Foundations for self-directed support in Scotland
Foundations for self-directed support in Scotland

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Foundations for self-directed support in Scotland

3.7 Outcomes for adults

The Talking Points Outcomes Framework

Moving from service-led to outcomes-focused approaches demands that organisations look beyond formal service provision and work with individuals and communities to identify support and opportunities that can help people achieve their desired outcomes.

(Cook and Miller, 2012a, p. 15)

The Talking Points Outcomes Approach was developed by the Joint Improvement Team in Scotland to support a focus on the outcomes important to people using health and social care services in Scotland and their unpaid carers. It includes a set of 15 outcomes that are important to citizens. These outcomes are grouped into three main categories:

  • Quality of life outcomes: Aspects of people’s whole lives that they are working to achieve or maintain.
  • Process outcomes: The experience people have seeking, obtaining and using services and support.
  • Change outcomes: The changes or improvements that people are seeking to achieve from any particular intervention or support.

The framework has been used in many different research and practice settings, and seems to capture ‘most issues of importance to most people’ (Cook and Miller, 2012a, p. 11).

Click on each image below to learn more about each outcome set.

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Activity 3.6: Service-led or outcomes-focused?

Timing: (Allow about 10 minutes)

Below is a list of characteristics of service-led and outcome-focused practices. Use your understanding of personalisation and outcomes-based thinking to decide which of these statements refer to which ways of thinking. Use your mouse to drag each one into the correct model. When you drag one, a new one appears. Once you’ve placed each factor, review your selections. You can use the ‘Reset’ button to try again. When you’re happy with your selections, use the ‘OK’ button to find out how you did.

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(Developed from ‘Talking Points: Personal Outcomes Approach – Practical Guide’, pp. 15–16)


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