Against All Odds - Domini Gunn - CIH

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Against All the Odds: Framing a
Case for Support Services in 2014
Domini Gunn
Director of Health and Wellbeing CIH
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Supported Housing for HWB
Ensuring
strategic fit with
future social care
and health
priorities
Meeting
changing needs
of partners &
customers
VFM & social
value of current
provision
Understanding
current & future
demand
Service
models that
are fit for
purpose
Making the best
use of
community
based assets
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Key challenges
• Finding a balance between retrospective analysis, and what
will support your offer in the future
• There is lots of research about what improves the lives of
people – what is your role in this and what impact does it
have on the national outcomes?
• What are the local commissioning and health priorities?
This will help to shape your offer in different areas
• Very little of the data collected now through SP contract
monitoring directly tells commissioners about your expertise
in relation to the national outcomes, so…
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Building an impact narrative
This work needs to be about building an ‘impact
narrative’, across a number of different
outcomes or domains, drawing on a number of
different evidence sources, including:
 Case studies
 Evaluation findings
 Personal outcomes / Supporting People data
 Customer feedback
 Business case
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How might we do it?
• Constructing a narrative from different perspectives
• Looking at costs and benefits
• Different measures require a different approach –
need to reflect local commissioning priorities
• Critical analysis of your evidence base – where are
the gaps?
• Focusing just on the national outcomes is likely to
limit what you can say
• Coherent, evidenced, outcome focused, costed
case for investment
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Linking ‘distance travelled’ to
the calculation of social value
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Social Value tool for
supported housing
• Many Social Return on Investment (SROI) and Cost
Benefit models are complex – require specialist input
and analysis.
• Risk becoming dated quickly
• CIH consultancy is working with the housing support
sector to develop a tool that meets our specific
needs.
• Service user placed centre stage
• Transparent process, accessible, locally adaptable,
with read across to all relevant outcome frameworks
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Some important challenges
• Availability of evidence on which to base
credible estimates of ‘value’ for each outcome
• Sector buy-in, especially on weighting criteria
• Transparency in the model (‘behind the
scenes’)
• The subjectivity of assessing outcomes
• Capturing the unique characteristics of each
individual client’s circumstances
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CIH resources & tools
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CIH consultancy services
Service Quality Tool – SQT – DCLG sponsored
Social Value – housing related support
DCLG commissioning support - remodel
DCLG older people’s service remodelling
Adult & Child Safeguarding
Corporate partnership
Policy & practice
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Sharing resources
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Rhetoric to Reality
Chartered Institute of Housing: www.cih.org
source of information, support and professional
membership
What you need to know about the care bill - CIH briefing
Creating housing choices for life – CIH briefing
CIH Tools: Service Quality (2014),
VFM(2013) & Social Value (2014)
Developing your local housing offer for health and care targeting outcomes – CIH framework doc
Hospital 2 Home resource pack
www.dh.gov.uk/health/2012/10/hospital-2-home/
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More information
If you would like further information please
contact me at:
domini.gunn@cih.org
or phone the office on : 0844 561 1758
Further details on the Service Quality Tool (SQT)
& other services can be found at
www.cih.org/consultancy
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