Shifts in Thinking: From Outputs to Outcomes
The biggest challenge is supporting the shift from outputs (or services) to outcomes (clarity of purpose or intended impact). To support this, East Renfrewshire CHCP produced a prompt card, illustrating a conversation structured around the outcomes important to people. Other organisations have adapted this for local use:
- Talking Points Card (PDF: 213kb)
Shifts in Thinking: From Deficits to Strengths
A further challenge is that the system has focussed on identifying deficits and matching the deficits to services. We have worked with the Scottish Recovery Network and Thistle Foundation, to blend solutions focused approaches with an outcomes approach. The attached guide provides examples of techniques to support enabling conversations.
- Constructing Good Conversations which Support an Outcomes Approach (MS Word: 830kb)
Conversations in Healthcare Settings
From 2012 to 2013, the Personal Outcomes and Quality Measures project considered possibilities and challenges of a personal outcomes approach in NHS settings.
Broadening the Conversation: The second project report draws on practice examples to illustrate personal outcomes in healthcare scenarios. The value of supportive relationships developed through outcomes focussed conversations emerges as a common thread .
Making Connections with Self Management: The third project report identifies similarities between the engagement practices used within support for self management scenarios and a personal outcomes approach. It also describes development and application of context-specific outcomes prompts in the language used by a community nursing team
Outcomes Focused Conversations
In 2011 we worked with colleagues in several settings to develop illustrative examples of outcomes focused conversations, which were captured in a brief guide to outcomes focused conversations (MS Word: 947kb).
In 2009-10 the JIT and Connect in Care worked with practitioners and people using services to develop resources to include people with communication support needs. We are currently updating this resource.
With regard to specific communication supports, there is a wealth of materials online and Communication Forum Scotland can be a good starting point. While no one tool can support communication with everyone, the low tech visual communication framework, Talking Mats, can be a powerful tool in helping people with a range of communication difficulties express their views. We worked with the Talking Mats team from Stirling Dementia Services Centre to develop symbols for Talking Points.
- Talking Mats and Talking Points Report (PDF: 725kb)
You can find further relevant resources on our dementia page