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Measuring Outcomes in Doughnuts.

August 4, 2016

Imagine this scenario those readers who do not have a learning disability. It applies equally whether you’re in paid employment, receiving benefits or retired.

A year ago today, you met with your life planner to set the outcomes for you to achieve this year and the funding that goes with it. Your life planner remarked that you are looking a bit more porky than last year. You sheepishly admit that your doughnut consumption has increased. Your life planner asks what steps could be taken so that an outcome would mean you become less porky. Slightly wrong footed because (a) you like doughnuts, and (b) you hadn’t thought about making this one of your life goals for 2015/16, you mumble and stumble. Your life planner informs you that to achieve the outcome of being less porky, you can run round the block six times every morning at 6.30 and you can reduce your doughnut consumption to one every other Thursday. This is drawn up and recorded in your 2015/16 Life Plan.

Fast forward a year. It is your Life Plan review today. It’s been a good year. You’ve finished that book you’ve been writing. At work, you secured that good deal with Singapore. You’ve taught yourself to play the ukulele. You’ve even managed to ween yourself off your daily fix of Homes Under The Hammer. Unfortunately, none of these were set as outcomes last year. You did manage to eliminate all doughnuts after three months. But whilst running round the block you discovered a new bakers and found you had quite a taste for chocolate eclairs. Outcome = you’ve only lost 2lb.

Your Life Planner is reflective but you know is disappointed. You need an added incentive to achieve the outcome in 2016/17. If she reduces your Life Funding, you won’t be able to afford the eclairs and that will give you added motivation. You ask what would have happened if you’d come in 2 stone lighter and are told that your Life Funding would have been reduced because the outcome had been achieved and the need was no longer there.

Assessment complete. Funding reduced by 1/3rd. And a new outcome set by your life planner for 2016/17 – to dust the shelf units in your flat, every other day. Your Sunday morning top and bottom needs substantial work to meet appropriate levels of hygiene.

Today is Steven’s annual Care Plan review. I can’t for the life of me remember what outcomes were set last year. He had no input into them at all. He’s achieved so much this year but I doubt those achievements count for anything. In order to retain the status quo in support and funding we have to accentuate the negatives.

And keep our fingers crossed.

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From → Social Care

3 Comments
  1. Exactly, the huge flaw, is in the system of funding.

    It encourages, imbibes even, into the system poor care and education.

    The worse a person’s behaviour becomes, an assessment can produce more funding, which is the aim, as care for the LD/autistic is about funding ie they are cash cows.

    This is why the LD/autistic can command £4,000 + a week, in supported/ whatever you want to call it living.

    Education Health and Care Statements will only receive funding, if the person maintains their high level of disability. So there is an incentive not to improve.

    So non improvement/ inadequate care maintains and increases funding.

    Making sure the LD/Autistic are written off educationally, and receive inadequate care.

  2. Jayne knight permalink

    I’ll be fascinated to know the results! I just write them and then do something else more interesting and worthwhile that someone actually wants to do. So you just say well we started that but realised this was more important etc etc

  3. Nikki permalink

    Sad but true, the system is flawed, however what would be the alternative? Grants and funding paid for successes and cuts made to the support of those who fail to achieve their outcomes? Nothing would surprise me these days…. My son has been put on drugs to make him easier to manage and so to lower the cost of his support package, im really worried they’ll labotomise him and others like him in the future!

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