Introduction                                                                                                              ...
Outputs vs Outcomes                                                                                                       ...
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Outcome-based-commissioning-LLL event-London region-2009-cooper-pdf.pdf

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Outcome-based-commissioning-LLL event-London region-2009-cooper-pdf.pdf

  1. 1. Introduction • What is commissioning concerned withLondon Joint Improvement Partnership London Joint Improvement Partnership Outcomes – a commissioner’s perspective • Quality – what does it mean 11th November 2009 • Commissioning for outcomes Natasha Cooper, Strategic Commissioning • Quality outcomes Development Manager • Your commissioner needs you Commissioning Levels Commissioning for Quality • Individual • Customer satisfactionLondon Joint Improvement Partnership London Joint Improvement Partnership – Diversification, individualised – PROMs, choice & control, dignity – personal budgets/personal health budgets, • Outputs • Locality – Technical merits – Community of interest – Local services to meet specific area needs • Outcomes – Opportunities for joint commissioning – Clearly defined • Strategic • Sustainability – JSNA – Cost effective – Capacity building and market development – Achieving outcomes – Partnerships Outcome based services Commissioning for outcomesLondon Joint Improvement Partnership London Joint Improvement Partnership What are outcomes? • Outcomes are about results for people “The impact or end result of services (or • Start with the end result and then work backwards interventions) on a person’s life” (SCIE 2007) • People should be able to choose the outcomes Outcome focused services aim to achieve goals, aspirations or priorities of individual clients • Commissioners are investing rather than funding or purchasing No longer enough to measure quality and success by outputs • Providers should have autonomy and are expected to innovate
  2. 2. Outputs vs Outcomes Changing the focus Quantity Quality Quantity QualityLondon Joint Improvement Partnership London Joint Improvement Partnership How much did we do? How well did we do it? How much How well 2nd Most Least Effort Effort did we do? did we do it? Important Important Is anyone better off? Is anyone better off? 3rd Most Effect Most Effect # % Important Important 27 28 Ron Hutchinson CBE Ron Hutchinson CBE Commissioning for outcomes Providers who do quality outcomes How much did we do? How well did we do it? • Whole system approachLondon Joint Improvement Partnership London Joint Improvement Partnership # Clients/customers % Common workload ratio, staff e.g. client staff ratio, measures • Services with systematic assurance turnover rate, staff morale, % staff fully served trained, % clients seen in their own language, worker safety, unit cost – Comparators, accreditation – Independently assessed # Activities (by type % Activity-specific – Customer led of activity) measures e.g. % timely, % clients completing activity, % correct and complete, % meeting standard • Evidence of being responsive Is anyone better off? # % Skills / Knowledge • Organisational learning (e.g. parenting skills) # Point in Time % Attitude / Opinion (e.g. toward drugs) vs. Point to Point # Improvement % Behaviour • Workforce issues (e.g.school attendance) – Training # % Circumstance – Recruitment/retention (e.g. working, in stable housing) Ron Hutchinson CBELondon Joint Improvement Partnership commissioner

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