Presentation to
Dumfries Providers’ Forum
Discussion group
09.09.11
Discuss
“What’s your best hope in life just now?”
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Aims for today
 Personal experience of using Talking Points
linked to Person Centred Planning
 Personal outcomes
 Person centred financial systems and flexible
budgets around a set of outcome measures
 Personalisation pitfalls
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Outcomes for today
 More confidence in recognising outcomes in
support planning
 More information about conversations to establish
the outcomes
 More knowledge about person centred financial
systems
 More awareness of pitfalls
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Talking Points
A Personal Outcomes Approach
What are personal ‘outcomes’?
 Outcomes are the end results of support and/or service(s)
on the person’s life
 15 years of research identified a framework of inter-related
outcomes relating to:
• Quality of Life (getting or maintaining it)
• Process (interaction between staff and person)
• Change (for a better life)
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Outcomes for people we support
Quality of life
Process

Feeling safe

Listened to

Having things to
do

Having a say

Treated with
respect

Responded to

Reliability

Seeing people

Staying as well as
you can

Living where and
as you want

Dealing with
stigma
/discrimination
Change

Improved
confidence /
morale

Improved skills

Improved mobility

Reduced
symptoms
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How do we support the person
to identify and realise their outcomes?
 Holding good conversations and actively listening to
find out what really matters to the person
 Focusing on the person's priorities and being flexible
in using the framework of outcomes to talk about
different areas of life
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How do we support the person
to identify and realise their outcomes?
 Working with the person's outcomes to identify what
activities, supports and/or services are required to
realise them
 Maximising the person’s own strengths, skills,
capacities and involvement in realising their outcomes
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Good conversations
Some questions to get the story
 What’s your best hope or dream just now?
 If that happened, what difference would it make to you?
 How would you know that had happened?
 What would you notice?
 Who else would notice?
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What’s the difference between an
outcome (end result) and an output (activity)?
Some examples
Output:
Getting a job
Output:
Going to the pub on my own
Outcomes:
 Seeing more people;
 Having things to do;
 Improved skills and
knowledge;
 Improved confidence
and self-esteem;
 Reduced symptoms;
 More money.
Outcomes:
 Having things to do and
seeing people,
 More independence - leading
to improved confidence,
mobility and skills
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What’s the difference between an
outcome (end result) and an output (activity)?
Some examples
Output: Joining a
Neighbourhood Network
Output: Going on
holiday
Outcomes:
 Feeling safe in the
community;
 Seeing more people,
 Having more things to do;
 Improved skills and
knowledge;
 Improved confidence and
self-esteem;
 Reduced symptoms.
Outcomes:
 Having things to do;
 Seeing (new) people;
 Staying as well as
possible;
 Improved confidence
and skills;
 Reduced symptoms.
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A plan is not an outcome !
PLAN
DO
REVIEW
PLAN
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Outcome
Inputs
Output
Process
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The wee girl and the birthday cake
 Parents ask child “What would you really like for your
birthday party?
 She says “A pink frosted birthday cupcake with 10
lollypops and a marshmallow on top”.
 Inputs are? Process is? Output is?.....
 What’s the outcome (end result) of parents really
listening to the wee girl?
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The Outcomes Card Game
Input
Process
Output
Outcome
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Personalisation
 Person centred financial systems,
flexible budgets
 Pitfalls!
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