Welcome to Commissioning for Outcomes Your presenters today are: Dave Smith David Qualter

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 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’

Involve stakeholders Understand what changes Value the things that matter Only include what is material Do not overclaim Be transparent Verify the result The 7 principles of SROI

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 StakeholderInputsOutputsOutcomes Impact and Added Value Description Sheffield City Council £317,000 over 3 years Recruit, train & support 240 Health Champions Improved health and wellbeing of health champions£620,750 NHS Sheffield £127,500 over 2 years 70 Health Champions accessing paid workMore people into paid work£175,030 Health Champions to carry out 100 hours of activity in 6 months Health Champions becoming advocates for healthy living (community activists)£67,255 Capacity building smaller third sector organisations Organisations increase capacity and have a higher public profile£57,415 Commission a single organisation to manage project More effective management of the programme Revenue input first 2.5 years£444,500 Total added value 2.5 Years£920,450 Estimated SROI ratio£2.07

Client Journey Client Self reported feelings (before & after) Indicator Signs of improvement (more socially active, exercise sessions attended etc.) Outcome Improved physical health

NEF example

Useful Sources of Information New Economics Foundation Social Return on Investment Network – sroinetwork.org.uk Department of Health -