Personal Outcomes Network 25 th February 2020 A

Personal Outcomes Network, 25 th February 2020 A snapshot of people-based measures in Health and Social Care Partnerships Julie Kidd Integration Data Adviser, Integration Division, Scottish Government Julie. Kidd@gov. scot

https: //www. isdscotland. org/Health-Topics/Health-and-Social. Community-Care/Local-Intelligence-Support-Team/

What we asked Integration Authorities • What types of information are being gathered (such as stories or other feedback; measures of functional status before/after support from a service; wider measures such as around general wellbeing; Personal Outcomes Approach/What Matters to you, or similar); • Whether such data are collected across all services, or in particular projects or services; • Whether they are using pre-existing tools and/or have created their own; • Brief illustrative examples of some of the information gathered (qualitative and/or quantitative).

BLUE SHADING: The 24 out of 31 Integration Authority areas that were able to share at least some information with us within the limited timescales for this exercise. Mixture of fairly comprehensive, and incomplete/illustrative responses. Incomplete response was expected given: - Summer timing - Other concurrent asks from Scottish Government

Some of the Mechanisms, Techniques, Tools: Service users and Carers Experience National Health and Care Experience (HACE) Survey Other standard tools e. g. CARE measure Locally devised or commissioned surveys Measures of functional status, wellbeing Tools to support Outcomes and Recovery discussions I. ROC (Mental Health) Scottish Government Recovery Outcomes Web (Drugs & Alcohol) Outcomes Stars – various SHANARRI outcomes (Getting it Right For Every Child) Indicator of Relative Need (i. ORN), Life Curve Quality of Life measures e. g. Euro. Qo. L Scales to measure anxiety/depression Wellbeing measures e. g Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) Locally devised or commissioned surveys Personal Outcomes Approaches What Matters to You Talking Points Talking Mats Case studies, service user and carer stories, complaints, compliments

Some of the Mechanisms, Techniques, Tools: Staff Experience / Wellbeing i. Matter staff survey Regular Local Authority Staff Surveys Dignity at Work surveys Employee wellbeing surveys Staff engagement, training, feedback Wide variety, such as: Team meetings Partnership events Training sessions / programme

Next - Some examples of data shared. .

Example of the impact on service users of support provided to them Data collected using Drug and Alcohol Star Outcome Tool, data for 627 people supported in Renfrewshire, as at June 2019. The table shows that services are having a positive impact on service users across all recovery dimensions. All scores improved, with the biggest improvements around use of time, alcohol, drug use, emotional health and money.

Example of the impact on service users of support provided to them Angus: This graph shows the combined results for patients attending the 2017/18 Pain Self-Management Course (PAS) using their Skills and Strategies Tool, showing the patient completed responses pre and post course. The overall post-course scores were higher (more positive).

Example personal outcomes-focused approach, supported by a bespoke evaluation framework The Midlothian Wellbeing Service is a personal outcome focused service, based in primary care. It is a collaboration between Midlothian Health and Social Care Partnership and the Thistle Foundation. The approach used by the Wellbeing Service is based on a ‘good conversation’, focusing on personal outcomes and building people’s strengths. People using the service are supported to explore coping strategies, express their own needs and priorities and ultimately achieve success in their personal life goals. The service recognised the need to also take a personal outcome focused approach to their evaluation. With support from the i. Hub (part of Healthcare Improvement Scotland) a bespoke evaluation framework for the wellbeing service was developed which enabled data to be collected locally. Data captured included measures around Coping (Scoring scale 1 -10) Confidence (Scoring scale 1 -10) Best hopes (Yes/No and a list of their hopes) Mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale – WEMWBS) Client stories are also collected and shared (anonymously).

Example of structured data from carer outcome reviews Summary of carer outcome reviews from the VOCAL Midlothian carer centre. Data are from the first half of 2018/19 and are based on reviews with 391 carers.

Some reflections • From this exercise it is evident that many Health and Social Care Partnerships are already making progress in this arena. • Many areas noted that they would wish to move (more) towards these sorts of measures in their work and reporting. • They expressed interest in sharing of good practice and in developing skills and capacity to better harness this type of information. • Suggestions for national developments or supports to help them included: • Training and sharing of good practice, such as how to demonstrate the correlation between interventions and impacts for individuals and populations. • Using existing groups and bodies that could support this process such as the Strategic Commissioning and Improvement Network and the Personal Outcomes Network among others.

Questions and Discussion