Presentation given to the National Clinical Leads and Modern Matrons Annual Conference (Mental Health and Learning Disability) outlining the Confirm & Challenge (6C\'s) Model and Outcomes Framework

1. Are we there yet?
Debra Moore
Managing Director – Debra Moore Associates

2. Aim of the session
• To consider the direction
of travel for health
services
• To introduce a model and
framework that provides
a road map to navigate
us

3. There are many ways we could
travel ……

4. There are many ways we could
travel ……
Throw caution to the wind!

5. Why do we need a
framework or ‘road
map’?

6. • To be clear about our vision
and outcomes or ‘destination’
• To be clear about what we
need to do – our ‘road map’ to
get us there
• To be clear about our progress
or ‘mileage’ towards the
destination and to know ‘if we
are there yet?’

7. Horizon scanning
• Changes in commissioning
• Changes in provision
• Changes in demography
• Changes in resource
allocation
• Changes in expectations

8. Decide ……
Swim
Sink

9. What are the constants – what
are the ‘signposts’?
• What are the words that keep
appearing when we talk to
people who use services and
their families?
This way
• What are the words that appear
please
when we talk to professionals?
• What are the words that appear
in policy?

10. Rights Improvement Innovation Respect
Safe Dignity
Personalised Effective
Inclusion Control
Local Quality
Choice
Prevention

11. Challenge inequalities,
Confirm the direction improve access and
of travel for health promote inclusion
services:
‘what good looks like’
Confirm & Challenge
An Outcomes Framework

12. Confirm & Challenge
• Gathers together the
objectives and
priorities from a
range of sources
• Puts it all into a
model and self
assessment tool

13. 6 Key Principles

14. Centredness:
person centred services and support
3 Core Outcomes
1. The team plans and delivers care in a
person centred way
2. The team works in partnership with the
individual and their family
3. The team utilises a range of
communication tools and approaches

15. Dot voting

16. Community: inclusion and access to local
and mainstream services
3 Core Outcomes
1. The team provides people and families with
individualised support within their local
community
2. The team provides skilled local support and
direct interventions to people with complex
needs
3. The team works in partnership with wider
agencies to support people to access
universal and mainstream services

17. Dot voting

18. Citizenship: fairness, equality,
dignity and respect
2 Core Outcomes
1. The team actively contributes to
reducing the health inequalities faced
by people with learning disabilities and
people with mental health problems
2. The team promotes the legal and civil
rights of people with learning
disabilities and people with mental
health problems

19. Dot voting

20. Commissioning: working in partnership to
deliver improved outcomes
2 Core Outcomes
1. The team works in partnership, across
agencies and sectors, to support the
commissioning of inclusive and person
centred services and supports
2. The service provided by the team and team
priorities, reflect the needs and wishes of
the local population

21. Dot voting

22. Competence: a capable community
3 Core Outcomes
1. The team comprises of staff with
appropriate specialist skills and
knowledge
2. The team provides training and
advice to increase the capacity and
confidence of mainstream provision
3. The team works in partnership with
people and their families to utilize
personal expertise and increase
personal effectiveness

23. Dot voting

24. Checking: ensuring services are high
quality, effective and safe
1 Core Outcome
1. The team has robust performance
systems in place that translate policy
and best practice into useful metrics
that monitor progress and delivery

25. Dot voting

26. What do we think it How did people
might mean? rate this area?
What might we do
differently?
Table discussions

27. The process
• Communicate intent to undertake self assessment to all key
stakeholders
• Invite key stakeholders to complete online self assessment tool
or ‘meet and complete’
• Undertake initial analysis of self assessment responses
• Hold a ‘confirm & challenge’ event – confirm findings and
priorities and set local outcome targets
• Action plan
• Implement and monitor action plan
• Feed actions and progress into local mechanisms and groups
such as local health and wellbeing boards

28. Getting from ‘here to there’
• Determining local outcome
targets is key
• Work only on a few priorities
• Share the load
• Find the similarities between
services – we have more in
common than we think

29. Be a strong link in the chain
• Personal accountability
• Professional accountability
• Remember Six Lives, Ten
Lives……..how many more?

30. Don’t be a fence sitter
• Do something
• Be the change you want
to see

31. Use a ‘good enough’ approach
• Don’t let it get ‘bureaucratic’
• Map out the current data collection
systems before you start
• Don’t get too hung up about it being a
‘perfect’ process
• Do the best within current resources
• Be as inclusive as possible – getting the
views of those who use services and
their families is paramount

32. Just go for it!

33. Network
together we are better

34. Remove barriers
• Improving access,
experience and
outcomes

35. Remember when it’s tough……

37. Further information
Website www.debramooreassociates.com
debra@debramooreassociates.com