Better Outcomes Practice in the UK - presentation to a group politicians and senior managers from the Netherlands.

1. Outcomes or Results Based Accountability Good Practice in the UKDr Andy Gill, 26.2.11

2. 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

3. Style Informal Participatory Making a difference!

4. “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!

5. 5 Population Accountabilityabout the well-being ofWHOLE POPULATIONS For Communities – Cities – Counties –- Nations Performance Accountabilityabout the well-being ofCUSTOMER POPULATIONS For Services - – Agencies – and Service Systems Outcomes Based Accountabilityis made up of two parts:

6. 6 OUTCOME OR RESULT A condition of well-being for children, adults, families or communities. Population INDICATOR A measure which helps quantify the achievement of an outcome. PERFORMANCE MEASURE A measure of how well a service, agency or service system is working.Three types: Performance WORKING TOGETHER - COMMON LANGUAGE DEFINITIONS 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? = Customer Results

7. 7 IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE? 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

8. 8 Some great questions for Neighbourhoods to get from talk to action in less than and hour!

9. 9 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 Two pointers to action 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: Reportconvert notes to one page

10. 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

11. 11 Every Child Matters – Children ActOutcomes 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.

12. 12 Our Health, Our Care, Our Say Outcomes for Adults 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 Source: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07

13. 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!

14. Good Practice Examples

15. 15 Portsmouth 8 Outcomes What 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 development Healthy Emotionally secure and confident Having succeeded as far as they can at school Having facilities and opportunities to play safely Having stayed out of trouble Living in a safe place Having the opportunity to succeed in achieving their dreams OUTCOMES MOTIVATE CHANGE – TALK TO ACTION & SHARED RESPONSIBILITY

16. 16 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

17. Portsmouth, UKYouth Related Crime

18. 18 Report Card or Data Book

19. 19 The Cardiff 7! People in Cardiff are Healthy People in Cardiff have a clean, attractive and sustainable environment People in Cardiff are safe and feel safe Cardiff has a thriving and prosperous economy People in Cardiff achieve their full potential Cardiff is a great place to live, work and play Cardiff is a fair, just and inclusive city

20. North Devon Homes

21. 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

22. 22 Top 10 OBA Learning Tips Vision & changing lives – start with outcomes and work backwards Transformational leadership Cultural change – top down and bottom up, wont happen overnight Actively involve parents, carers, grandparents and young people etc. – they need to be part of finding solutions to change and improve lives Talk to action - the need to think and work outside the box Killer questions Maintaining momentum Identifying and supporting champions Keeping it real – less is more, low cost, no cost solutions Be clear about performance and population/community accountability - differences & links

23. 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