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