Good Practice in the UKDr Andy Gill, 26.2.11

Outcomes or Results Based Accountability™

Purpose

• Basics of Results or Outcomes Based Accountability (0BA)™

• Government policy and the changing context

• Examples of good practice – focus on community or neighbourhood participation

• Ley learning points

Style

• Informal

• Participatory

• Making a difference!

“If I could change the world” exercise

• Spend 5 minutes in pairs

• Agree one best idea (has to be “low or no cost”) that would make the biggest difference to the quality of life of your local residents

• Write it down

• There is a prize for the best idea!

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Outcomes Based Accountabilityis made up of two parts:

Performance Accountability

about the well-being of

CUSTOMER POPULATIONS

For Services -

– Agencies – and Service Systems

Population Accountability

about the well-being of

WHOLE POPULATIONS

For Communities – Cities – Counties –- Nations

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Healthy, Young people successful in school,

Safe communities, Clean Environment, Prosperous Economy

Rate of obesity, rate of 5 A-C GCSE’s, 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?

OUTCOME OR RESULT

INDICATOR

PERFORMANCE MEASURE

A condition of well-being for

children, adults, families or communities.

A measure which helps quantify the achievement

of an outcome.

A measure of how well a service, agency or service

system is working.

Three types:

= Customer Results

Po

pu

lati

on

Per

form

ance

WORKING TOGETHER - COMMON LANGUAGE DEFINITIONS

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1. Safe Community

2. Crime Rate

3. Average Police response time

4. A community without graffiti

5. % of surveyed buildings without graffiti

6. People have living wage jobs and income

7. % of people with living wage jobs and income

8. % of participants in job training who get living

wage jobs

IS IT A RESULT, INDICATOR OR

PERFORMANCE MEASURE?

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Some great questions for Neighbourhoods to get from talk to action in less than and hour!

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Turn the Curve Exercise: Population Well-being

5 min: Starting Points

- timekeeper and reporter

- geographic area

- two hats (yours plus partner’s)

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 - causes

15 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 works

10 min: Report convert notes to one page

Two

pointers

to action

Previous Government Policy

• Every Child Matters and the 5 national outcomes

• Change for Children

• Adults 7 outcomes

• OBA gained momentum in over 75 Local Authorities

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Every Child Matters – Children Act

Outcomes for Children and Young People

Being 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.

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1. Health & Emotional Well-being

2. Quality of life

3. Making a positive contribution

4. Exercising choice & control

5. Freedom from discrimination & harassment

6. Economic well being

7. Personal dignity & respect

Our Health, Our Care, Our Say

Outcomes for Adults

Source: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07

Current Coalition Government Policy

• Cutbacks and cost efficiencies

• “Big Society” – shrinking role of the State

• Localism and community participation to achieve better outcomes

• Volunteering and Social Enterprise

• For a time outcomes was a bit of a dirty word!

Good Practice Examples

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Portsmouth 8 Outcomes

What we ALL believe and what we are ALL working for!Children and young people should grow up:

1. Having the right to an active say in any development2. Healthy3. Emotionally secure and confident 4. Having succeeded as far as they can at school 5. Having facilities and opportunities to play safely6. Having stayed out of trouble7. Living in a safe place 8. Having the opportunity to succeed in achieving their dreams

OUTCOMES MOTIVATE CHANGE – TALK TO ACTION & SHARED RESPONSIBILITY

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Portsmouth Experience: Does Turning the Curve work?

• Bullying and safe play – “Play Champions” & Community Map• Youth related crime• Life expectancy and healthy lifestyles• Safeguarding• Fixed term exclusions• Underage drinking• Car deaths and accidents involving children• Children and Young Peoples Plan

Figure 5: Pre and Post Turning the Curve Exercise

Breakdown of offences committed for the data periods 01/01/04 -

31/03/04 and 01/01/05 - 31/03/05

025

5075

100125150

175200

225250

01/01/04 - 31/03/04 01/01/05 - 31/03/05

Criminal Damage Public Order Theft Overall Decrease

Portsmouth, UK

Youth Related Crime

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Report Card or Data Book

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The Cardiff 7!

1. People in Cardiff are Healthy

2. People in Cardiff have a clean, attractive and sustainable environment

3. People in Cardiff are safe and feel safe

4. Cardiff has a thriving and prosperous economy

5. People in Cardiff achieve their full potential

6. Cardiff is a great place to live, work and play

7. Cardiff is a fair, just and inclusive city

North Devon Homes

Other Housing Examples

• North Lincolnshire Council – improving the rate of empty houses and quality of life of tenants (see Mark Friedman’s book)

• Social enterprises and improving the housing stock e.g. Sheffield

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Top 10 OBA Learning Tips

1. Vision & changing lives – start with outcomes and work backwards

2. Transformational leadership

3. Cultural change – top down and bottom up, wont happen overnight

4. Actively involve parents, carers, grandparents and young people etc. – they need to be part of finding solutions to change and improve lives

5. Talk to action - the need to think and work outside the box

6. Killer questions

7. Maintaining momentum

8. Identifying and supporting champions

9. Keeping it real – less is more, low cost, no cost solutions

10. Be clear about performance and population/community accountability -differences & links

Conclusion

Thank You So Much for Listening!

• Contact Details:– andy.gill@coactiva.com

– Mob +44 (0)07795 297736

– Web http://www.betteroutcomespractice.com

• Mark Friedman http://www.raguide.org