeeper and reporter- geographic area- two hats (yours plus partners)10 min:	Baseline- pick an outcome and an indicator curve to turn- forecast  OK or not OK?15 min:	Story behind the baseline- causes/forces at work- information & research agenda part 1 - causesTwo pointers to action15 min:	What works? (What would it take?)- what could work to do better?- each partners contribution- no-cost / low-cost ideas- information & research agenda part 2  what works10 min:	Reportconvert notes to one page
Previous Government PolicyEvery Child Matters and the 5 national outcomesChange for ChildrenAdults 7 outcomesOBA gained momentum in over 75 Local Authorities
11Every Child Matters  Children ActOutcomes for Children and Young PeopleBeing Healthy: enjoying good physical and mental health and living a healthy lifestyle.Staying Safe: being protected from harm and neglect and growing up able to look after themselves.Enjoying and Achieving: getting the most out of life and developing broad skills for adulthood.Making a Positive Contribution: to the community and to society and not engaging in anti-social or offending behaviour.Economic Well-being: overcoming socio-economic disadvantages to achieve their full potential in life.
12Our Health, Our Care, Our Say Outcomes for Adults1.  Health & Emotional Well-being2.  Quality of life3.  Making a positive contribution4.  Exercising choice & control5.  Freedom from discrimination & harassment6.  Economic well being7.  Personal dignity & respectSource: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07
Current Coalition Government PolicyCutbacks and cost efficienciesBig Society  shrinking role of the StateLocalism and community participation to achieve better outcomesVolunteering and Social EnterpriseFor a time outcomes was a bit of a dirty word!
Good Practice Examples
15Portsmouth 8 OutcomesWhat we ALL believe and what we are ALL working for!Children and young people should grow up:  Having the right to an active say in any developmentHealthyEmotionally secure and confident Having succeeded as far as they can at school Having facilities and opportunities to play safelyHaving stayed out of troubleLiving in a safe place Having the opportunity to succeed in achieving their dreamsOUTCOMES MOTIVATE CHANGE  TALK TO ACTION & SHARED RESPONSIBILITY
16Portsmouth Experience:  Does Turning the Curve work?  Bullying and safe play  Play Champions & Community MapYouth related crimeLife expectancy and healthy lifestylesSafeguardingFixed term exclusionsUnderage drinkingCar deaths and accidents involving childrenChildren and Young Peoples Plan
 Portsmouth, UKYouth Related Crime
18Report Card or Data Book
19The Cardiff 7!People in Cardiff are HealthyPeople in Cardiff have a clean, attractive and sustainable environmentPeople in Cardiff are safe and feel safeCardiff has a thriving and prosperous economyPeople in Cardiff achieve their full potentialCardiff is a great place to live, work and playCardiff is a fair, just and inclusive city
North Devon Homes
Other Housing ExamplesNorth Lincolnshire Council  improving the rate of empty houses and quality of life of tenants (see Mark Friedmans book)Social enterprises and improving the housing stock e.g. Sheffield
22Top 10 OBA Learning TipsVision & changing lives  start with outcomes and work backwards Transformational leadershipCultural change  top down and bottom up, wont happen overnightActively involve parents, carers, grandparents and young people etc.  they need to be part of finding solutions to change and improve livesTalk to action - the need to think and work outside the boxKiller questions Maintaining momentumIdentifying and supporting championsKeeping it real  less is more, low cost, no cost solutionsBe clear about performance and population/community  accountability - differences & links
ConclusionThank You So Much for Listening!Contact Details:andy.gill@coactiva.comMob +44 (0)07795 297736 Web http://www.betteroutcomespractice.comMark Friedman http://www.raguide.org

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  • 1. Outcomes or Results Based AccountabilityGood Practice in the UKDr Andy Gill, 26.2.11
  • 2. PurposeBasics of Results or Outcomes Based Accountability (0BA)Government policy and the changing contextExamples of good practice focus on community or neighbourhood participationLey learning points
  • 4. If I could change the world exerciseSpend 5 minutes in pairsAgree one best idea (has to be low or no cost) that would make the biggest difference to the quality of life of your local residentsWrite it downThere is a prize for the best idea!
  • 5. 5Population Accountabilityabout the well-being ofWHOLE POPULATIONSFor Communities Cities Counties - NationsPerformance Accountabilityabout the well-being ofCUSTOMER POPULATIONSFor Services - Agencies and Service SystemsOutcomes Based Accountabilityis made up of two parts:
  • 6. 6OUTCOME OR RESULTA condition of well-being for children, adults, families or communities.PopulationINDICATOR A measure which helps quantify the achievement of an outcome.PERFORMANCE MEASUREA measure of how well a service, agency or service system is working.Three types:PerformanceWORKING TOGETHER - COMMON LANGUAGE DEFINITIONSHealthy, Young people successful in school, Safe communities, Clean Environment, Prosperous EconomyRate of obesity, rate of 5 A-C GCSEs, crime rate, air quality index, unemployment rate 1. How much did we do? 2. How well did we do it? 3. Is anyone better off? = Customer Results
  • 7. 7IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE?1.Safe Community2.Crime Rate3.Average Police response time4.A community without graffiti5.% of surveyed buildings without graffiti6.People have living wage jobs and income7.% of people with living wage jobs and income8.% of participants in job training who get living wage jobs
  • 8. 8Some great questions for Neighbourhoods to get from talk to action in less than and hour!
  • 9. 9Turn the Curve Exercise: Population Well-being5 min: Starting Points- timekeeper and reporter- geographic area- two hats (yours plus partners)10 min: Baseline- pick an outcome and an indicator curve to turn- forecast OK or not OK?15 min: Story behind the baseline- causes/forces at work- information & research agenda part 1 - causesTwo pointers to action15 min: What works? (What would it take?)- what could work to do better?- each partners contribution- no-cost / low-cost ideas- information & research agenda part 2 what works10 min: Reportconvert notes to one page
  • 10. Previous Government PolicyEvery Child Matters and the 5 national outcomesChange for ChildrenAdults 7 outcomesOBA gained momentum in over 75 Local Authorities
  • 11. 11Every Child Matters Children ActOutcomes for Children and Young PeopleBeing Healthy: enjoying good physical and mental health and living a healthy lifestyle.Staying Safe: being protected from harm and neglect and growing up able to look after themselves.Enjoying and Achieving: getting the most out of life and developing broad skills for adulthood.Making a Positive Contribution: to the community and to society and not engaging in anti-social or offending behaviour.Economic Well-being: overcoming socio-economic disadvantages to achieve their full potential in life.
  • 12. 12Our Health, Our Care, Our Say Outcomes for Adults1. Health & Emotional Well-being2. Quality of life3. Making a positive contribution4. Exercising choice & control5. Freedom from discrimination & harassment6. Economic well being7. Personal dignity & respectSource: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07
  • 13. Current Coalition Government PolicyCutbacks and cost efficienciesBig Society shrinking role of the StateLocalism and community participation to achieve better outcomesVolunteering and Social EnterpriseFor a time outcomes was a bit of a dirty word!
  • 15. 15Portsmouth 8 OutcomesWhat we ALL believe and what we are ALL working for!Children and young people should grow up: Having the right to an active say in any developmentHealthyEmotionally secure and confident Having succeeded as far as they can at school Having facilities and opportunities to play safelyHaving stayed out of troubleLiving in a safe place Having the opportunity to succeed in achieving their dreamsOUTCOMES MOTIVATE CHANGE TALK TO ACTION & SHARED RESPONSIBILITY
  • 16. 16Portsmouth Experience: Does Turning the Curve work? Bullying and safe play Play Champions & Community MapYouth related crimeLife expectancy and healthy lifestylesSafeguardingFixed term exclusionsUnderage drinkingCar deaths and accidents involving childrenChildren and Young Peoples Plan
  • 17. Portsmouth, UKYouth Related Crime
  • 18. 18Report Card or Data Book
  • 19. 19The Cardiff 7!People in Cardiff are HealthyPeople in Cardiff have a clean, attractive and sustainable environmentPeople in Cardiff are safe and feel safeCardiff has a thriving and prosperous economyPeople in Cardiff achieve their full potentialCardiff is a great place to live, work and playCardiff is a fair, just and inclusive city
  • 21. Other Housing ExamplesNorth Lincolnshire Council improving the rate of empty houses and quality of life of tenants (see Mark Friedmans book)Social enterprises and improving the housing stock e.g. Sheffield
  • 22. 22Top 10 OBA Learning TipsVision & changing lives start with outcomes and work backwards Transformational leadershipCultural change top down and bottom up, wont happen overnightActively involve parents, carers, grandparents and young people etc. they need to be part of finding solutions to change and improve livesTalk to action - the need to think and work outside the boxKiller questions Maintaining momentumIdentifying and supporting championsKeeping it real less is more, low cost, no cost solutionsBe clear about performance and population/community accountability - differences & links
  • 23. ConclusionThank You So Much for Listening!Contact Details:andy.gill@coactiva.comMob +44 (0)07795 297736 Web http://www.betteroutcomespractice.comMark Friedman http://www.raguide.org