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CULTURAL COMMISSIONING PROGRAMME
Commissioning for Culture & Sport5th Dec 2014
• 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
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
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.
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.
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
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
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
8Source: ‘Opportunities for Alignment’, NPC – published by Cultural Commissioning Programme, 2014
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
• 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
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
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
Changing legislation
• Social Value Act 2012
• Changing procurement rules – Autumn 2014
• Target for 25% government contracts to be delivered by SMEs by 2015
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 organisationreceived third less public funding than typical charitable organisation (2011/12 figs)
Source: ‘Opportunities for Alignment’, NPC – published by Cultural Commissioning Programme, 2014
Voluntary sector income – grants and contracts (billions) – grants
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
Arts & Cultural organisations
Public Service Commissioners
Policy makers & influencers
CCP workstreams
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
CCP Learning Programme
Arts & cultural organisationsPublic service
commissioners
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
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
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
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
CULTURAL COMMISSIONING PROGRAMME
Stay informed:www.ncvo.org/CCProg