Reshaping Care for Older People – The Lanarkshire Contribution Story Chapter 1

What was the issue you were addressing or working on?

Stakeholders in North and South Lanarkshire Partnerships agreed a theory of change for Reshaping Care for Older People in April 2012, represented in logic model format.  The outcomes they want to achieve provided a framework for the evaluation.  The problem to be addressed was how to determine the success of a programme comprised of a wide-ranging set of initiatives. Some may be more successful than others, some may encounter unexpected blocks that thwart progress for a time, whilst others may simply turn out to be unworkable in practice. A means of bringing the different initiatives together under a common framework was required.

 


What you did?

A wide-ranging set of initiatives has been developed in the partnerships of North and South Lanarkshire, and this presents a considerable challenge for determining success of the RCOP Programme.   A Contribution Analysis (CA) approach attempts to determine individual project influence on an agreed set of outcomes and enables us to be explicit about the strength of evidence gathered from each project and the impact on outcomes.  A total of 39 functional Change Fund initiatives are underway in Lanarkshire, although a number of enablers (e.g. Communications Officer, Programme Managers) are also being supported.  Some required only pump-prime funding, while others will receive support over a longer period of time.  The evaluation is focusing on these functional projects including those exclusive to the North or South Lanarkshire Partnerships and those jointly funded by both.

All funded initiatives have agreed which logic model outcomes they will influence and are providing evidence to demonstrate this.  The evidence is being assimilated into a Contribution Story, which will enable credible causal claims to be made about the influence of the different initiatives on the observed results.  The Contribution Story will be updated at six monthly intervals and completed by March 2015.  Initial evidence suggests that the theory of change is supported i.e. many initiatives are generating evidence of outcomes achieved.


What were the outcomes - benefits or otherwise?

The 1st Contribution Story was published in July 2013.

Meetings were held with all 39 individual project representatives to tease out which short and medium term outcomes they were influencing and what evidence they could produce to support these claims.  Some of the 39 projects planned to cite evidence to support their influence on many outcomes in the logic model, while others had a more restricted focus.  The report is available here.

The 2nd Contribution Story was published in September 2013.   

The report provides an overview of evidence that the projects were achieving their agreed outcomes between July and September 2013.  Read more here.

The 3rd Contribution Story was published in March 2014

This report summarises how robust the evidence has become as a result of ongoing discussion/support with individual initiatives.  Read more here.

The 4th Contribution Story was published in September 2014

It is concerned with the medium-term outcomes and provides an overview of the evidence submitted, a review of contributions to improvement outcomes and a review of contributions to releasing resources for reinvestment.  Read more here

The Story will be updated at six monthly intervals and will be complete by March 2015.

 


Contacts - to find out more

Helen Alexander, Helen.alexander@lanarkshire.scot.nhs.uk  01355-593467/8

Marjorie McGinty, Programme Manager, Marjorie.mcginty@lanarkshire.scot.nhs.uk 07766504321