What works who decides
1 / 15

What Works: Who Decides? - PowerPoint PPT Presentation

  • Uploaded on

What Works: Who Decides?. Professor Siobhan McClelland. What Works: Who Decides. Fitting the Context Speaking the Language Ticking the Boxes Making the Case Defining Success. The Context. The Context. Political: Elections/New Governments/New Ministers/New Organisations

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'What Works: Who Decides?' - gizela

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
What works who decides

What Works: Who Decides?

Professor Siobhan McClelland

What works who decides1
What Works: Who Decides

  • Fitting the Context

  • Speaking the Language

  • Ticking the Boxes

  • Making the Case

  • Defining Success

The context1
The Context

Political: Elections/New Governments/New Ministers/New Organisations

Economic: Stringency/austerity/competing resources/value for money

Strategic: “Preventative, primary and community led”

Its a competition
Its a competition ...

The Opportunity: To demonstrate that services meet the context: deliver on strategic objectives, are cost effective and tick the boxes of decision makers

The Danger: Competing for resources becomes fiercer; hard to change existing patterns of service delivery and resource allocation; easy to get rid of “soft” services; difficulties in securing ongoing revenue funding

This needs
This needs ...

  • Fierce and smart

  • Robust evidence base

  • Speaks the language of key decision makers

  • Captures the policy community

Speaking the language
Speaking the Language

  • National and Local

  • Elections and Constituencies

  • Short timeframes

  • Personalities and beliefs

  • Priorities

  • Effective campaigns

  • Individual testimony


Speaking the language1
Speaking the Language

  • Achieving strategic objectives

  • Responding to ministers

  • Avoid embarrassment

  • Standards and Targets

  • Accommodating vested interests

  • Balancing the Books

Civil Servants and Managers

P45 Targets

The rest of the policy community
The rest of the policy community

  • Professionals

  • The Media

  • Pressure Groups

  • Third Sector

  • Private Sector

Evidence based practice and policy
Evidence Based Practice ... And Policy?

The Bad News:

Rational policy making and resource allocation is a holy grail

Lots of decisions about policy and resources are not based on evidence

The Good News:

It doesn’t have to be like this and it isn’t always like this

We shouldn’t give up on developing a robust evidence base to inform decision making

Developing the evidence base
Developing the Evidence Base

  • Dominance of certain models of evidence notably bio medical model in health and ‘gold standards’ of evidence

  • These suit pharmaceutical and technological interventions well but are more difficult for ‘softer’ services

  • Demonstrating cost effectiveness/value for money is critical and developing methods for demonstrating this

National dementia strategy evaluation
National Dementia Strategy Evaluation

  • Evaluation of nurse advisors and peer support interventions

  • Very wide range of approaches

  • Quality of Life Tools: ASCOT and Demqol

  • Value for Money, Discrete Choice and Willingness to Pay

  • Wide data set and detailed case studies

  • In depth interviews with stakeholders, service users and carers

Developing the evidence base1
Developing the Evidence Base

  • Need to develop and demonstrate robust range of methods which can stand against RCTs

  • Never underestimate the power of the testimony of service users but .. It needs to be more than anecdotal

  • The Black Arts ...

Success ...

  • A strong and defensible evidence base

  • Fits the strategic context

  • Meets operational imperatives

  • Convinces decision makers at various levels

  • Includes evaluation to further increase the evidence base