Why Outcomes are important for people who use services and their carers

Isobel Allan MBE Mother & Carer

24th June 2011{IRISS - Leading for Outcomes}

OUTCOMES APPROACH>

Cared For PersonOR

CarerOutcomes

Community CareOutcomesFramework

(2007)

National MinimumStandards for Assessment

(2007)

Talking PointsPersonal Outcomes

Approach(JIT)

Talking Points> Outcomes

Quality of Life For The Cared For Person>

Quality of Life For TheCarer>

Feeling safe Quality of life for the cared for person

Having things to do Maintaining health and wellbeing

Seeing people A life of their own

Staying as well as you can Positive relationship with the person cared for

Living where you want/as you want

Freedom from financial hardship

Dealing with stigma/discrimination

Outcome> You!

What’s So Different!>

Feeling safe Quality of life for the cared for person

Having things to do Maintaining health and wellbeing

Seeing people A life of their own

Staying as well as you can Positive relationship with the person cared for

Living where you want/as you want

Freedom from financial hardship

Dealing with stigma/discrimination

The Right To Be Ordinary>All people should have the right to be

ordinary. When this right is compromised due to illness,

disability or caring responsibilities, trying to be ordinary becomes

extraordinary or special. People deserve the right to be able to access choice, freedom and opportunities –

people deserve the right to be ordinary

What Do You Need To Implement an Outcomes Approach? Genuine desire to do things differently Real engagement, inclusion and control (for cared for

person & carer) through partnership Encourage Empowerment cared for person, carer

and staff Deep respect for the person who lives the

experience. A recognition and belief in their basic human rights (including the right to be ordinary)

Flexible structures (paradox). Information & support that permit and encourage

choice, freedom and opportunity

What Do You Need To Implement an Outcomes Approach? Well trained, committed and supported staff Pathways implications barriers gains Invest in human relationship skills training>

{listening/responding/boundary issues} Willingness and ability to ‘unlearn’ DANGER > All change creates chaos, fear

and a loss of power which will crave a retreat to past familiar structures! RESIST AT ALL COSTS> If in doubt ‘phone a friend or ask the audience!!

What can sabotage an Outcomes Approach> Lack of vision and enthusiasm Poor leadership skills {at all levels} Untrained, undervalued & unsupported staff Rules not rights Compliance not commitment Resource drain proving not improving Lack of human warmth {nobody cares

how much you know until they know how much you care!} Roosevelt

It’s A Wonderful Life!!!

Person

Rights Relationships Responsibilities

If you want to get something – you may have to give something up!IINCREASE>NCREASE> DECREASE>DECREASE>

Human Warmth Indifference

Human Rights Rules that Dominate

Real Engagement Formality

Flexible Systems Rigid Structures

Empowerment Power Based Approaches

Creative Opportunities Managed Procedures

Meaningful Outcomes Meaningless Outlooks

An Outcomes Approach>

What lies behind us andwhat lies before us are

tiny matters compared to what lies within us

{Ralph Waldo Emerson}

Outcomes CAN BE Painless>

Trust me I ’m a carer!