Being clear about the difference an initiative wants to make and the outcomes or the impacts of the work is the first step in knowing whether it is making a difference. Taking the time to really understand how the work contributes to intended outcomes or impacts brings other benefits too. Getting a clear sense of what matters and the change the work is seeking to make in the world is vital when navigating a complex environment. Having a clear vision for where the work is heading acts as a beacon, providing a firm direction whatever changes around it
211 ELEVEN Personal health budgets: implementation and outcomes Karen Jones, Julien Forder, James Caiels, Elizabeth Welch and Karen Windle Introduction The personalisation agenda in health and social care in England has focused on maximising choice and control over support and services. Since 2005, personal budgets have formed part of this agenda, with the aim of providing more choice and flexibility over how services are managed and delivered. The underlying assumption is that patients are in the best position to know what support would meet their
155 EIGHT Empowering outcomes? Introduction Chapter Six has established that the FGC process generally appears very enabling of family participation and represents, potentially at least, a means for greater partnership between the family members and the professionals. Effective participation in the process of decision making, however, is only one of the preconditions of user empowerment. No matter how potentially enabling the process, and accepting that this may itself be viewed as an “immediate output” (Hudson et al, 1996, p 15), the FGC will not serve to
91 SIX Micro-enterprises: better outcomes at a lower cost The previous chapters have considered how and why to study size, the participative approach taken in the research study and the organisational identities at work among our case study micro-enterprises. The next three chapters present the findings from the research, focused on the four hypotheses. The issue of whether micro-enterprises achieve better outcomes and value for money than larger providers is considered in this chapter. The next chapter looks at the process of care and whether micro
Risk: probability and outcome One way of thinking about risk is in terms of the probability of one or more outcomes. Probability provides a way of using knowledge derived from the observation of past events to predict the likelihood of similar outcomes in the future. There is a strong technical and objective reality to probability; it is often expressed numerically. In contrast, outcomes are more subjective and relate to personal and collective values. This difference can be seen in gambling. When individuals choose to bet on a horse race, they are taking
83 FIvE Review of the evidence for outcome-based payment systems Introduction In this chapter we review published evaluations of UK PbR and SIBs and US SIBs to assess the current state of evidence on what works in outcomes-based commissioning. We have used elements of a systematic review methodology to structure our search for evaluations, our assessment of their quality and the synthesis of results. For every PbR and SIB programme identified in the UK (Tables 3.1 and 3.2) and the SIBs identified in the US (Table 4.1) a thorough search was undertaken for
75 PART 2 Outcomes for children Introduction Ultimately we are interested in the effects of child poverty rates on children’s physical and mental development, health and survival rates, educational achievement and job prospects, incomes and life expectancy. In Part 2 of this volume various authors try to answer the question of whether those that spend their childhood in poverty are at a marked disadvantage, as measured by various indicators. In the first chapter Shelley Phipps explores connections that exist among values, policies and outcomes for young
