Applications of ASCOT

ASCOT can be used to support outcomes-based management in a variety of organisations. This section presents three examples of such use by:

Central Government

ASCOT is used as an indicator in the first domain of the Adult Social Care Outcomes Framework (ASCOF): enhancing quality of life for people with care and support needs.  To populate this, SCT4 has been included in the Adult Social Care Survey (ASCS) (questions 3a to 11). The ASCS is an annual survey administered by NHS Digital and collected by all local authorities in England with social services responsibilities. For more information on ASCS, click here.

Local Government

ASCOT is used by local authorities in England to support outcomes-based management and quality monitoring of social care services. For example, Cumbria County Council uses ASCOT domains to guide conversations with service users as part of the assessment and review process.  The council’s social workers use ASCOT questions and domains of SCRQoL to identify individuals’ desired outcomes, which then are incorporated into care planning. To learn more about Cumbria County Council’s use of ASCOT, refer to the following article: Johnstone L, Page C (2014) Using Adult Social Care Outcomes Toolkit (ASCOT) in the assessment and review process. Research, Policy and Planning (2013/14), 30, 3, 179-192.

Social Care Providers

ASCOT is becoming increasingly popular with care providers. Organisations keen to support and promote outcomes-based approach in their services find ASCOT a useful tool to help achieve their goals. One care provider in Northern Ireland, Positive Futures, used ASCOT INT4 to evaluate their ‘The Life I Want’ strategy, which aims to improve outcomes for people with learning disabilities or autism. Through the use of ASCOT, Positive Futures were able to identify areas in which the needs of service users were met, as well as the areas that needed improvement. The results also showed that ‘The Life I Want’ programme had a positive impact on service users’ social care-related quality of life. A presentation by Jemma Ennis-Dawson, Project Manager at Positive Futures, covering the evaluation can be found here and her blog here.

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