Qcf 5

Name: Steven Evans-Jones

Date: 03 Jan 15

UNIT 513 - Manage health and social care practice to ensure positive outcomes for individuals

1.1 - Explain outcome based practice

1.1 Over recent decades, there has been a shift in the focus of care from being needs-led, whereby services offered a 'one size fits all' approach to being outcome based, a more proactive approach whereby services tailor the care package to the individual goals and desires of the individual.

Successive governments have supported this change and it has now been incorporated into general practice.

Amongst the evidence which has informed government policies has been an 'outcomes framework', devised and developed by the Social Policy Research Unit at the University of York through work with disabled service users (Bamford et al[1]., 1999; Harris et al[2]., 2005).

There are three dimensions to the model which are:

    • Outcomes involving change - e.g. building self-confidence, improving self-care skills

    • Outcomes to maintain quality of life

    • Outcomes involving service delivery, where the individual becomes a stakeholder, is listened to and valued

These dimensions have been categorised by Harris et al. (2005) into a 4-part framework, showing how individuals' needs may be met (see Annex A).

This framework is generally accepted as being a person-centred approach, with the support worker facilitating care pathways.

1.2 - Critically review approaches to outcome based practice

1.2 The British Red Cross has adopted an outcome based approach to it's Support at Home service, subsequently, as the Team Leader for this service in the Cardiff and Vale of Glamorgan area, I adapt this way of working on a daily basis.

I fully understand the approach and I ensure that I, my staff and my team of volunteers all work following these principles, assessing the individual, encouraging the individual to identify the 'Top 3 Goals/Outcomes', the...