Outcomes-based Commissioning. What is commissioning? What is an outcome? How will we want to work...
Transcript of Outcomes-based Commissioning. What is commissioning? What is an outcome? How will we want to work...
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Outcomes-based Commissioning
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Outcomes-based Commissioning
• What is commissioning?
• What is an outcome?
• How will we want to work with you?
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Outcomes-based Commissioning
‘Commissioning is the process of specifying,
securing and monitoring services to meet
people’s 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 and
voluntary sectors.’
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Outcomes-based Commissioning
• it recognises the importance of meeting the
needs of groups/ communities/ populations at
a strategic level rather than thinking about a
single service
• it considers meeting needs with services
provided by public, private or VCS
organisations
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Outcomes-based Commissioning is:• A collaborative cycle of activity that invests resources to get the best
results to meet local needs
Prioritising investment
• A learning process that responds to change and demand
An opportunity for providers from all sectors to demonstrate how they can deliver outcomes
•An opportunity for innovation and development of a robust local market
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Outcomes-based Commissioning is not:
– Procurement
– Purchasing
– Grant giving
• Buying the cheapest service
• Getting providers to deliver what we have identified
• Outputs driven
• Rigid and inflexible
• Continuing giving money to do the same old thing if its not producing good
outcomes
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Commissioning Cycle
Adopted by Bristol City Council from Institute of Public Care
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What makes successful
commissioning?• Whole market perspective
• Understanding of local needs
• Aligning resources to meet needs
• Knowledge of portfolio
• Developing services
• Managing performance
• Continual Improvement
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What is an outcome?
‘The change, benefit, learning or other
effects that are the end result of your
activities’
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Outcomes
• Specific changes in behaviour, condition and / or satisfaction
• Gains, results and impacts
• For our communities and individuals
End state or visions
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Bristol Youth Links: Outcomes
• Young people will grow up in a safe and supportive environment;
• Young people will be emotionally and physically healthy and able to cope with the challenges of becoming an adult.
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Bristol Youth Links: Outcomes
• Young people will achieve and
choose to stay engaged in
learning at and beyond the age
of 16
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Bristol Youth Links: Outcomes
• Young people will be engaged in their communities;
• Young people will be resilient, make positive choices, manage change and navigate risk.
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Shifting the Balance
Focus on Activity/Outputs Focus on Results / Outcomes
Focus on Plans Milestone Monitoring
Service Focus Customer Focus
Central Targets Local Targets
End of Year Reporting Rapid Course Correction
Adversarial Collaborative
Output Based Outcome Based
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Outcomes-based CommissioningCommissioner Questions Provider response
What results are we buying? Core features of provision/service
Which service users and how many?
Performance targets and outcomes to be achieved
Monitoring and evaluation
What are the chances for success?
Service experience & skills
Key people
Participation by service users
Partnerships
Milestones and pathways
Innovations
Evidence of success
Is this the best use of resources?
Financial projections
Tracking and verification of results – outcome costing
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What are performance targets?
• SMART
• About customer achievement not provider activity
• Link to the outcomes
• In the domain of the provider in agreement with the commissioner
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MILESTONES
PERFORMANCE
TARGET
OUTCOME
A verifiable, critical point in a project that participants must reach to ensure that a project is on course to achieve its performance target.
Specific changes in behaviour, condition that define project /service achievement. Defined by the providers.
An end state or vision in a given area. In Outcome Based approach this statement
is in the domain of the Commissioner.
Commissioners
Providers
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Outcomes-based Commissioning
Thank you for
listening