Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Change Matters Patrick Myers, Dorset Council

645 views

Published on

Presentation on 27th March at Peninsula LIST Masterclass

  • Be the first to comment

  • Be the first to like this

Change Matters Patrick Myers, Dorset Council

  1. 1. Patrick Myers Dorset County Council * 1
  2. 2. * *Deficit reduction *Public sector reform *Transforming *New models and practice 2
  3. 3. 3
  4. 4. * *Put simply, we “commission” in order to achieve outcomes for citizens, communities and society as a whole; based on knowing their needs, wants, aspirations and experience. *Use an integrated approach to better understanding citizens and communities and using this insight to work more effectively in order to secure better outcomes and allocate resources.
  5. 5. * *The approach also acknowledges the whole-system and interdependencies between citizens, communities, organisations and services. *The focus must be on commissioning FOR outcomes rather than simple commissioning OF services
  6. 6. * *The challenges to public funding mean transforming the delivery of public services is more important than ever; joint commissioning, fostering innovation, systems thinking, co- production and co-design with service users are key to finding greater efficiencies and better productivity.
  7. 7. * Present Policy A model that includes Focus on Deficiencies Focus on Assets Reactive response Opportunity Identification Charity Orientation Investment Orientation Grants and contracts to agencies Grants, loans , investments, leverage More Services Fewer Services High emphasis on agencies Emphasis on associations Focus on individuals Focus on communities and neighbourhoods Maintenance Development See people as Clients See people as Citizens and Co producers Fix people Develop potential Programmes are the answer People are the answer
  8. 8. * 8
  9. 9. 9
  10. 10. * Value QualityOutcome Maximum Value Right Outcomes Built on quality Service User Experience
  11. 11. * *Value *VFM (outcomes linked) *User value *Value to wider group *Political value *Social value *Environmental value
  12. 12. * *Change *Skills *Knowledge *Attitude *Behaviour *Circumstance
  13. 13. User value Value to wider group Political value Social value Environmental value
  14. 14. 14 *
  15. 15. 15 * *Peep *Incredible Years *Triple P *Strengthening Families * and……….. *IMPACT
  16. 16. * • 3 to 16 years • Parent , child/young person & teacher completion • Explores: conduct problems, hyperactivity/inattention, peer relationships, pro-social behaviour • Vaild, reliable, effective in measuring outcomes • Can help identify issues and inform goals Strengths & Difficulties Questionnaire (SDQ) • Any age child/young person • Parent completion • Explores: child development, parenting capacity, family and environmental factors • Valid, reliable and effective in measuring outcomes • Enables setting and measurement of personal & family goals Parent Concerns Questionnaire (PCQ)
  17. 17. 17
  18. 18. 18
  19. 19. * Pilot for 1 year Automated calculation toolkit Pre and post programme completion 4 month follow up Central collation & analysis
  20. 20. * Christchurc h East Dorset North Dorset Purbeck West Dorset Weymouth & Portland 1 1 3 1 3 2 The Participants (110) Number of Programmes (11)
  21. 21. *
  22. 22. *
  23. 23. *
  24. 24. -60.0% -40.0% -20.0% 0.0% 20.0% 40.0% 60.0% Emotional Symptoms Conduct Problems Hyperactivity Peer Problems Pro-social Behaviour Significant Borderline Normal *
  25. 25. * 82% • Reduction in total difficulties 57% • Reduction emotional symptoms 70% • Reduction in conduct problems 59% • Reduction in peer problems 61% • Increase in pro- social behaviour 80% • Reduction in stress 44% • More fun with child 46% • More confidence child will do as asked 45% • Felt good about child more often 39% • Child seemed happy more often
  26. 26. * • Improvement in problem situations76% • Improvements in child’s problems91% • Found course extremely or very helpful93%
  27. 27. 27 * *Change Matters *Value for money matters *Impact Talks *Investment Orientation *Sustained Change *`Proximal and Distal Outcomes *Make the case for your theory of change
  28. 28. 28 *
  29. 29. 29 * *Theory of Change *Measuring Prevention *Outcomes- Yes again *Maximising Value *Making the case-saving money *Information- what it looks like
  30. 30. 30 * *Making Life Better *Beneficiaries *Releasing Resource *Enabling me to do more with what I have *Moral Purpose
  31. 31. User value Value to wider group Political value Social value Environmental value
  32. 32. 32 What if?
  33. 33. 33 *
  34. 34. 34 *
  35. 35. Economic pay-offs per £1 investment NHS Other public sector Non- public sector Total Early identification and intervention as soon as mental disorder arises Early intervention for conduct disorder 1.08 1.78 5.03 7.89 Health visitor interventions to reduce postnatal depression 0.40 - 0.40 0.80 Early intervention for depression in diabetes 0.19 0 0.14 0.33 Early intervention for medically unexplained symptoms 1.01 0 0.74 1.75 Early diagnosis and treatment of depression at work 0.51 - 4.52 5.03 Early detection of psychosis 2.62 0.79 6.85 10.27 Early intervention in psychosis 9.68 0.27 8.02 17.97 Screening for alcohol misuse 2.24 0.93 8.57 11.75 Suicide training courses provided to all GPs 0.08 0.05 43.86 43.99 Suicide prevention through bridge safety barriers 1.75 1.31 51.39 54.45 Promotion of mental health and prevention of mental disorder Prevention of conduct disorder through social and emotional learning programmes 9.42 17.02 57.29 83.73 School-based interventions to reduce bullying 0 0 14.35 14.35 Workplace health promotion programmes - - 9.69 9.69 Addressing social determinants and consequences of mental disorder Debt advice services 0.34 0.58 2.63 3.55 Befriending for older adults 0.44 - - 0.44
  36. 36. 36 * *Headlines *Stories behind the headlines *Sustained Change- checking *Logic Models *Systematic and robust *Performance Orientation *Knowing your theory of change
  37. 37. 37 *

×