Understanding the new public service commissioning environment and volunteer’s place within it


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The presentation was a workshop at Evolve 2014: the annual event for the voluntary sector in London on Monday 16 June 2014.

The presentation was chaired by Shane Brennan, from Age Concern Kingston and looks at the changing context of public service commissioning.

Find out more about the Evolve Conference from NCVO: http://www.ncvo.org.uk/training-and-events/evolve-conference

Find out more about NCVO's work on volunteering: http://www.ncvo.org.uk/practical-support/volunteering

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  • New commissioners include:
    Clinical Commissioning Groups
    Public Health now in local authorities
    Police and Crime Commissioners
    Private-sector providers - we’re coming on to this

    What if the Prime was say Barnardo’s or Women’s Aid?
  • Cost of a lorry of waste
    in 4 years
    Cost of recyclables

    % recycled now

    Mechanisms to influence behaviour change
  • We applied the Business Model:
    Isolated Older People in Tendring, Essex – 100 per annum
    Local volunteer mentors - 35
    1 staff member for support
    5 year programme
    10 month maximum timed intervention
    Option to re-enter model as a volunteer
    Volunteers and Beneficiaries will drop out
    Beneficiaries may naturally become isolated again following an intervention
    Assumptions made, but based on actual statistics on isolation from Essex County Council
    Results – slide.

    ASCOT=Adult Social Care Outcomes Tool; POET=Personal Budgets Outcomes Evaluation Tool
  • Understanding the new public service commissioning environment and volunteer’s place within it

    1. 1. Workshops AM1: Understanding the new public service commissioning environment and volunteers’ place within it CHAIR: Shane Brennan, Chief Executive, Age Concern Kingston and Chair of NCVO’s Public Services Advisory Group
    2. 2. This workshop is about • The changing context of public service commissioning • The role of volunteers • Challenges and opportunities
    3. 3. Economic context
    4. 4. Economic context
    5. 5. Economic context
    6. 6. Changing landscape • ‘Open Public Services’ • Personalisation / user choice • Shrinking public sector / reduced capacity • Aggregation of contracts • Outcomes-led commissioning • New commissioners
    7. 7. ‘Prime’ model
    8. 8. What is being outsourced? • Services • Management / commissioning functions – e.g. • Transforming Rehabilitation • Clinical Commissioning Groups? • Child Protection?
    9. 9. Opportunities • Market share • Social Value Act 2012 • Changing procurement rules – Autumn 2014 • Target for 25% government contracts to be delivered by SMEs by 2015
    10. 10. Threats • Reduced overall funding • Private sector competition • Internal competition in VCSE sector (e.g. locals vs nationals) • Lack of scale and structure – VCSE • Poor commissioning expertise – commissioners
    11. 11. Volunteering: opportunities • Added value of volunteers – time, responsiveness, skills • Volunteers’ self-development, employability • Community coherence, resilience but … • Job replacement/ substitution, “cheap labour” • Danger of damage to “volunteering movement”
    12. 12. Problems for management / commissioning • How to incorporate volunteering in procurement • How to include in bids • How to cost the management of volunteers • How to demonstrate added value - impact • What difference volunteers make when they’re involved
    13. 13. Volunteers and Public Service Commissioning Christine Mead Behaviour Change Commissioner Triborough Public Health Service
    14. 14. The economic and policy context • Changes to public services – Health care budgets reducing – Pressures on adult social care budgets • Changes to population needs – Communities and ethnic groups remain isolated and disenfranchised – Ageing population – Challenges to children’s health, diet and school readiness • Changes to service providers – Cross sector working – Integrated working – New forms of partnerships – Commissioning and procurement approaches
    15. 15. The Challenge of Waste
    16. 16. Community Champions: Policy Background Addressing root causes of poor health and well-being requires better approaches to deliver health and care that is ‘owned by communities and shaped by their needs’ (Public Health White Paper) UK Parliament’s Committee of Public Accounts confirmed that the gap in life expectancy between people in deprived areas and the general population has continued to widen, Health and Social Care Act (2012): local authorities have responsibility for improving the health of their local populations, and sets out to ‘tackle health inequalities across the life course, and across the social determinants of health’
    17. 17. Community Champions • Local residents rooted in the community • Bringing local residents and services together • Improve health and wellbeing of residents • Trained to Level 2: Understanding Health Improvement (RSPH) • Running and promoting health ad wellbeing activities • Knowledge transfer about health, best practice and access • Signposting and health advice
    18. 18. Social Return on Investment The Social Value Act has the power to transform spending on public services This ambitious new act requires public authorities to take into account social and environmental value when they choose suppliers, rather than focusing solely on cost Patrick Butler, The Guardian, 5 Feb 2013
    19. 19. What does this mean for providers and programmes? National Audit Office: Value for money and TSOs ‘Make sure your programme is really focused on outcomes, the impact on service users and communities that you are seeking to achieve, and not just on outputs, process or inputs. Not all outcomes will be obvious, direct or easily values. You and/or providers may need to use evaluations and techniques such as Social Return on Investment (SROI) to establish the full impact of a programme and its worth.’
    20. 20. Changes for residents
    21. 21. Changes for volunteer champions
    22. 22. Value of Champions for every £1 invested there is a return of £5.05
    23. 23. STAKEHOLDER OUTCOMES PRESENT VALUE OF IMPACT (£ Attributed Value) HOUSEHOLDS DIRECTLY REACHED per Hub CHAMPIONS i.e. Improved health (exercise, healthy eating) and reduced diabetes issues Improved well-being Skills & knowledge Employability Fairer access to treatment £248,000 76 RESIDENTS i.e. Improved health (exercise, healthy eating) and reduced diabetes issues Reduced prevalence of long term conditions Improved well-being Knowledge Fairer access to treatment £845,000 circa 150-200 households per Hub (or approx 1000 households) CHILDREN i.e. Improved health Improved well-being Knowledge £526,500 circa 150-200 households per Hub (or approx 1000 households) LOCAL AUTHORITY i.e. Reduced care need for reduced diabetes Reduced adult and elderly care need due to poor mental health and isolation Improved school readiness £907,500 circa 150-200 households per Hub (or approx 1000 households) Central GOVERNMENT SAVINGS i.e. Resource savings to Health and Social care, and DWP £255,500 circa 150-200 households per Hub (or approx 1000 households) SOCIAL & ECONOMIC VALUE over 12 month benefit period ONLY c. £2.56 million - PRESENT SOCIAL & ECONOMIC VALUE forecasted across 3 year benefit period for specific outcomes Circa £2.78 million - Table 1. Social, Economic and Environmental Value created by Community Champions
    24. 24. http://communitychampionsuk.org/see-us- in-action/ cmead@westminster.gov.uk
    25. 25. London Borough of Hammersmith and Fulham | The Royal Borough of Kensington and Chelsea | Westminster City Council
    26. 26. Commissioning Contributions through Volunteering Oonagh Aitken, Director Social Action and Volunteering, CSV oaitken@csv.org.uk
    27. 27. Policy-Personalisation, Choice and Control “Our overall vision is about promoting people's wellbeing and independence and enabling them to be active citizens” Glen Mason, Director of People, Communities and Local Government, DH “There is a strong emphasis in the Care Act on improving people's overall wellbeing, which shifts the emphasis from a remedial, 'deficit' based system, to one which seeks to take pre-emptive, preventive and supportive measures.” Bridget Warr, CEO UK Home Care Association and TLAP Board Member
    28. 28. Contribution through Volunteering ● Asset based approach to improving community engagement, individual health and wellbeing, and commissioning ● Enables individuals with a range of support needs to contribute to their communities through volunteering with the support of trained mentors from the local community ● Enables them to be trained to increase their skills and enhance their ability to contribute ● Breaks down barriers and builds relationships through using community volunteers as support mentors 28
    29. 29. Impact ● King’s Fund Volunteering in Health and Care (2013) - support provided by volunteers/mentors is of particular value to those who rely most heavily on services. ● CSV Reports On: Mental Health, Volunteering and Social Inclusion (2008):  more likely to have a positive outcome due to the informal nature of the relationship and the responsibility it gives the service user for their own recovery  encourages community and peer responsibility ● Self-reported outcomes 12-13:  93% increased independence  65% more in control  600 disabled people supported to volunteer
    30. 30. System Dynamics ● Stocks and Flows ● Feedback Loops
    31. 31. Results ● Reduction in number of isolated people: from 700 to around 511 (759 without the scheme) ● •After five years, 426 people would have moved out of isolation into a ‘connected’ state (including those still with a volunteer) Average cost of: ● £1,012 per person who started the scheme ● £1,887 per reduction of one person in the “isolated” community Next Steps –further work on cost effectiveness, including savings and outcomes e.g. in context of existing tools, ASCOT, POET.
    32. 32. Our Learning – Health and Wellbeing “Being a volunteer gives self esteem and confidence – a sense of purpose and makes me happy” “I need to be included in decisions; it’s about what I want” “Help to build my skills up so I know what I want to do and how to do it – I want to do things properly and well” “My confidence has improved and my social skills …without CSV I would not have got anywhere and would be sat at home bored with nothing to do”
    33. 33. Our Learning – Impact and Outcomes ● Volunteering makes financial sense - DWP: Wellbeing and Civil Society (2013) - social and economic benefits of volunteering. Economic value of formal volunteering in the UK 1.3% to 1.6% of GDP – around £23 billion. ● Strong link with Care Act 2014 and new prevention duty this places on LA’s; community capacity; Better Care Fund and integration. ● Business Model to influence commissioning practise across health, care and beyond; provides a tool for engaging with and convincing commissioners of impact of volunteering as a cost effective intervention.
    34. 34. Case study 3 Alan Strickland Head of Volunteering Development
    35. 35. Discussion
    36. 36. Join the Public Service Delivery Network!
    37. 37. Thank you … For more information … Lev Pedro lev.pedro@ncvo.org.uk 020 7520 2411 www.ncvo.org.uk
    38. 38. Evolve 2014