Outcomes, Enablement and an Assets Approach to Health and Wellbeing
Staff working in areas where outcomes based working is being implemented have made the case that the service landscape needs to change to support the new way of working. This means moving from a culture of service provision which focuses on deficits and encourages dependency to approaches which focus on the assets, strengths and aspirations of each individual within a more enabling culture. There are already many innovative examples of services which work in this way.
Outcomes and Rehabilitation in East Renfrewshire
Colleagues in Levern Valley Older Peoples Team in East Renfrewshire have combined outcomes based working with their approach to rehabilitation. The following PowerPoint presentation of one woman's story demonstrates how this worked in practice.
East Renfrewshire Case Study [2Mb]
Locality Link Officers in North Lanarkshire
Several years ago, as colleagues in North Lanarkshire were moving to outcomes based working, they reviewed day services for older people to see whether things could be different to deliver better outcomes for older people. Following the review, the Older Adults department set up a network of six locality support officers to lead on services that meet the needs and interests of the individual. The officers work across local authority departments and are embedded in the local community to focus on rehabilitation and re-enablement of older peple into communities. This work has been written up as an Innovation Example by IRISS.
N Lanarkshire Innovation Example [116Kb]
Local Area Co-ordination
The model of locality link officers in North Lanarkshire has parallels with local area co-ordination for people with learning disabilities. You can find out more about LAC by visiting the website of the Scottish Consortium for Learning Disability.
The SCLD has released their 'Values into Practice' framework in order to supplement the implementation of Local Area Co-ordination in Scotland. Download a copy of the framework below.
A Framework for LAC in Scotland [1Mb]
Co-production with Older People in Perth and Kinross
For the past five years Perth and Kinross Council in partnership with the NHS have developed an innovative programme involving a core group of NHS staff working with local teams of older people across a wide, mainly rural, geographical area. The teams of older people choose from a variety of activities they wish to participate in, and have increased opportunities to socialise and meet new people. The core team of staff ensure that other services are able to link in to all the teams, who have access to a wide range of information and opportunity to gain information technology skills. The teams are also self-supporting to various extents. The Talking Points approach was used to evaluate the outcomes for the older people involved in the collaborative.
Perth and Kinross HCC Executive Summary [1Mb]
Perth and Kinross HCC Full Report [5Mb]
Village Agents in Gloucestershire
"Village Agents" is an innovative scheme to support older people living in some of the most isolated rural areas of England. Village Agents bridge the gap between the local community and statutory and voluntary organisations. They provide high quality information, promote access to a wide range of services, carry out a series of practical checks and identify unmet needs within their community.
Village Agents Presentation [1023Kb]
Village Agents Leaflet [344Kb]
The National Endowment for Science, Technology and the Arts (NESTA)
NESTA promotes innovation in the UK in order to help solve some of the country's pressing economic and social challenges and to promote local solutions to national challenges. Their 2010 report, Radical Scotland: Confronting the Challenges facing Scotland's Public Services, includes a range of innovative solutions from different areas of Scotland.
Radical Scotland [352Kb]
Find out more about NESTA here.
