Tara Doheny, Programme Manager Disability, Genio SYSTEMS CHANGE & SCALING Improving lives through social service transformation Zero Conference 2017 Tara Doheny, Programme Manager Disability, Genio

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systems change and scaling Conventional approach to scaling: growing, replicating or multiplying projects or organisations – often in parallel to existing service systems Systemic change: changing mind-sets across multiple stakeholders & scaling practice across a range of organisations & agencies – reforming existing service systems in line with Government policy

Building Skills and Leadership Monday 21st November 2011 > Costed demonstrations > Increased capability > Evidence Innovation funding Building Skills and Leadership Measuring Impact Costed demonstrations Increased capability Evidence Presentation: Department of Health

Philanthropy SYSTEM CHANGE GOVERNMENT

No resources or capacity for change RESOURCES LOCKED IN INSTITUTIONS & OLD FASHIONED SERVICES GENIO BUILDS BRIDGE FOR CHANGE UNLOCKED RESOURCES No resources or capacity for change Bridging finance is released on a competitive basis along with training & evidence People supported to live self-directed lives in their communities

People living as included & valued citizens Confident self advocates Responsible cost-efficient service providers Supportive communities People living as included & valued citizens Policy bound service commission-ers Engaged politicians Service user-focused policy makers Strategic funders

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Since 2010 Demonstration phase Scaling phase Funding awarded to 226 projects Over 5,900 people being provided with individualised supports in the community Over 11,000 families, carers & staff attended information & training events Demonstration phase In 5 years Genio managed government funding of €24m which leveraged & unlocked further €32m in resources from projects supported Scaling phase €45m Service Reform Fund (€15m Atlantic / €30m Government). Working with Department of Health in Ireland; Health Service Executive; & the Atlantic Philanthropies Helped secure a further €26m from Government & Atlantic for implementation of dementia strategy

226 PROJECTS SUPPORTED BY GENIO ACROSS IRELAND IN DISABILITY, MENTAL HEALTH & DEMENTIA 2010 – 2015

SCALING REFORM STRATEGY CHALLENGES Identify & learn from best practice Design service reform on the basis of evidence of what works best Build demand for reform amongst people who use services Identify counties best placed to reform services to reflect best practice Monitor & evaluate county-wide reform Find, support & evaluate ‘best-in-field’ exemplars - take account of international research Get buy-in from key stakeholders* to support scaling reform Identify & capacity-build strong movement of self-advocates Support reform process with facilitation, training and finance Feed lessons learned to key stakeholders & support nationwide reform SCALING REFORM STRATEGY CHALLENGES *Stakeholders include: people who use services, their families & carers / politicians / policy makers / service commissioners / service providers

Thank you www.genio.ie