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...
Outcomes-based Commissioning
Outcomes-based Commissioning
• What is commissioning?
• What is an outcome?
• How will we want to work with you?
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.’
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
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
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
Commissioning Cycle
Adopted by Bristol City Council from Institute of Public Care
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
What is an outcome?
‘The change, benefit, learning or other
effects that are the end result of your
activities’
Outcomes
• Specific changes in behaviour, condition and / or satisfaction
• Gains, results and impacts
• For our communities and individuals
End state or visions
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.
Bristol Youth Links: Outcomes
• Young people will achieve and
choose to stay engaged in
learning at and beyond the age
of 16
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.
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
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
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
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
Outcomes-based Commissioning
Thank you for
listening