Outcome-focused approaches: which model?

Our organisation already uses outcome-focused approaches, but using a different model…

The NHS Health Scotland (NHS HS) outcomes frameworks have been developed to support outcome-focused approaches to planning, performance management and evaluation of health improvement activities. They use well-known evaluation and planning methods eg logic models.

Non health-specific support for outcome-focused planning and evaluation

  • Outcome mapping (external link)
  • Results planning (external link)
  • Contribution Analysis (see Mayne J. Addressing Attribution Through Contribution Analysis: Using Performance Measures Sensibly ´The Canadian Journal of Program Evaluation´, 2001, 16(1): 1-24)
  • In the community and voluntary sector, ‘LEAP’ is a commonly used model (see below).

LEAP (Learning Evaluation and Planning)

LEAP is a useful framework with which to analyse needs and issues, define and agree outcomes, develop action plans, track and record implementation, and evaluate progress and change. It is therefore built around a simple ‘analyse – plan – do – review’ model, but at each stage poses critical questions to encourage clarity and focus.

The values underpinning LEAP assume that it will be used in an environment where:

  • communities are engaged and participating
  • equalities principles are at the forefront
  • collaboration and shared implementation are in place.

There are specific versions of LEAP relating to community learning and development, volunteering, community engagement, and others. The LEAP for Health Framework (2003) was commissioned by NHS Health Scotland and aims to help those who work in community health settings to plan and evaluate their work in partnership with one another and with members of the community they seek to help.

The LEAP for Health framework enables those who use it to:

  • clarify what is involved in community health and wellbeing and help stakeholders agree on an agenda
  • plan activitiesidentify appropriate evaluation indicators
  • describe what has been done
  • provide evidence of what difference it has made to individuals and communities
  • learn from practice experience to improve effectiveness.

Further information about LEAP (Learning, Evaluation and Planning)

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