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The rough guide to results based accountability
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The rough guide to results based accountability

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How can RBA work for you?

How can RBA work for you?


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  • 1. The rough guide to ‘Results Based Accountability’ Bryan Collis WCVA  www.wcva.org.uk  0800 2888 329  help@wcva.org.uk
  • 2. What is RBA?• Getting from talk to action• Also called Outcomes Based Accountability• Three parts – Strategic planning based on outcomes or impact POPULATION ACCOUNTABILITY – Measuring performance of services that contribute PERFORMANCE ACCOUNTABILITY – Commissioning services that contribute to outcomes RESULTS BASED COMMISSIONING• Making it fit together
  • 3. Populations• Population – All people in Cardiff• Outcome – People in Cardiff are healthy• Indicator – Percentage of people who are obese• Baseline – Statistics are available – 54% of those 16+• Story behind this – The rate is increasing• Partners – Health, Education, Youth, Leisure, Voluntary Sector, Food outlets, Food industry, Advertising• What works? – Obesity pathway• Action plan - Healthy lifestyle groups, food labeling, etc
  • 4. Populations OUTCOME: INDICATOR People in Cardiff Obesity Rate are Healthy End Contribution People attending active lifestyle PERFORMANCE programme MEASURE % People attending All People in Cardiff Means losing weight WHOLE POPULATION
  • 5. Turn the curve!• What is the desired change in the indicator.• Use this to measure success and decide what works.• Use a ‘simple’ abbreviated report to show what is happening (in your pack)• Think about ‘no cost’ and ‘low cost’ actions as well as ‘off the wall’ ones to stimulate creativity
  • 6. Performance QUANTITY QUALITY EFFORT How much How well INPUT service did did we Cause we deliver? deliver it? OUTPUT EFFECT How much What quality of change/effect change/effect did we produce? did we Effect produce?
  • 7. Enter title QUANTITY QUALITY How much did we do? How well did we do it? EFFORT LEAST Also Very Important important Is anyone better off? EFFECT MOST important
  • 8. Commissioning• You can purchase services.• You can purchase service quality• You cannot purchase customer outcomes.• But, you can purchase a contract relationship that maximizes good customer outcomes.
  • 9. Commissioning• The most important performance measures – 3 to 5 quality and outcome measures.• Set up a Continuous Improvement Process – Review meetings concentrate on these measures with a report similar to the population accountability report using a similar set of questions.• Performance Partnership between commissioner and service provider – Ask what can the commissioner can do to help
  • 10. Commissioning• As a service provider you will have a report card for each contract/service/beneficiary group.• The most important performance measures – 3 to 5 quality and outcome measures.• Set up a Continuous Improvement Process – Review meetings concentrate on these measures with a report similar to the population accountability report using a similar set of questions.• Performance Partnership between commissioner and service provider – Ask what can the commissioner can do to help
  • 11. Does it work?Strengths• Focuses on people, outcomes and change• Can cope with equalities issues• Separates out who is responsible for what• Includes partnership ideas and co-design / co-delivery
  • 12. Does it work?Weaknesses• Children’s services in England have implemented OBA over last 3 years – mixed experience – Courage to stop counting what you have always counted – Needs to be part of a change agenda – not just an add on – Organisational inertia and vested interests• Needs the right indicators – What if your service doesn’t link to the indicators chosen – What if the indicators are not linked directly to the outcome?• All examples are people based – what about infrastructure bodies?
  • 13. Does it work?Weaknesses• It is based on the dominance of numbers over stories and the presumed independence of numbers.• Of critical importance are – The story behind the baseline – The trend and the curve to turn. And these may be decided behind closed doors by ‘experts’.
  • 14. Does it work?Opportunities• Involvement in the partnership discussions about what the outcomes look like and which indicators should be used.• Changing relationship between commissioner and provider.
  • 15. Does it work?Threats• Outcomes and indicators may be imposed nationally.• If your service cannot demonstrate its contribution to achieving the outcome(s), then funding may be threatened.• Service user voice may be reduced – customer is just that – not automatically a citizen.
  • 16. Thank You Diolch yn fawr Bryan Collis WCVA www.wcva.org.uk  0800 2888 329  help@wcva.org.uk

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