Welcome to Commissioning for Outcomes

Welcome to Commissioning for Outcomes

Your presenters today are:Dave Smithdave.smith@sesc.org.uk

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

• 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 thinkingand 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         

Stakeholder Inputs Outputs OutcomesImpact 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 work More 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

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