Our Results

Proven benefits

We know that the Care Aims Framework produces better outcomes for team and end users, but don’t just take our word for it.  Have a look at what our clients say and follow the links to published papers and detailed testimonials assessing the real impact of the Care Aims Approach on individuals and organisations

Case study: Improved efficiency and effectiveness

The Care Aims Framework was introduced to an adult learning disability service in July 2008, with additional staff training in 2010.  A review of the impact found a 48% increase in throughput, average user time on caseload reduced from 23 months to 12 months, and reduced caseloads and reduced waiting lists – despite an increase in referrals.  At the same time, team confidence improved along with an enhanced understanding of the nature of the duty of care and clinical risk.  Read more

Case study: Reduced waiting times and improved service user satisfaction

The Care Aims Framework was introduced to a Child Occupational Therapy Service that faced considerable challenges in providing accessible, equitable and family-centred care.  The extensive waiting times of up to 96 weeks were reduced to consistently fewer than 12 weeks, with an associated improvement in service user satisfaction and empowerment.  Read more

Case study: Job clarity and improved ability to manage service to deliver effective outcomes

Anne was first introduced to the Care Aims Framework in 2000 and has used it since then within her work to inform her clinical decisions and produce the best outcomes for service users.  Read more


What our clients say

Thank you for your input while in New Zealand. It was a pleasurable and very enriching experience. You have a brilliant teaching skill that is very inspirational. I go forward with some apprehension that I can pass on this information to my colleagues with justice. But I am inspired and I think that counts for a lot. I feel that after floating down a river in my canoe (albeit a very good canoe) care aims has supplied me with a paddle.


 Your amazing skill at involving and including everyone has meant that we have a way forward that we can truly say has been developed by us all! Your understanding of our way of working and the things we hold dear was very impressive. 


 Excellent to have time to discuss clinical cases to relate to and therefore make easier to understand. I really enjoyed the two days and feel very motivated and loads to take back. 


 I found the course very informative and useful in terms of being able to implement what I’ve learnt in my day-to-day practice. The information was clearly presented and examples used throughout to assist in the learning process. Group exercises provided a useful forum for discussion and learning from each other. A brilliant course. 


 You clearly explained some very complex ideas – a great communicator. Engaged us well in dialogue – not just a lecture! 

 Instant confidence building! Thanks for your encouragement. 


 Excellent. I honestly hadn’t realised how complex the framework is and how thought-provoking this workshop was going to be. I am dying to rush back and get my service on board! Thank you. 


 This framework will definitely help us improve our services to the children. It gives me a lot of reassurance that there will be more equity of service.


 Before I was introduced to the Care Aims Model I was seriously considering leaving my profession as an OT. My disillusionment with the treadmill I was on and my feelings of helplessness have now been transformed into excitement, clarity and more energy than I ever knew I possessed. Thank you for reconnecting me with the reason I trained. 


Publications in which you can read more about the Care Aims Framework:

Beirne, P.: (2005) Implementation of the Care Aims Model: Challenges and Opportunities in Anderson, C and van der Gaag, A (eds.) Speech and Language Therapy: Issues in Professional Practice. London: Whurr Publisher’s Ltd.

Burns, K.: (1995) Focus on Solutions: A Health Professional’s Guide. London: Whurr Publisher’s Ltd.

Malcomess, K.: (2005) The Care Aims Model. in Anderson, C and van der Gaag, A (eds.) Speech and Language Therapy: Issues in Professional Practice. London: Whurr Publisher’s Ltd.

Malcomess, K.: (2001) The Reason for Care. Royal College of Speech and Language Therapist’s Bulletin, November. Issue 595. pp12 – 14.

McCarthy C, Lacey R and Malcomess K (2001) An audit of the application of care aims across the South West Thames region. International Journal of Language Communication Disorders 36S: 505–510.

Millar F, Doherty M, Forster G, McFarlane and A, Ogilvie P (2012)  Managing waiting times and providing equitable, family-centred care: a description of four key initiatives from NHS Fife Children’s Occupational Therapy Service (2006-2011). British Journal of Occupational Therapy, 76(8). August.

NHS Lothian and West Lothian Council (no date) Guidance on Partnership Working between Allied Health Professions and Education Example of Current Practice Scoping use of Care Aims. Livingston, Scotland:NHS Lothian and West Lothian Council.

Phillips A (2013) Developing Assertiveness Skills for Health and Social Care Professionals.  Radcliffe Publishing Ltd, London.

Roddam H and Selfe J (2009) Evaluation of the Care Aims Model Service Initiative Launch. Preston, UK:University of Central Lancashire.

Stansfield  J and Matthews A (2014) ” Introducing advanced clinical reasoning to an adult learning disability service”  Journal of Intellectual Disabilities, 18, 1: pp. 20-34

Request your no-obligation free consultation to see if Care Aims could benefit you and your organization