1. CULTURAL COMMISSIONING PROGRAMME Commissioning for Culture & Sport 5 th Dec 2014 CULTURAL COMMISSIONING PROGRAMME Commissioning for Culture & Sport 5 th Dec 2014

2. Arts & cultural organisations better able to engage with public sector commissioning Public service commissioners more aware of potential for arts & cultural organisations to deliver outcomes Arts & cultural organisations better able to engage with public sector commissioning Public service commissioners more aware of potential for arts & cultural organisations to deliver outcomes Outcomes

3. Context – Cultural Sector Income to voluntary sector from government – includes significant proportion of arts & cultural organisations – fell by £1.3bn between 2010/11 and 2011/12 Spend on libraries fell by £35m, between 2011/12 and 2012/13 Museums – central data source not readily available, but part of downward trend for LA spend Sources: LGA, 2012: ‘Funding outlook for councils from 2010/11 to 2019/20; NCVO’s Almanac; CIPFA Public Libraries stats, 2013

4. Context – Local Authorities Move from provider to commissioner role / focussing of services towards resilience & prevention Move of public health to local authorities gives potential to focus on wider set of determinants in health. Care Act places overall wellbeing of individuals at forefront of care and support Implications of integrated and personalised commissioning approach – and need for LAs to need to understand how to make choice of services a reality.

5. Context – Health Service 15 million NHS patients in England with long-term conditions, accounting for 70% of annual expenditure Upward trend set to continue: projected costs of treatment of long-term conditions will require further £4 billion p.a. by 2016. People with multiple conditions a particular challenge. Estimated costs of mental health problems in England: £105 billion p.a. (2011) Estimated costs of dementia: £23 billion p.a. – projected doubling of 800,000 people with dementia in UK by 2040, with a trebling of costs.

6. Cultural Commissioning Programme Research Phase Looked at experiences of arts & cultural organisations engaging in commissioning Considered where interests of arts, museums & libraries and commissioner align Looked at evidence that arts, museums & libraries deliver social value Considered challenges and opportunities

7. Value delivered by arts, museums, libraries 7 Encourage sustained participation Addresses inclusivity and difference Effective working in preventative agenda Use of existing community assets Place and inclusion Health and well-being Life skills Identity Safe way to explore difference Regeneration Engaging with seldom-heard voices Route into education Pride & identity Reduced social isolation Social bonding Personal communication tool Physical health Addressing stigma Community cohesion Cognitive & creative skills Social skills (confidence, teamwork etc.) Route into employment Mental health recovery Reintegration into society Source: ‘Opportunities for Alignment’, NPC – published by Cultural Commissioning Programme, 2014

8. Heat mapping: level of activity (1) Outcome Mental health Well-being Education and learning Employment and training Physical health Inclusion/ participation / community cohesion Crime and public safety Regeneration Conservation and environment Substance use Housing Finance / legal 8 Source: ‘Opportunities for Alignment’, NPC – published by Cultural Commissioning Programme, 2014

9. Heat mapping: level of activity (2) 9 Beneficiary Children Young people Older people / retired People with disabilities Hard to reach communities Local communities General public Black, Asian and Minority Ethnic (BAME) Refugees / Asylum seekers Adults Gender specific Source: ‘Opportunities for Alignment’, NPC – published by Cultural Commissioning Programme, 2014

10. Older people Mental health & wellbeing Place-based commissioning Adult Social Care Public Health CCGs Regeneration / neighbourhoods / communities Area of Focus for CCP Commissioners in our focus

11. Challenges for Commissioners Need to balance immediate and acute needs with longer term strategy – as budgets shrink, tendency to retrench and focus on statutory duties Preventative approaches are difficult to evidence Voice of arts and cultural sector in public policy weak – does not support commissioners interested in innovation Commissioning approaches and priorities vary – can place limits on shared learning

12. Challenges for Cultural organisations Social outcomes, particularly where change takes place over time – hard to show direct attribution. Health commissioners expect statistically evidenced impacts, often based on large-scale clinical trials Concern of mission creep Realigning business model Capacity to deliver in a commissioning environment

13. Changing legislation Social Value Act 2012 Changing procurement rules – Autumn 2014 Target for 25% government contracts to be delivered by SMEs by 2015

14. Current position of arts & cultural sector Arts & cultural organisations are engaged in public service commissioning – but win significantly less in terms of contract value than rest of voluntary sector In 2011/12, public contracts as percentage of total income: 10% for arts and cultural organisations yet 30% for wider voluntary sector. Exc. Arts Council funding, typical arts organisation received third less public funding than typical charitable organisation (2011/12 figs) Source: ‘Opportunities for Alignment’, NPC – published by Cultural Commissioning Programme, 2014

15. Voluntary sector income – grants and contracts (billions) – grants

16. Cultural Commissioning Programme – High Level Round Table Leaders from Local Government Association, health, public health, central government, arts & culture Strong interest in arts & cultural work: Prevention Engagement Quality of life Evidence base important – different approaches discussed

17. Arts & Cultural organisations Public Service Commissioners Policy makers & influencers CCP workstreams Commissioning partners – pilots, shared learning Commissioning partners – pilots, shared learning Learning programme – A&Cs commission ready Social impact seminars National conferences & events – good practice, awareness raising High level round tables – engagement at strategic / policy level Policy /pub affairs input Case studies Online resources: Evidence library, information, guidance Local networks / relationship brokerage: A&Cs, commissioners, others Beacons Programme - support to 3 A&C infrastructure orgs: reach & legacy Social impact seminars

18. CCP Learning Programme Arts & cultural organisations Public service commissioners P2: Developing impact of arts & cultural activities on public service outcomes P2: Developing impact of arts & cultural activities on public service outcomes P1: Awareness-raising, knowledge, skills development P3: Building relationships between arts and cultural organisations and commissioners

19. Create Gloucestershire Network of arts & cultural orgs Approached county council with 3 year plan – secured pooled budget (lower level than previous) Funded co-ordinator role Invited arts & cultural orgs to provide creative responses to needs identified by council

20. Results 54 members / £800k from commissions & philanthropy Commissioners: NHS/CCG, County Council Arts programmes in range of spaces, involving people with different needs Evidence base developing eg fewer GP appointments by people with depression Some groups shaping own programmes / some individuals signposted to mainstream provision

21. Next Steps CCP Commissioning Partners Pilot Gloucestershire Clinical Commissioning Group, County Council, 3 district authorities working together Developing and testing good practice in cultural commissioning Our other Commissioning Partner is Kent County Council Learning from pilots to be collated & disseminated to other commissioners

22. CULTURAL COMMISSIONING PROGRAMME Stay informed: www.ncvo.org/CCProg Jessica.harris@ncvo.org.uk CULTURAL COMMISSIONING PROGRAMME Stay informed: www.ncvo.org/CCProg Jessica.harris@ncvo.org.uk