1. Outcomes-based Commissioning

2. What is commissioning? What is an outcome? How will we want to work with you?

3. 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.’

4. 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

5. 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

6. 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

7. Commissioning Cycle Adopted by Bristol City Council from Institute of Public Care

8. 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

9. What is an outcome? ‘The change, benefit, learning or other effects that are the end result of your activities’

10. Outcomes Specific changes in behaviour, condition and / or satisfaction Gains, results and impacts For our communities and individuals End state or visions

11. 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.

12. Bristol Youth Links: Outcomes Young people will achieve and choose to stay engaged in learning at and beyond the age of 16

13. 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.

14. 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

15. Outcomes-based Commissioning Commissioner QuestionsProvider 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

16. 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

17. 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

18. Outcomes-based Commissioning Thank you for listening