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Six Lessons for Turning Monitoring and Evaluation into Delivery Lima July 2012 Ray Shostak, CBE.

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Presentation on theme: "Six Lessons for Turning Monitoring and Evaluation into Delivery Lima July 2012 Ray Shostak, CBE."— Presentation transcript:

1 Six Lessons for Turning Monitoring and Evaluation into Delivery Lima July 2012 Ray Shostak, CBE

2 Remember who makes a difference to the quality of services……….. 2

3 Setting and Meeting Expectations Engage Empower Co-Design Co-Produce Results

4 Government Ambition to Delivery Government Priorities CITIZENS

5 Outcomes for and with citizens MONITORING, CAPACITY BUILDING and INTERVENTION MONITORING, CAPACITY BUILDING and INTERVENTION CULTURE Outcomes focus Data rich Can do Real time monitoring Reform SKILLS Problem solving Cost benefit analysis Engagement Evaluation ACTION When off track CULTURE Outcomes focus Data rich Can do Real time monitoring Reform SKILLS Problem solving Cost benefit analysis Engagement Evaluation ACTION When off track ACCOUNTABILITY with consequences ACCOUNTABILITY with consequences To President/Prime Minister To Parliament By Institution By Individual By Institution By Individual By Institution By Individual By Institution By Individual BUDGETING FOR RESULTS (multiple years) BUDGETING FOR RESULTS (multiple years) Programme budgets against results Unit costing Monitoring Efficiency Joint procurement ……. Programme budgets against results Unit costing Monitoring Efficiency Joint procurement ……. Government Strategy Goals/Ambitions For parliamentary period Government Strategy Goals/Ambitions For parliamentary period Government Non Government Delivery Partners Programmes, Objectives, Milestones, Deliverables Institutions and Individuals Delivery Partners Programmes, Objectives, Milestones, Deliverables Institutions and Individuals Aligned as Government Plan Outcomes Driven Performance

6 Lesson 1: Start from Citizens

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8

9 Detailed Journey Maps

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11 Lesson 2: Make sure Priorities are Priorities

12 Agency Financial Resources Contributing Programs Explanatory Narratives Budgetary Resources Action PlanPerformance Data Other Information Indicators Other Agency Programs USASpending MAX Other Agency Measures Sub-Goal (tag-only) Submitted by agencies – Phase I Planned for Phase II Legend Granular Data Data.gov or agency site Measures Milestones Explanatory Narratives Priority Goal Agency-Defined Groupings Theme Budget Functions USA Performance.gov Taxonomy

13 Fairness and Opportunity for All Halve the number of children in poverty by , on the way to eradicating child poverty by 2020 Raise the educational achievement of all children and young people Narrow the gap in educational achievement between children from low income and disadvantaged backgrounds and their peers Increase the number of children and young people on the path to success Address the disadvantage that individuals experience because of their gender, race, disability, age, sexual orientation, religion or belief Increase the proportion of socially excluded adults in settled accommodation and employment, education or training A better quality of life Improve the health and wellbeing of children and young people Improve children and young people’s safety Tackle poverty and promote greater independence and wellbeing in later life Promote better health and well- being for all Ensure better care for all Deliver a successful Olympic Games and Paralympic Games with a sustainable legacy and get more children and young people taking part in high quality PE and sport Stronger communities Build more cohesive, empowered and active communities Make communities safer Deliver a more effective, transparent and responsive Criminal Justice System for victims and the public Reduce the harm caused by alcohol and drugs Reduce the risk to the UK and its interests overseas from international terrorism A more secure, fair and environmentally sustainable world Lead the global effort to avoid dangerous climate change Secure a healthy natural environment for today and the future Reduce poverty in poorer countries through quicker progress towards the Millennium Development Goals Reduce the impact of conflict through enhanced UK and international efforts Help people and businesses come through the downturn sooner and stronger, supporting long-term economic growth and prosperity Deliver commitments by the National Economic Council to help people and businesses come through the downturn sooner and stronger,including packages on repossessions, apprenticeships, business access to finance and help for the unemployed. Raise the productivity of the UK economy Improve the skills of the population, on the way to ensuring a world-class skills base by 2020 Ensure controlled, fair migration that protects the public and contributes to economic growth Promote world class science and innovation in the UK Deliver reliable and efficient transport networks that support economic growth Deliver the conditions for business success in the UK Improve the economic performance of all English regions and reduce the gap in economic growth rates between regions Maximise employment opportunity for all Improve long term housing supply and affordability Numbers of departments contributing to the PSAs

14 Lesson 3: Get Policy Right First Time – Components of Open Policy Making

15 How……. “Crowdsourcing” questions to shape the definition of the problem, not just consulting on solutions. Using ‘Policy Labs’ which draw in expertise Involving delivery experts early Creating cross-departmental teams Using web based tools to widen the policy debate Making more source data avialable 15

16 Lesson 4: Understand the system 16

17 Moving from a ‘delivery chain’… 17 Ministry Regional Government Local Government Service provider Citizen

18 … to a ‘delivery system’ Local Authority Primary Care Trust School Hospital Citizen Family EDUCATION HEALTHSPORT Youth Sport Trust Government Office Health Authority School Sport Partnerships …………’Delivery Systems’

19 Delivery System for PSA 18 – Better Health For All – DH strand 19 NationalRegional Agencies Strategic Health Authorities Local Community Key : Delivery AgenciesDelivery mechanisms Performance Management Performance Management of delivery agreements Influence GPs & Practices Patients, People who need and use social care, Citizens, Socially Excluded / Disadvantaged Groups, Carers…. Equitable outcomes LAAs, LSPs = Working jointly and in partnership Funding, LDPs Acute / MH Trusts and FTs Specialist Units / Trusts joint commissioning = Department / Agency = national levers and covers HCC, CSCI, NICE, Audit Commission and wider agencies e.g. CQC etc including ‘clinicians’ e.g. GMC, NMC, HPC, etc = joint local working relationship Choice & Voice influencing provision and commissioning e.g. LINks Footnote 1, 07/8 programme to co-locate public health and social care presence in the regions. Footnote 2, consider in light of wider regulatory review. Competition, pricing, vfm DH Workforce advertising, influencing recruitment & retention; NSFs Legislation (incs EU legislation); health prevention & promotion advertising Public Health Observatories provides support Primary Care Trusts (inc PBC) JSNA Better Health For All

20 Delivery System for PSA 18 – Better Health For All – DH/CLG strand 20 National DCLG Regional Agencies Strategic Health Authorities Local Community Key : Delivery AgenciesDelivery mechanisms Government Offices (incs PH 1 ) Performance Management Performance Management of delivery agreements Influence GPs & Practices Patients, People who need and use social care, Citizens, Socially Excluded / Disadvantaged Groups, Carers…. Equitable outcomes Performance Management, funding LAAs, LSPs = Working jointly and in partnership Funding, LDPs Acute / MH Trusts and FTs LA Teams and Specialist LA Units Specialist Units / Trusts Social Care providers Independent providers e.g. ISTCs Voluntary providers Commissioning incs joint commissioning = Department / Agency Regulators & Inspectorates 2 = national levers and covers HCC, CSCI, NICE, Audit Commission and wider agencies e.g. CQC etc including ‘clinicians’ e.g. GMC, NMC, HPC, etc = joint local working relationship Choice & Voice influencing provision and commissioning e.g. LINks Inspect, Reviews & Reports Footnote 1, 07/8 programme to co-locate public health and social care presence in the regions. Footnote 2, consider in light of wider regulatory review. Competition, pricing, vfm Workforce advertising, influencing recruitment & retention; NSFs Legislation (incs EU legislation); health prevention & promotion advertising Public Health Observatories provides support environment, housing, roads, schools, benefits, etc Primary Care Trusts (inc PBC) Local Authorities inc OSCs JSNA DH Better Health For All

21 Delivery System for PSA 18 – Better Health For All – Complete system 21 National DCLG Regional Agencies Strategic Health Authorities Local Community Key : Delivery AgenciesDelivery mechanisms Government Offices (incs PH 1 ) Performance Management Performance Management of delivery agreements Influence GPs & Practices Patients, People who need and use social care, Citizens, Socially Excluded / Disadvantaged Groups, Carers, etc Equitable outcomes DCSF DWP Performance Management, funding LAAs, LSPs = Working jointly and in partnership Funding, LDPs Acute / MH Trusts and FTs LA Teams and Specialist LA Units Specialist Units / Trusts Social Care providers Independent providers e.g. ISTCs Voluntary providers Commissioning incs joint commissioning = Department / Agency Regulators & Inspectorates 2 = national levers and covers HCC, CSCI, NICE, Audit Commission and wider agencies e.g. CQC etc including ‘clinicians’ e.g. GMC, NMC, HPC, etc = joint local working relationship Choice & Voice influencing provision and commissioning e.g. LINks HO Inspect, Reviews & Reports DCMS Footnote 1, 07/8 programme to co-locate public health and social care presence in the regions. Footnote 2, consider in light of wider regulatory review. Competition, pricing, vfm DH Defra DIUS DfT Cross-government working Workforce advertising, influencing recruitment & retention; NSFs Legislation (incs EU legislation); health prevention & promotion advertising influence RDAs, Regional Assemblies, etc OGD influence Public Health Observatories provides support environment, housing, roads, schools, benefits, etc OGD influence regeneration influence Primary Care Trusts (inc PBC) Local Authorities inc OSCs Business community JSNA Better Health For All

22 Lesson 5: Let Data Drive Delivery and Cost 22

23 One Version of the Truth 23

24 Monitor the Impact Know the Impact of Policy on Practice

25 Strategic Reviews Key Review Concepts Appropriateness Effectiveness Efficiency Integration Performance Assessment Strategic Policy Alignment Efficiency Effectiveness Policy Alignment

26 Policy requirements for Strategic Outcomes incl: Performance Measures Policy requirements for each program activity element include: Program title & description Expected results Performance measures Planned & actual spending Target & actual results Governance Strategic Outcome* Program Activities* Sub-Activity Level** Sub-Sub Activity Level** Lowest Level programs Accountability levels to Parliament (Estimates & Public Accounts) *require TB approval, incl. major & minor changes Departmental PAA: reflect the inventory of all the programs of a department depicted in their logical relationship to each other and to the SO(s) to which they contribute **require TBS approval The Program Activity Architecture

27 Monitor the Impact Lesson 6: Support to deliver improved, more efficient and effective services for citizens

28 A Delivery Unit Unblocking Delivery Obstacles (ie. progress reviews, problem solving, follow-up work with and brokering between departments) Performance Policy (ie. Performance Framework, Excellence, cross departmental working) Performance Monitoring (ie. Data tracking and reporting) Capacity Building & Cross Govt Learning on Delivery (ie. knowledge mgmt, deptl delivery units, networks & training) Reporting Prime Minister Secretary of State Senior Officials Reporting Prime Minister Secretary of State Senior Officials

29 Some final observations Outcomes Matter The skills and dynamics of delivery can be analysed and understood The basics of good delivery are key Consistency and alignment enhances outcomes Systematic intervention can improve systems and outcomes Collaboration pays dividends at all levels Citizens can co-produce services

30 Continuing the dialogue….. Ray Shostak, CBE


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