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Unlocking Social Value in Hackney through commissioning

City & Hackney Health & Social Care Forum Report > October 2018

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Contents1. Introduction: (4 October 2018)Aim of this event

2. Appendix - Names/organisations of attendees

3. Key messages from event

4. Speakers & Presentations:Unlocking Social Value through working with Community Sector for Health and Social Care outcomes- Jabeer Butt – CEO of the Race Equality Foundation

Unlocking Social Value through commissioning –National best practice, Andrew O’Brian Director of External Affairs Social Enterprise UK

Co-producing Community Services and organising a collaborative procurement, Lee Walker, Senior Contracting Manager, City & Hackney CCG

5. Workshop

IntroductionWe had over 90 people from the Voluntary Community Social Enterprise (VCSE) and Statutory organisations who attended our HSCF Forum conference on Unlocking Social Value through commissioning in Hackney conference on 4th October 2018. This conference was co-chaired by Alistair Wallace and Vanessa Morris.

Aim of this event

• To look at national best practice in commissioning and recommendations

• To consider how we can maximise Social Value and the unlock the reach of non-commissioned sector

• To explore how to best build effective partnerships between providers (HUHT, GP Confederation, ELFT and VCS) to meet whole system outcomes

• To explore the best commissioning structure for all parties to maximise value and diversity of provision

• To understand what may be commissioned in the next two years (where known).

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Appendix - Names/organisations of attendees

1. Alistair Wallace – MRS Living Independent2. Andrea St.Croix – PohWer3. Andrew O’Brian- LBH4. Anita Jacques- Hackney People First5. Ann Brolan- Hanover6. Ashley Crompton- WEA7. Batya Wiles- Chizuk8. Beverley James- Family Action9. Beverley Heath- London Borough of Hackney10. Caroline Nelson- Choice in Hackney 11. Catherine Macadam- City and Hackney CCG12. Catherine Sackie- HSCF, Hackney CVS13. Claire Kelly- Hackney Playbus14. Claire McComb- ELOP15. Cynthia White-Older People’s Reference Group 16. Daniel Mussie- SkyWay17. Dan Burningham- CCG18. Dan Ebanks – Social Value Exchange19. Dominic Roberts- WEA20. Elizabeth Ladipo- Off Centre21. Emel Hakki- Family Action 22. Emma Triggs- Social Action for Health23. Gareth Wall- London Borough of Hackney24. Gulnur Salih- Turkish Cypriot Cultural Association25. Guy Bolongaro - Irish Causeway26. Helen Bryer- Access All Areas27. Hera Williams- Aspire Girls Squad28. Irena Navi- Social Action for Health29. Jabeer Butt- Race Equality Foundation30. Jackie Brett- Hackney CVS31. Jacqui Henry- Shoreditch Trust32. Jade Mercieca- LBH33. Jake Ferguson – Hackney CVS34. Jamal Ali- London Borough of Hackney35. James Kilama - Oceng36. Jayne Taylor- Integrated Commissioning Group37. Jennifer Walker- Integrated Commissioning Group38. Joanne Blackwood- London Borough of Hackney39. Julie Tucker- Kids40. Juliet Formby- Handsinc41. Katie Sharman- Hackney Herbal42. Katy Cornish- Talk Changes43. Kristine Wellington – CYPPF, Hackney CVS44. Larisa Strickland- Action on Hearing Loss45. Laura Prikken- Triangle Care46. Lauren Tobias- Volunteer Centre Hackney47. Lee Walker- City and Hackney CCG48. Les Moore- East London Food Access

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45. Laura Prikken- Triangle Care46. Lauren Tobias- Volunteer Centre Hackney47. Lee Walker-48. Les Moore- East London Food Access49. Liz Hughes- Hoxton Health50. Lola Njoku- CYPPF, Hackney CVS51. Louise Thomas- Turkish Women Centre52. Madeleine Levy- Ezer Leyoldos53. Marcelle Chissick54. Mark Drinkwater- Hackney CVS55. Martin Sadler- Age UK East London56. Matt Clack- London Borough of Hackney57. Maxine Anderson, Hackney CVS58. Mohammed Mansour- Hackney CVS59. Momina Mukhtar- Mind in the City, Hackney and Waltham Forest60. Monica Patel- City of London61. Natalie Mady- Hackney Herbal62. Natalie Pink- MRS Independent Living63. Nerine O’Connor-Beyond Feelings64. Nicola Butler- Hackney Play Association65. Nursel Tas- Derman66. Oleander- Creative Lifestyles67. Olivia Katis- City and Hackney CCG68. Oran Blackwood- Elatt69. Patricia Charlesworth- Hackney People First70. Paula Yassine- St Mary’s Secret Garden71. Paul Monks- Core Arts72. Poppy Middleton- London Borough of Hackney73. Rasa Menelaou- Elatt74. Reverend Daley- BPC Forum 75. Rosemary Jawara- Beersheba Living Well76. Sahil Patel- Mind in the City, Hackney and Waltham Forest77. Sandra Beeton-Association of Panel Memebers (AOPM)78. Seymour Mattis- Vital EET Supplementary School79. Shamima Aktar- HSCF, Hackney CVS80. Sharon James- Action on Hearing Loss81. Sharon Poon- Homerton Hospital82. Sher Ali- Healthwatch – Tower Hamlets83. Simon Bell- Homerton University Hospital Trust84. Sean Kinaha- Headway East London85. Sophia Denford- Mind in the City, Hackney and Waltham Forest86. Sophie Chase- Brook87. Steve Worral- Positive East88. Steven Reading- Alzheimers Society89. Tony Rich- Volunteering Matters90. Vanessa Morris- Peter Bedford Housing Association91. Vince Fernandez- Outward

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Key messages from event

Neighbourhoods model is a golden opportunity to focus on wider determinants of health (the 60%) that VCSE organisations work to improve in their day to day work

Get your offer ready

There is an opportunity for VCSE organisations to define and amplify social value

Know what you offer

It’s time to focus, act with confidence and hope- we are on relatively solid ground, strong joint work between orgs involved in transforming services

Consider if your organisation is ready to help deliver the neighbourhoods pilot immediately

If formal procurement isn’t a good fit for your organisation, help shape the LBH wider VCS strategy

Understand neighbourhood data

An opportunity to define what VCSE offers and amplify social value

VCSE should experiment- dip your toes in

We can work in partnership.

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Speakers & Presentations

Unlocking Social Value through working with Community Sector for Health and Social Care outcomes- Jabeer Butt – CEO of the Race Equality Foundation

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Unlocking Social Value through commissioning –National best practice, Andrew O’Brian Director of External Affairs Social Enterprise UK

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Co-producing Community Services and organising a collaborative procurement, Lee Walker, Senior Contracting Manager, City & Hackney CCG

Meeting the challenges of co-producing community services and organising collaborative procurement

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Forum discussion at the Unlocking Social Value in Commissoining event

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Participants engaged in 5 workshops and they are:

1. Commissioning for whole system outcomes – How to align incentives2. Local Assets – are there assets in the borough we need to keep in Hackney 3. Co-Production in Commissioning 4. Partnership between statutory and VCSE Providers: • Alliance Model • Meeting the challenges of co-producing community services and organising collaborative procurement • What do we need in place to work together

5. The Social Value Exchange- making social value work for Voluntary & Community Sector Organisations

Purpose of each workshop:Although the subject of each workshop is different the aim of each workshop is to • Inform the Voluntary & Community Social Enterprise sectors on the topic • To understand from them: o Benefits of the approach / information for the local VCSE/ workshop participants o Challenges of the approach to the VCSE/ workshop participants o Recommendations / Actions

Commissioning for whole system outcomes- how to align incentives- socialCo facilitators were Andrew O’Brian, Social Enterprise UK and Mohammed Mansour, Hackney CVS

What the perfect model commissioning for social value will look like:

• Long Term • Clear Strategy • Staged Process• Service User Led/ Co produced • Stake Holder Engaged• Good Relationship/contract Management• Flexible• Good Communication• Realist Outcomes/Evidence Based• Transparency • Shared Values• Clarity of expectation + responsibilities • Outcome Based Targets • Exit/Legacy statement• Holistic/systems• Policy Strategy Approach• Shared measurements/metrics• Asset Based Approach• Staged process- before, during and after• Shared dialogues • Administrative Lite18

Common experiences what they felt were going wrong:

• Fragmented• Formal Process VS Capacity• Forced Collaboration• Poorly Aligned Values• RISK• Scale• Independence• Financial Sustainability• Inappropriate service spec/lack of innovation• Not holistic• Artificial vs Organic• Timescales- 1 year grants• User needs not taken into account• Financial Sustainability/risks• Culture/value of provider• Outside Influences- national policy

What they felt collectively were going well in Hackney:

• Partnership approach/preserve• Flexibility• Trust• Asset Based Approach• Knowledge of provider’s/service users• Passion/Culture• Communication• Information sharing evidence• Co-Production • Iterative development • Market development/planning ahead• Service User Involvement + Intermediary representation• Clear Intentions- on their terms• Evidence Sharing

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Local Assets- Are there assets in the borough we need to keep in Hackney The Co-Facilitators for this workshop discussion were Kristine Wellington from Hackney CVS and Jabeer Butt from Race Equality Foundation.

Recommendation from the group:

Pilot approach- a new relationships VCSE- able to roll out small projects e.g. Our Space:

• Community Centre/hubs• Co-location• Use our assets• Activity/knowledge hub• Bring in star partners• Strong link with navigators e.g. social prescribers

Issues:

• Ensure there is good learning that can be rolled out• Don’t assume it will work in all areas (Hackney is so diverse)• Timing 18 months

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Co-Production in Commissioning Co-Facilitators were Joanne Blackwood and Emma Triggs from Social Action for Health.At this workshop there were discussion on:

• Advice review- why the council took the systems thinking approach• Brief systems thinking background• Approaches to change- including co-production and how we did this• What we have learnt including difficulties Key feedback from this workshop are:

1. The importance of basing service change on what matters to people as observed in the work rather than what we think is happening2. The importance of continuous learning and the ability to change if things are not working3. The importance of shared responsibility

Partnership between statutory and VCSE Providers: The Co-Facilitators of this workshop were Lee Walker, NHS City and Hackney CCG, Lauren Tobias- Volunteer Centre Hackney, Simon Bell.

Alliance Model Simon Bell presented on the slides below which explained about the Alliance Model.

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• Alliance Resources importance: > Having a Project manager

• Inequality of representations: > VCSE-Small > Statutory- Large > How to overcome this- power difference

• Sub-Contracting Concern: > Loss of direct communication with commissioners

• Periodic membership reviewed • Transformation + KPI’s: > Collective Targets explained

• How does the SU find the right pathway?• Comorbidity- outside scope of alliance- how to address?

Recommendation for Commissioners Commissioners and provicers must have a clear vision as evidence based on experience of service users.

Important for commissioners to see what’s core and also wider delivery like an alias- but they can’t find everything.

What we need in place to work together with statutory organisation:

• Be ready• Be prepared• Get in early/be involved• Bid together• Evidence your impact• Be clear about your product• Don’t under value your service• Directly market your product and show how you fit the spec

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www.hscf.org.uk | 020 7923 1962