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Can Payment by Results drive improved practice? Serco Perspective. Bringing service to life. Presented by: Annamarie Hassall Date: 15 March 2012. Our experience of outcome commissioning and payment. Public Sector: Street management Doncaster prison Reducing re- offending
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Can Payment by Results drive improved practice? Serco Perspective Bringing service to life Presented by: Annamarie Hassall Date: 15 March 2012
Our experience of outcome commissioning and payment Public Sector: • Street management • Doncaster prison • Reducing re- offending • DWP- Work programme- flexible new deal • Health - Long term condition management Specifically in children’s services: • Walsall • Bradford • DfE commissioned work ......and working with the development of PbR for Sure Start Children’s Centres
To truly drive improvement • Incentivise achievement , opportunity to add to the required outcomes e.g. Walsall • Transfers responsibility for outcome goals- freedom to innovate e.g. short breaks • Focus on ‘what’ rather than ‘how’ – definition of the outcomes, enough lead in time to co produce e.g. children’s centres • Good relationship with the commissioner is crucial, credibility and capability
Challenges • Attribution • The role of the integrator • Timescales for outcome measures may drive output measures ‘likely to lead to outcomes’ • Reputational risk is far more ‘costly’ than the loss of payment