Services for Later Life: Social Impact Bonds

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Presentation from Phil Hope, Director, Improving Care at Age UK's Services for Later Life conference 2012

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Services for Later Life: Social Impact Bonds

  1. 1. Social impact bonds:Improving care for older peopleand reducing unnecessaryadmissions to hospitalPhil Hope: Co-Director, Improving Care and AdjunctProfessor Global Health Institute, Imperial College, formerMinister of State for Care ServicesKieran Brett: Co-Director, Improving Care; former SpecialAdviser to the Prime Minister and SoS Health
  2. 2. The NHS at a Crossroads1. Population Scenario 1 – Rationing growth and cuts3. Ageing Capped5. Dementia Budget (£100 billion) Scenario 2 – Deficits7. NHS inflation and no bail-outs QIPP (£209. New technology billion)11. New drugs Scenario 3 – A13. New treatments sustainable NHS delivering better15. Rising outcomes expectations
  3. 3. Rates of emergency hospital admissions for 65+ vary across the country
  4. 4. What we are trying to achieve: better care for older people at lower costExisting modelof care Future model of care 4 Copyright Age UK and Improving Care
  5. 5. How this might look in a SIB site Copyright Age UK and Improving Care 5
  6. 6. What is Improving Care Trying to Achieve?• Improved health outcomes and a better quality of life for vulnerable older people• Health and social care provided closer to home• Greater support for carers and families• Fewer unnecessary admissions to hospital• Stronger partnerships between voluntary organisations and the public sector• Building social capital – volunteering and community support• Long term sustainability of the health care system in an ageing population
  7. 7. How a Social Impact Bond works
  8. 8. Social Impact Bond - Delivery model Improving Care + national Ethical investor partner e.g. Age UK NHS CommissionerDelivery partner NHS Providers e.g. Age UK
  9. 9.  Robust data analysis with clear baselines and agreed metrics Robust financial model with cashable savings Evidenced-based best practice service design Guiding coalition and committed leadership Contract-based relationships between partners Robust performance management and improvement systems Good information management and IT systems Clear governance structures and processes

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