Food & Health Alliance

The Health Improvement Performance Management (HIPM) Review was commissioned by Scottish Government and supports the National Performance Framework (NPF) and the introduction of Single Outcome Agreements (SOAs) with local government and their partners.

As part of the Review, NHS Health Scotland has produced a number of tools to support community planning partners in developing SOAs. The tools have been developed to help partners clarify links between outcomes ‘above the water line' in SOAs and the shorter-term outcomes of service delivery that might be included in performance management information ‘below the water line'.

The tools have been developed in collaboration with Scottish Government, NHS Boards, local authorities and third sector organisations. Work has also been undertaken with a small selection of local councils and their partners to understand better how the outcomes approach and tools can be used and made useful within the context of local community planning.

The four main tools developed in the HIPM Review are:

• Outcomes triangles - these can be used to show the key outcome categories ‘above the water line' relevant for strategic planning and SOAs
• Results chains - these link the inputs, activities, outputs and short-term outcomes ‘below the water line' to the key higher level outcome categories in the NPF and/or SOAs for a single delivery organisation
• Multiple results chains - these link the inputs, activities, outputs and short-term outcomes ‘below the water line to the key higher level outcome categories in the NPF and/or SOAs for a range of partner organisations
• Outcome frameworks - these provide the detailed outcome maps underpinning the above tools. They comprise strategic logic models showing the links between high level and intermediate outcomes, and a series of 'nested' logic models showing potential pathways between inputs, short-term outcomes and intermediate outcomes.

Further information and examples of each of these tools and their intended users are also available, as well as blank templates  of the outcomes triangles and multiple results chains for your use.

Physical Activity HIPM Tools

As a result of the Review a series of physical activity tools have been developed based on logic models. The tools are presented alongside a brief commentary setting out the benefits of the logic modelling approach, the content of the models for physical activity and how the models might be used to inform outcomes focused-planning and performance management. The commentary also discusses some of the challanges in using a logic modelling approach.

• Physical activity outcomes triangle and results chains
• HIPM logic model report physical activity
• Physical Activity models for HIPM

The National Performance Framework and local SOAs both have strategic health and non-health (e.g. environmental) outcomes related to increased physical activity, such as reduced childhood obesity, reduced heart disease, increased mental health and well-being and greater use of active forms of travel. The purpose of these tools is to identify effective partner contributions that will help achieve these strategic outcomes.