Monday, August 14, 2017
Demonstrating the impact and value of vision rehabilitation – a Report to the RNIB
Vision rehabilitation services are crucial to ensuring blind and partially sighted people remain as independent as possible. Now, new independent research commissioned by RNIB, with support from the Department of Health, has identified that the cost of providing vision rehabilitation services is dwarfed by the financial benefits.
Independent research by the Office for Public Management (OPM), based on a case study of services provided by Sight for Surrey has shown that the financial benefits of good vision rehabilitation services significantly outweigh the actual costs of delivering this service. In fact in the case study site, over £3.4 million of health and social care costs were avoided, reduced or deferred annually based on a service which cost an estimated £900,000 a year to deliver.
Building on the work of our See, Plan and Provide campaign, we are now working to ensure that commissioners or those making decisions understand the economic value of providing effective vision rehabilitation services and the long term costs avoided, reduced or deferred for the health and social care system.
Tuesday, June 20, 2017
Accelerated Non-Medical Endoscopist Training Programme – Year 1 Evaluation (Report to Health Education England)
The Office for Public Management (OPM) was commissioned by Health Education England (HEE) to conduct an evaluation of the Non-Medical Endoscopist (NME) accelerated training pilot. The NME training pilot aimed to recruit and successfully train 40 NMEs across two cohorts. The first cohort started the programme in late January 2016 and the second cohort started the programme in mid-April 2016.
The evaluation aimed to produce both formative and summative findings about the impact and effectiveness of the training pilot. The evaluation activities consisted of:
- A literature review to understand training outcomes and process learnings from comparable training programmes.
- Interviews with trainees, their supervisors and their mentors from across the two cohorts.
- A survey of Cohort 1 trainees and supervisors and mentors following completion of the NME programme.
- Face-to-face interviews with a sample of patients who received an endoscopy from a NME trainee.
- Analysis of management information and training data.
- Observation at various programme activities, including the second selection day in London, two of the taught study days held in London and Liverpool and a Basic Skills Course.
- Ongoing interviews with programme Faculty members and stakeholders involved in developing and overseeing the programme.
Monday, March 20, 2017
Commissioning for Outcomes – The role of social finance
Can social finance help with the challenges that public commissioning faces?
This paper is intended as a provocation to government, commissioners, providers and investors to begin a richer conversation that doesn’t assume we already know the answers. OPM’s experts in commissioning for outcomes (Sue Goss) and in social finance (Chih Hoong) draw on their learning about systems leadership, experience of teaching commissioning programmes and our work in evaluating social investment experiments.
Wednesday, February 22, 2017
Independent evaluation of the Essex Multi Systemic Therapy Social Impact Bond
For the past three years OPM has undertaken an independent evaluation of the Essex County Council Multi Systemic Therapy (MST) Social Impact Bond (SIB). The Social Impact Bond delivers MST to children and young people at risk of being taken into the local authority care. The Social Impact Bond has been managed by Children’s Support Services Ltd, a Special Purpose Vehicle, established by Social Finance.
The purpose of OPM’s work has been to evaluate the potential added value that can be achieved through local authority and other commissioners using Social Impact Bonds as a mechanism for financing the delivery of new services. Specifically, whether the use of a SIB impacted on the implementation of MST and whether significant value was added to either outcomes or performance.
The evaluation highlights many instances where the use of the SIB has been seen to add value to systems and processes and indirectly to overall performance. It also draws attention to some additional costs and complexities which may result from operating through a SIB and how these can be mitigated. Drawing on a variety of quantitative and qualitative evidence and insights, OPM have now summarised their findings and used this to inform a set of recommendations applicable to organisations that may be considering developing SIBs of their own.
In addition, OPM have drawn on the evaluation findings to develop a new guide on ‘Top Tips for developing and implementing a Social Impact Bond’ – an interactive document for commissioners, providers, funders and managers. While summarising the Essex experience and including examples from Essex to illustrate specific points, this also brings in themes from the wider evidence base, with the aim of distilling lessons that have wider applicability.
The Essex SIB was the first local authority commissioned SIB to be established in the UK and the experience and findings reflect its innovative nature. It was launched in 2013 and will be operational for five years, concluding in 2018. Two teams from Action for Children have delivered an MST intervention to approximately 260 young people to date resulting an in an approximately 80% rate of successful care diversion. MST is an evidence-based programme that seeks to improve parenting and rebuild positive family relationships, enabling families to manage future crisis situations themselves.
Friday, January 27, 2017
Evaluation report – Learning into practice project
OPM was commissioned to produce an evaluation report on the Learning into Practice Project (LiPP) which was funded under DfE’s Innovation Programme and ran by NSPCC and SCIE.
The LiPP was testing a proof of concept – aiming to establish what is needed on an ongoing and sustainable basis to improve the quality and use of Serious Case Reviews (SCR) in England. The LiPP consisted of four main workstreams:
- developing a mechanism for collating and producing accessible information on practice issues and causes from SCRs
- the establishment of a strategic Alliance of national strategic and leadership bodies to consider and implement improvement work, from a national perspective, as a result of SCR findings
- supporting commissioning and conduct of reviews through a set of Quality Markers
- improving lead reviewer expertise through a series of masterclasses
Our evaluation was asked to explore:
- stakeholder perceptions of the potential for the new mechanisms being developed and tested to achieve improvements in the quality and use of SCRs in the future, and in turn, better outcomes for children and families
- what might be needed for these mechanisms to become sustainable and implemented on an ongoing basis
The evaluation involved 63 qualitative interviews with those involved in LiPP activities; and an online survey aimed at non-participants in the LiPP activities to explore wider views on the proposals. 126 people completed this. Alongside the external evaluation, the project team conducted an internal evaluation of the LiPP, focussing on describing the mechanisms being tested, and the emerging learning from these.
Monday, September 19, 2016
Evaluation of the Wandsworth End of Life Care Coordination Centre
The was designed to address confusion among patients and their families about who to contact for help and support, due to the range of organisations involved in caring for someone approaching the end of their life.
It comprises a 7 day nurse-led coordination team and helpline for patients, families and professionals based at Trinity; a dedicated St George’s End of Life Community Nurse; and a team of Marie Curie Health and Personal Care Assistants who can offer specialised hands-on care at home for people with any terminal illness.
This evaluation ran from October 2015 to June 2016 and explores the impact of the centre on patients, families and professionals, the cost savings and other forms of value offered by the centre as well as the lessons learned through implementation.
Tuesday, August 30, 2016
Evaluation of the Reducing Social Isolation and Loneliness Grant Fund
The Reducing Social Isolation and Loneliness Grant programme was commissioned and funded by North, Central and South Manchester Clinical Commissioning Groups (CCGs), and administered and managed by Manchester Community Central (Macc). OPM Group evaluated the programme over 2013-16 and produced this final report and report summary.
Tuesday, August 9, 2016
Qualitative research into Registration Assessment performance among Black-African candidates
This General Pharmaceutical Council (GPhC) report explores the experiences and performances of Black-African candidates in the Registration Assessment. For this work we held depth, qualitative interviews and focus groups with Black-African trainees and recently registered pharmacists and interviews with people who are involved in pharmacist education and training.
The research concludes by suggesting some actions which may help improve the experience and performance of some Black-African trainees and at the same time offer benefits to all pharmacy students and trainees, and ultimately to the pharmacy profession.
Tuesday, August 9, 2016
Models of Care in Motor Neurone Disease
This report for the Motor Neurone Disease Association (MND Association) explores the different ways MND care is organised across the UK. It examines the practical arrangement of MND care, such as how multi-disciplinary teams are constituted and the relationship between hospital and community services. The report provides advice for the NHS and social services on how to organise MND care effectively.
Monday, June 20, 2016
Reading Hack evaluation interim report
Reading Hack is an innovative Reading Agency programme funded by the Paul Hamlyn Foundation. Launched in 2015, the programme works with young people aged 13-24 across England to create opportunities for reading-inspired activity, volunteering roles and peer-to-peer reading advocacy.
This is the interim report from a three year evaluation of Reading Hack to understand its impact on the young people and organisations taking part, as well as exploring more widely what works when engaging young people with reading.