Transcript Document
Welcome to Commissioning
for Outcomes
Your presenters today are:
Dave Smith
[email protected]
David Qualter
davidqualter@sheffieldwellbeing
.org.uk
Commissioning for Outcomes
Understanding the concept . . .
• What’s it all about?
• Why now?
• Quantifying benefits, outcomes and
added value
Dilemma!
The Third Sector and Social Enterprises
create added social value when delivering
services – we DELIVER MORE….
But HOW DO WE PROVE IT???
Some PCT Desired
Outcomes
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Self reported feelings of improved well being
Improved mental health and well being
Improved long term prognosis
Reduced obesity/changes in diet
Commissioning
“Commissioning is the process of specifying,
securing and monitoring services to meet
peoples’ needs at a strategic level. This
applies to all services, whether they are
provided by the local authority, NHS, other
public agencies or by the private or voluntary
sectors.”
Audit Commission
Making Ends Meet – October 2003
The commissioning cycle
The NHS Outcomes Framework
2011/12
• Preventing people from dying prematurely
• Enhancing quality of life for people with long-term
conditions
• Helping people to recover from episodes of ill health
or following injury
• Ensuring that people have a positive experience of
care
• Treating and caring for people in a safe environment
and protecting them from avoidable harm
Outcomes
SROI is an outcomes-based
measurement tool, as measuring
outcomes is the only way you can be sure
that changes for stakeholders are taking
place.
Important not to confuse outputs with
outcomes.
A framework to structure thinking
and understanding
and provide a way of representing
value created
by an
organisation, policy or activity
Its a story not a number
Your Story
• Helps you explain what you do
more clearly
• ‘We understand the value we’re
creating’
• ‘Look how well we manage it’
• ‘We can prove it - Strong and clearly
evidenced’
The 7 principles of SROI
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Involve stakeholders
Understand what changes
Value the things that matter
Only include what is material
Do not overclaim
Be transparent
Verify the result
Selling added value –
IMPACT MAP
Impact mapping helps us to:
• tell a story about what we do
• measure our value
• demonstrate change; and
• present our added value in quantified and
financial terms
Headline Impact Map Summary - Sheffield Wellbeing
Consortium
Stakeholder
Inputs
Outputs
Outcomes
Impact and
Added Value
Description
Sheffield City Council
NHS Sheffield
£317,000
Recruit, train & support 240 Improved health and wellbeing of
over 3 years Health Champions
health champions
£127,500
70 Health Champions
over 2 years accessing paid work
Health Champions to carry
out 100 hours of activity in 6
months
Capacity building smaller
third sector organisations
Commission a single
organisation to manage
project
Revenue input first 2.5
years
£444,500
More people into paid work
Health Champions becoming
advocates for healthy living
(community activists)
Organisations increase capacity
and have a higher public profile
£620,750
£175,030
£67,255
£57,415
More effective management of
the programme
Total added value 2.5 Years
Estimated SROI ratio
£920,450
£2.07
Client Journey
• Self reported feelings (before & after)
Client
Indicator
Outcome
• Signs of improvement (more socially
active, exercise sessions attended etc.)
• Improved physical health
NEF example
Useful Sources of Information
New Economics Foundation www.neweconomics.org.uk
Social Return on Investment Network –
sroinetwork.org.uk
Department of Health http://www.dh.gov.uk