2. Arts, Health & Wellbeing: moving from direct project delivery to strategic commissioning 20 July 2010 Emma Andrews, Head of Arts (job share), Warwickshire County Council Kate Barnard, Head of Arts (job share), Warwickshire County Council Alan Humberstone, Director, Cultural Consortium

3. Population 530,000 Ageing demographic North/South ‘divide’ County Arts Service (2.8FTE plus core budget of £104,000) Arts, Health & Wellbeing: the Warwickshire context

4. Established partnership between County Arts and Adult Social Care (through Social Care Arts Fund) Programme of project delivery Development of Community Arts – including strategic function for CAO, development of strategy, support for key community arts organisations Development of core ‘partners’ in this area, both arts and non-arts Arts, Health & Wellbeing: the Warwickshire context

5. Arts & Health Mapping Study commissioned in 2005 New Arts & Health fund within WCC from 2007/08. 2007/08 and 2008/09 – delivery of two main programmes, Dance4Health and Arts & Mental Health Move to more commissioning model … Arts, Health & Wellbeing: the Warwickshire context

6. Points to consider … Pros: Project delivery good to get to know the people and places Helps to identify key partners/champions Can assess the work of arts deliverers in this area Cons: Time consuming Best use of available resources? Can cloud clear strategic overview Not building project management capacity within arts orgs

8. 2010/11 AprMayJuneJulyAugSeptOctNovDecJanFebMar CAS managed arts & health project with Four Acres residential home Initial work to establish Sub Regional Arts & Health Partnership CAS managed project with NHS Woodleigh Beeches Eating Disorders Residential Unit Commission to work with health & wellbeing managers to develop and deliver five arts projects; designed to meet agreed health & wellbeing outcomes for each of the five user groups. Learning and evidence of acute needs work feeding in to sub regional discussions (plus development of relationship with NHS at a service level) Learning and evidence informing sub regional discussions Overview of Arts and Health delivery 2009/10 Praxis & Sub Regional Arts Services – small programme of networking and opportunities for arts and health practitioners

9. Moving towards a commissioning model Rationale for commissioning the main 2009/10 arts and health programme: Better use of arts service resources Value for money Strategic approach to service delivery Opportunity for an arts organisation to experience being commissioned on a comparatively small scale to meet health and wellbeing outcomes Insight into the commissioners perspective Increasing amount of guidance on this approach…

10. Improvement and Development Agency for Local Government Institute for Public CareGovernment joint planning & commissioning framework for children & young people Lots of good practice guidance…

11. Department of Health commissioning cycle

13. Talking to health professionals Know the structure Understand the culture Speak their language Be informed

14. Finding the right person Listen to the radio Directories Professional links PPI Networking

15. What are health professionals interested in? Saving money Meeting outcomes/outputs/targets Evidence –on their terms –...and ours

16. ...and not interested in The arts – particularly if they are warm and fluffy... - although if the arts can offer a way to assist with...

17. Issues that impact on social care and health sectors Commissioning –‘Big Society’ – Office of Civil Society –NHS White Paper Personalisation – ‘Putting People First’ ULOs CILs Integrated Care Pathways Joint Strategic Needs Assessments

18. The future? AcuteMental HealthCommunity MidwiferyPrisonsStaying Healthy Programmes Early Supported DischargeDeprivation of Liberty AssessmentLong Term Conditions Heart FailureRehabilitation Cardiac RehabilitationChildren & Young People Walk-in CentresEnd of Life Community Nursing

20. Moving to sub regional commissioning We need: Health and wellbeing senior managers to understand how the arts can meet health and wellbeing outcomes Health and wellbeing commissioners to be aware of their responsibilities to support the third sector, and what the arts sector can deliver A greater understanding of commissioning processes and where the opportunities are to engage Increased capacity, understanding and skills in the arts sector Methodology for robust measurement of impact of arts and health Sustainability of arts and health practice

21. Moving to sub regional commissioning We are: Connecting at a strategic level, and championing arts and health – aiming to establish joint commissions with partners Bringing together commissioners: to deepen our understanding of processes & opportunities, their understanding of what the arts sector can offer Examining potential models that will help organisations to work together Further networking and development opportunities for practitioners Exploring industry & HE links - robust methodologies & evidence collection for any initial commissions Seeking sustainability from a balance of funding routes

22. 2010/112011/12 JuneJulyAugSeptOctNovDecJanFebMarAprMayJuneJulyAugSeptOctNovDecJanFebMar Support initial scoping and input into health and wellbeing capital builds Praxis, Sub Regional Arts Services & arts organisations - develop a consortia or model capable of accessing health and wellbeing funding and commissions Ongoing Sub Regional Arts & Health Partnership meetings Meeting with NHS & LA commissioners to identify needs and opportunities Praxis & Sub Regional Arts Services – networking and development opportunities for arts and health practitioners Commission to establish an arts, health and wellbeing drop in session in the north, balancing existing provision in the south of the county (inc. work with individual budgets) Individual practitioners in network linked in to consortia as freelancers on its books? Strengthened reach of provision across county and experience of arts & health organisation which could play a lead role in a consortia or CIC model Specific campaigns / commissions from Sub Regional Arts & Health Partnership piloting consortia / CIC delivery? Overview of proposed Arts and Health delivery 2010/11 to 2011/12 Links to health and wellbeing capital project leads via Sub Regional Arts & Health Partnership

23. The role of the strategic arts service Opportunities for the arts to draw down commissions and funds from other sectors Challenge may be greater for strategic rather than delivery services Key question: ‘How do we support the development of the sector to deliver?’ Emerging arts sector examples: Viva, South Yorkshire Arts Consortium Out of the Blue: creative opportunities for people with mental health needs in Kirklees

24. Challenges to arts sector: Lack of understanding of commissioning process Need to collaborate to meet scale of commissions Skills to write & deliver bids Tendering process can be extremely time consuming High levels of risk Full cost recovery models may make bids uncompetitive Shift in attitude from ‘right to grant funding’ to ‘providing public services’ Potential mission drift: commissioning vs. core delivery / service Way forward being explored… Short term: WCC as intermediary - up skilling delivery partners through action learning Mid to longer term: Consortia or CIC model (WCC gradually less integral) Care pathways & personal budgets, building to larger scale commissions The challenge to the arts sector

25. Improving strategic commissioning in the culture and sport sector, (case studies, discussion & guidance papers), Improvement and Development Agency for Local Government, 2008-9 Creating Better Outcomes for Children and Young People by improving the Commissioning of Cultural Services, Improvement and Development Agency for Local Government, 2009 Improving Strategic Commissioning in the Culture and Sport Sector: strategic commissioning events feedback, Improvement and Development Agency for Local Government, 2009 Local Government Culture and Sport services – a future in our own hands?, summary of sector position overall from the Sport, Leisure and Culture Consultancy, 2009 Outside in: the benefits and issues involved in contracting out local authority arts services, nalgao & National Culture Forum, 2010 Useful reports

26. Any questions?