East of England Stroke Forum Annual Conference 14 th March 2013 The Goal Attainment Scale (GAS) & MDT Goal setting Amanda Swain & Andrew Bateman CCS NHS.

East of England Stroke East of England Stroke ForumForum

Annual ConferenceAnnual Conference1414thth March 2013 March 2013

The Goal Attainment Scale (GAS)& MDT Goal setting

Amanda Swain & Andrew BatemanCCS NHS Trust

Amanda Swain 1

1. Quick intro or recap to GAS2. Breakout session for you to discuss and raise issues you have in using the GAS or to raise questions on how it can be used in your MDT3. Feedback these to the group 4. Record feedback, especially solutions and references that will be available to you

Guide to the next 40 minutes

Amanda Swain 2

OUTCOME MEASURES ARE ONE A WAY SEEING IF REHABILITATION KEEPS THE DOOR OPEN

Following a brain

injury the door to the future can

seem closed

Amanda Swain 3

Background information on GAS Background information on GAS and its selection a National and its selection a National

outcome measureoutcome measure

BSRM 1998 “Basket of Measures”National Outcome FrameworkPayment by resultsUKROC submissionNCB requirement

Amanda Swain 4

OM for clinicians and service OM for clinicians and service

It’s useful for teams and clinicians as it acts as glue for cohesive team work

It engages clients and is useful for themIt’s a useful framework to lead programme and

intervention settingInput is based on the clients goals which have

been set with the team based upon assessment findings and therefore lead to more satisfaction

It evaluates goals from the clients’ perspective which means programmes are kept up to date and both client and staff know when it’s time for discharge

Problems on implementing GAS into your team can include confusion over terminology – later!

Amanda Swain 5

GAS is a gold standard OMGAS is a gold standard OM

It’s the OM that NCB Director wishes to be used for patient/client led outcomes

It is already being reported to UKROC and many other agencies to prove engagement and progress through input

It is being used to benchmark good practice

International evidence on efficacy

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G.A.S.G.A.S.Amanda Swain 7

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The terminologyThe terminology

Goals - client goals Strategy – Service (MDT) integrated

planSteps - SMART (therapist & client) Interventions – actual therapyOutcomes – measures that evidence

clients’ achievement or progress toward their Goals (& the efficacy of the Interventions as proposed in the Strategy)

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ASHN training on goal setting and ASHN training on goal setting and GAS 23GAS 23rdrd April 2013 April 2013

15 minutes for your discussion raising questions or identifying potential

barriers to implementing in your teams recording points for feedback

10 - 15 minutes feedback and some solutions and agreements (hopefully)

Record of feedback from your session to be available to you

Amanda Swain 10