Purpose -The aim of this paper is to describe the development of a suite of social inclusion outcome measures and how they are being applied in practice within Stockport.Design/methodology/approach -The paper gives a description of the development approach; the development of the measures and how the data collection systems have been established.Findings -A suite of practical measures of social inclusion has been developed that are being used to inform local service delivery, commissioning and service redesign with the purpose of evidencing the effectiveness of provision in delivering social inclusion for people who have used mental health services in Stockport.Research limitations/implications -The paper does not contain data. It is anticipated that the data will inform a business case for commissioning in new ways and which may be the subject of a further paper.Practical implications -The paper describes the practical approaches that have led to the development of the measures.Social implications -The measures will be able to demonstrate the social impact of services for people who use them.Originality/value -Mental health services are striving to develop meaningful measures that are embedded in day-to-day practice and are meaningful to people who use services. These measures and the way they are being used in services will provide evidence to service commissioners of effectiveness and have been signed off as such by commissioners. The outcomes framework will have implications locally for the implementation of payment by results in mental health.
Purpose -Commissioning has been a central plank of health and social are policy in England for many years now, yet there are still debates about how effective it is in delivering improvements in care and outcomes. Social inclusion of people with experience of mental health is one of the goals that commissioners would like to help services to improve but such a complex outcome for people can often be undermined by contractual arrangements that fragment service responses rather than deliver holistic support. In this paper we discuss a form of commissioning, Alliance Contracting, and how it has been allied with a Social Inclusion Outcomes Framework (SIOF)in Stockport to begin to improve services and outcomes.Design/methodology/approach -The paper is a conceptual discussion and case description of the use of Alliance Contracts to improve recovery services and social inclusion in mental health care in one locality.Findings -The paper finds that the Alliance Contracting approach fits well with the SIOF and is beginning to deliver some promising results in terms of improving services.Research limitations -This is a case study of one area and, as such, it is hard to generalise beyond that.Practical implications -The paper discusses a promising approach for commissioners to develop locally to guide service improvements and better social inclusion outcomes for people.Social implications -Rather than developing good services but fractured pathways of care across providers and teams, the Alliance Contracting approach potentially delivers more holistic and flexible pathways that ought to better help individuals in their recover journeys.2 Originality/value -This is the first paper to set out the use of alliance contracting and social inclusion measures to help improve services and outcomes for people experiencing mental health problems.
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