V Flis Anyone Better Off

8/11/2019 V Flis Anyone Better Off

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Nabiah Sohail

Highly Specialist Speech and Language Therapist

Outcome Measures & North Primary Locality Lead

Children’s Integrated Speech & Language Therapy Service for Hackney & the City

Hackney

Outcomes

Project

Is anyone better off?



Children’s Integrated Speech and Language

Therapy Service for Hackney and the City

• External Review 2003

• Restructure

• Locally and nationally recognised service

• ….but are we making a difference?



Outcomes

The Commissioning Context



Phase 1Needs assessment and

strategic planning

Phase 2Shaping and managing

the market

Phase 3Improving performance,

monitoring andevaluating

Becoming a Bercow Pathfinder



• Locally funded

• Steering group

• Supported by

commissioners

The Context Changed!

Hackney

Outcomes

Project



• Flexibility

• Responsiveness

• Bottom-up

• Practical

Taking an Action Research Approach



What tools can be used to measure the outcomes delivered by

the whole SLT service and how can they be best reported to our

multiple commissioners?

A series of research cycles:

• Theoretical models of outcome measurement

• Research into existing outcome measures

• A pilot phase trialling chosen outcome measurement tools

• An exploration of how best to collate and present data

Taking an Action Research Approach



What theoretical models relating to outcome measurement are

relevant to our service and which theoretical model would be

best used to frame our outcome measurement tool?

• Models that frame the service model

• Models that articulate, organise and collate outcomes

Cycle One: A Grounding in Theory



The Language TrapToo many terms. Too few definitions. Too little discipline

Benchmark

Target

Indicator Goal

Result

Objective

Outcome

Measure

Modifiers

Measurable CoreUrgent Qualitative

Priority Programmatic

Targeted Performance

Incremental Strategic

Systemic



Cycle Two: Research Phase

Engagement with Hackney Commissioners

Survey of other SLT and Allied Health Services

Survey of Hackney SLT Team

Focus Groups with Schools & Academies

Consultations with Parents and Carer’s

Consultative support from RCSLT and other professional networks

Are there currently outcome measurement tools in existence that we canutilise?

What additional outcome measurement tools are needed to fill the gaps?

Do we know our stakeholders well enough?



Are the chosen outcome measurement tools

efficient and effective ways of measuring the

outcomes of our whole SLT service?

1. Defining our service specification and desired whole

service outcomes

2. Developing and refining tools to measure outcomes

Cycle Three: Pilot Phase





How can we use our chosen framework and basket of

outcome measurements to enable us to compile and present

outcome measurements in a way that is meaningful and

useful for commissioners and other stakeholders?

Cycle Four: Collating and Presenting Data

Service improvement Self reflection

Value for money

Interest and information Enabling choice





Outcomes is everyone’s responsibility

The RCSLT is not

solely responsible

for ‘saving’ our

profession

Managers can’t prove

the worth of their team

without their team

members

Academic’s can’t do all

the research or give allthe evidence base for

SLT



An important part of our job…

Database

systems e.g.

RioStats e.g. lots of Excel

spread sheets

Recording Activity

e.g. Counting up

your contacts!

Outcome Tools

e.g. EKOS, TOM,

GAS, Care Aims

User satisfactione.g. phone calls to

parents



Remember: we have to market…

Our professionOur serviceOurselves

We have to raise awareness

of who we are and what wedo and how we make a

difference!

You have skills that

can make a difference

to your service...youhave to share your

ideas and offer your

strengths…

We have to advertisewhat we can

provide? We have to

say what we are

good at. We have to

share thecompliments and the

complaints!



April 2013

www.gethackneytalking.co.uk

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020 7683 4751

[email protected]

Thank-you!

QUESTIONS ?

mailto:[email protected]

mailto:[email protected]

Documents

V Flis Anyone Better Off