On July 10 2015 Big Lottery Fund and the evaluators of the Commissioning Better Outcomes (CBO) fund (Ecorys UK and ATQ Consultants) co-hosted a learning event to launch the Deep Dive report of Ways to Wellness - the UK's first Health Social Impact Bond (SIB). The event included hearing about the SIB from 3 different perspectives - the service provider, commissioner and investor. These slides are from the service provider - Phil Angier representing Ways to Wellness.investor – Mila Lukic of Bridges Ventures. Ways to Wellness aims to support people with long-term conditions, like diabetes, to improve their self-management. The Ways to Wellness service will support people through ‘social prescribing’. GPs will refer patients with long-term conditions to ‘link workers’; the link worker supports patients to understand their issues, motivate them to take up healthy activities, access services and take more control of their long-term conditions. Newcastle Gateshead CCG, who commissioned the service, will pay up to £8.2m if the service improves people’s self-management and this then reduces their access to secondary healthcare services (like hospitals), The service has received an upfront investment of £1.65m from the Bridges’ Social Sector Funds. Ways to Wellness must repay this investment if they receive the outcomes payments from Newcastle Gateshead CCG. The CCG has received £2m from the Big Lottery Fund’s CBO fund and £1m from the Cabinet Office's Social Outcomes Fund. The overarching aim of both funds is to grow the market in SIBs. Between them these funds are making up to £60m available to pay for a proportion of outcomes payments for these types of models in complex policy areas, as well as support to develop robust proposals. The aim of the CBO evaluation is to improve the understanding of the SIB model, by capturing learning, building an evidence base for the SIB model and its application in different contexts. The Ways to Wellness ‘Deep Dive’ report is the first of such reports to be produced by the evaluation. The evaluation will write another nine reports about other SIBs part-funded by the CBO fund. For more information visit the CBO evaluation webpage (https://www.biglotteryfund.org.uk/~/link.aspx?_id=38B25B895A86492AAA548D4737DFE302&_z=z) or contact James Ronicle, Senior Research Manager at Ecorys UK: James.Ronicle@ecorys.com

1. Ways to Wellness Deep Dive Event
Ways to Wellness and Bridges
10th July 2015

2. 2
• Ways to Wellness embodies innovation and creativity
• It is a local response to a deep social need developed and
being delivered by an impressive team
• It sets a precedent for outcomes based commissioning in
health
• It acts as a change agent nationally and internationally
Why did we get involved?
Innovative response to a great social need

3. 3
unlocking
Better
outcomes
System
change
Grow services
Have scope to innovate
Catalyse entrepreneurial solutions
Enable
government or
donors to…
Enable impact-
driven service
providers to…
Enable impact-
driven
investors to…
Focus resources on outcomes
Enable intervention and preventative services
Stimulate innovation
Why a Social Impact Bond?
SIBs unlock better outcomes by aligning and incentivising core parties*
* Detailed analysis of key design features of early mover SIBs is available in Bridges Ventures and Bank of
America Merrill Lynch report ‘Choosing Social Impact Bonds: A Practitioner’s Guide’

4. 4
Grow services
Focus resources on outcomes
Have scope to innovate
Enable intervention and preventative services
Catalyse entrepreneurial solutions
Enable
government or
donors to…
Enable impact-
driven service
providers to…
Enable impact-
driven
investors to…
Stimulate innovation
Ways to Wellness as a Social Prime establishes a
governance structure that enables timely decisions in
response to performance management information
Social Prime model enables delivery through
engagement with local social sector organizations
Ways to Wellness Design Features for Success
Ways to Wellness as a SIB
Focus on outcomes through a long term innovative approach
Wellbeing and secondary savings metrics on which
payment is based are directly aligned with intended
outcomes
Preventative services enabled through a 7 year contract
with the CCG
Cross commissioner benefits supported with top -up
funding from CBO and SOF
Investment fully at risk
Financial returns directly linked to the achievement of
outcomes

5. 5
Social Investment Banks Founders and Foundations Local Authority Pension
Funds
Highwood foundation
What do we bring?
Impact driven capital from charitable foundations and public sector pensions
£25m of impact first funds to support Social Sector
Organisations delivering outcomes based contracts.

6. 6
What do we bring?
Experience - Bridges has invested into 14 SIBs, delivered by 22 impact-driven organisations

7. 7
What do we bring?
Learnings from SIBs across different policy areas, partnership and hands on support
Children’s Services
Youth Homelessness
Youth Unemployment
Chronic Health Conditions

8. 8
Board support and challenge
Clear referral pathways
Clear referral criteria
Systems and processes
Focus on
Referrals from
day -100
Strong Team
Operational
Excellence
Push and pull marketing strategies
Time and resource was invested in recruitment.
Result: strong and exceptionally motivated team who
hit the ground running immediately.
Strong and engaged Board, with Chris Drinkwater as
the Chair, formed in Q1 2014. Board support and
engagement started during implementation.
What did we learn?
Key Delivery Features for Success
Collaborative service design with referring GP practices
ensuring GP buy-in before go-live
Clear understanding of cohort needs and referral
characteristics
GP and community focused marketing strategies
Robust MIS system from Day 1
Strong relationships and clear accountability within
WtW and between WtW and service providers
Well resourced strong executive team
Ways to Wellness Delivery Features for Success
Performance rigour and focus on outcomes
Strong
Relationship with
the
Commissioner
Collaborative relationship and clear contract
management expectations
Engaged and supportive commissioner
Senior buy-in and dedicated resource from the CCG;
Philippa attending WtW Board meetings
Continuous solution focused conversations, as during
implementation, will have to continue during delivery

9. 9
July 10th 2015
• Strong mobilization
• 169 patients referred to date