Supporting the evaluation of new models of care

The ihub supported the Midlothian Wellbeing Service to evaluate their personal outcome focused approach to care, to demonstrate the positive impact of the service on people’s wellbeing and to support scale and spread of this new model of care.

The Midlothian Wellbeing Service is a personal outcome focused service, based in primary care. It’s a collaboration between Midlothian HSCP and the Thistle Foundation.

The approach used by the wellbeing service is based on a ‘good conversation’ focusing on personal outcomes and building people’s strengths. People using the service are supported to explore coping strategies, express their own needs and priorities and ultimately achieve success in their personal life goals.

The service recognised the need to also take a personal outcome focused approach to their evaluation so they approached the ihub for support to do this.

The ihub’s Evidence and Evaluation Improvement Team (EEvIT) and an ihub Improvement Adviser brought together an expert panel to support the evaluation of the wellbeing service. The panel included representation from health, social care, third and independent sectors, those with experience of the house of care model, and expertise on outcomes focused evaluation.

Further support from the ihub led to the development of a bespoke evaluation framework for the wellbeing service which enabled data to be collected locally. Midlothian HSCP implemented quarterly reflective learning cycles to support those involved in the work to review and reflect on intelligence and the data gathered, to mobilise knowledge gained through learning and to further develop the wellbeing service.

Using this evaluation approach, Midlothian HSCP was able to demonstrate the benefit of the wellbeing practitioner service to people with long term conditions accessing the service who reported improvements in confidence, coping and wellbeing scores.

For example people using the service reported making changes relating to:

  • Physical health - doing more exercise, changing medication.
  • Social isolation - making contact with other organisations, getting support, re-engaging with interests.
  • Mental wellbeing - using lifestyle management tools.

Primary care practitioners also valued this new model of care, with a marked decrease in GP contact made by people who had used the service.

Read more details and find resources at the Evidence and Evaluation Improvement Team section of our website.