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Commissioning Better Outcomes – Peer Learning Introduction – James Ronicle Senior Research Manager Ecorys

CBO Health Event: Submitting a Full Application

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Page 1: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes – Peer Learning

Introduction – James RonicleSenior Research Manager

Ecorys

Page 2: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes

CBO programme Ambitions – Phil Messere – Funding

Manager – Big Lottery Fund

Page 3: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes

Support to Commissioners – Tim Gray

S&D Consultant to CBO

Page 4: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes

General Requirements – Phil Messere

11th February 2016

Page 5: CBO Health Event: Submitting a Full Application

What is CBO Looking For?

• CBO Aim: Growing the Market in SIBs

• CBO Programme Objectives:– improved commissioner skills and confidence– prevention through VCSEs for those most in need– more (VCSE) partners accessing new funds– increased impactful sector learning

Page 6: CBO Health Event: Submitting a Full Application

What will the CBO portfolio look like?

• transformational ideas:– higher risk more impactful proposals– proven ideas with a good delivery record– new models of funding or delivery

• a mix of different funding sizes with larger payments making a stronger contribution

• adding to the Fund’s strategic interventions

Page 7: CBO Health Event: Submitting a Full Application

Development Grants

• CBO closed to DGs 31/12/15• 62 DG awards made • DG procurement must reflect:

– market value of technical support– level of technical staff required– at least 3 suppliers for any support of £10K+

Page 8: CBO Health Event: Submitting a Full Application

Completing of Feasibility Work• Use most DG funding to test SIB feasibility.• Actively engage with beneficiaries and front

line staff to target those most in need• Put in place arrangements for commissioner,

VCSE, investor, evaluator engagement• Structures to sustain commissioner skills• Complete CBO feasibility work by 1/6/16• Retain specialists to advise on your full app

Page 9: CBO Health Event: Submitting a Full Application

Development Grant Reporting

• The Fund measures progress on DGs against:– Agreed indicators– Additional terms– Funding draw down– Learning – At mid-point, end of feasibility and end of DG

• Share learning via peer learning, feedback to CBO, networks and information sharing

Page 10: CBO Health Event: Submitting a Full Application

Key Points for FA applications

• Consider CBO aim and outcomes• The lead Commissioner should apply normally• Clear rationales are needed • All figures must be consistent and add up• Retain technical support post feasibility to help

assessment• Certain items are ineligible for CBO payments• Manage conflicts• Take into account CBO timelines

Page 11: CBO Health Event: Submitting a Full Application

Transparency - Conflicts of Interest

• Multiple stakeholders generate multiple conflicts– Commissioners must manage these– Different experts to advise different parties – A provider cannot normally deliver and manage a SIB – CBO DG funding can’t pay for activities by an

organisation that invests in the resulting proposition • CBO will not fund Full Award proposals that do

not manage conflicts in a transparent way.

Page 12: CBO Health Event: Submitting a Full Application

CBO Timelines

• 01/06/16 – finish all CBO funded feasibility work• 31/07/16 – last date for CBO full applications• 31/08/16 – all CBO development grants to be closed• 30/11/16 – CBO fully committed in principle• 31/05/17 – final CBO awards confirmed• Mid 2022 – final SIB outcomes paid by CBO• 31/12/22 – final project evaluations published • 31/03/23 – CBO programme closes

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Commissioning Better Outcomes

Any Questions?

Page 14: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes - Evaluation

James Ronicle

Page 15: CBO Health Event: Submitting a Full Application

Evaluation Key Focus

Extent to which CBO has met its aim of growing the SIB market, and what more Big Lottery & other stakeholders could do to meet this aim

Challenges in developing SIBs & how these could be overcome

Advantages & disadvantages of commissioning through a SIB, added value of using a SIB & how this varies in different contexts

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Method

Page 17: CBO Health Event: Submitting a Full Application

How do the local and national evaluations link together?

SIB 3

National Evaluation

SIB 2SIB 1

Outcomes data

Local evaluation

findingsDeep Dive Outcomes

data

Local evaluation

findingsCase study Outcomes

data

Local evaluation

findings

Page 18: CBO Health Event: Submitting a Full Application

How can you get involved?

Page 19: CBO Health Event: Submitting a Full Application

Online Community

Page 20: CBO Health Event: Submitting a Full Application

How can you contact us / get more information?

Email: [email protected]

Twitter: @CBOEvaluation

Webpage: https://www.biglotteryfund.org.uk/~/link.aspx?_id=38B25B895A86492AAA548D4737DFE302&_z=z

Blog: https://cboevaluation.wordpress.com/2015/07/15/how-to-develop-a-sib-in-health-3-lessons-from-our-learning-event/

Mailing List:

Online Community: https://community.biglotteryfund.org.uk/uk-wide/england/commissioning-better-outcomes/default.aspx

Page 21: CBO Health Event: Submitting a Full Application

Main Points for Discussion

• Social Context

• Financials and Metrics

• Proposal and Intervention Management

• Impactful Evaluation

Page 22: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes

Full Awards11th February 2016

Page 23: CBO Health Event: Submitting a Full Application

Social Context

Set out:•Theory of change - why a SIB? Other options?•How SIB can achieve success in this social policy and geographic area with this cohort?•What is similar to past practice and what is new?•How you incentivise most in need to participate?•How stakeholders are incentivised to work with cohort?•Clear referral paths and measurable distance trod?•Link with Fund strategic initiatives – e.g.: Ageing Better

Page 24: CBO Health Event: Submitting a Full Application

Financials and MetricsConsider scenarios for success or failure, make sure you:

• Only model one scenario for yes/no outcomes• Provide a range of scenarios for rates table based models• Incentivise all parties to maximise success• Social and learning impact as well as savings • Clear outcomes supported by robust data• Plan and cost independent data verification• Risk manage perverse incentives and attribution• Add up metrics and financials consistently • Check realism of interventions and savings • Balance risk and return so it feels fair to stakeholders• Plan realistic intervention costs and beneficiary drop out

Page 25: CBO Health Event: Submitting a Full Application

Project Management• Key commissioner on board; embed skills• Retain experts in the social policy area• Effective, efficient project management• Openly procure delivery and management - OJEU• Regular detailed data analysis review• Empower project board to effect rapid change• Manage conflicts, risk transfer, procurement, state aid risks• Provide CBO with a clear picture of funds flow • Manage stakeholder engagement• Obtain independent verification of project evaluation • Apply evaluation techniques in a timely way• Disseminate learning in an impactful way• Timeline – collectively understood and manageable

Page 26: CBO Health Event: Submitting a Full Application

Commissioning Better Outcomes

Any Questions?