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

Jessica.harris@ncvo.org.uk