ACE-VALUE
COMMISSIONING FRAMEWORK
Dr Melanie Jones
Dr Miranda Wolpert
CAMHS Evidence Based Practice Unit
Anna Freud Centre and UCL
THE BOND CONSORTIUM
• Supported by the Department for Education
• Led by YoungMinds, the leading expert in the field of children and young
people’s mental health.
• Consortium members: Youth Access & Place2Be, specialists in VCS
delivery of children and young people’s mental health services in the
community and schools. The Mental Health Foundation and EBPU
(Evidence Based Practice Unit) provide unrivalled expertise in research
about effective mental health services, quality standards and
accreditation. FPM brings a strong track record of capacity building across
youth VCS organisations. YoungMinds has also assembled a specialist
team of CAMHS commissioning experts including Lisa Williams,The
Rees Consultancy and Cernis.
• The partnership is advised by The Afiya Trust which brings expertise,
networks and knowledge of BME communities.
WHAT WILL BOND DO?
•
Develop and disseminate quality standards and accreditation for
voluntary sector delivery of mental health services for children and
young people
•
Support the increase in the range of early intervention mental health
services offered by voluntary sector providers in order to expand choice
and provision of timely and efficient mental health services for children
and young people
•
Support commissioners and procurement of mental health services for
children and young people to ensure: high quality, an increase in patient
choice, value for money and evidence based effective services
What is ACE-Value ?
•
EBPU charged as part of the consortium with leading the development
of a framework which will allow commissioners to make judgements
about voluntary sector and other providers
•
Drawing on contributions from consortium members with a wide variety
of experience in this regard it was agreed to develop an online
framework (or “drawing cabinet”) of templates, best practice examples
and links to guidance and training that providers can access to
demonstrate that they are commissioning-ready
•
ACE–Value is this online framework and provides a tool for
demonstrating good practice, effectiveness, value and innovation that
can be used by any service provider voluntary or statutory
Why is ACE-Value needed ?
To simplify and standardise the commissioning process for both providers
and commissioners by:
•
assisting providers in demonstrating that they are commissioning ready
•
allowing commissioners to consider the values of potential providers
using consistently-organised information set within a context of
indicators of best practice and innovation, and with guidance in how to
consider this evidence meaningfully
What is within the remit of ACE-Value ?
•
It is a framework to guide and facilitate decision-making
•
It is a template for self-reported demonstrations of good service
provision and innovation
•
It is suitable for any service provider (statutory services, non-statutory
voluntary sector organisations and private companies)
•
It is suitable for all direct and/or indirect targeted mental health work
with CYP and families
What is outside of remit of ACE–Value ?
•
It does not prescribe or grade providers
•
It does not bias towards any type of organisation
•
It does not include non-targeted work such as sign-posting,
advice/information-giving, teaching/mentoring or lobbying
•
It does not audit providers
How will ACE-Value be sustained
• EBPU is co-sponsoring the development of ACE-Value and have agreed to
underwrite its continued existence beyond the life of the project
• ACE-Value will be overseen by an oversight committee consisting of
members of the BOND consortium and potentially invited others as
regarded as relevant
• It has been agreed that ACE-Value will be accessible to all commissioners
and providers
The ACE–Value Framework
Twelve compulsory components must all be evidenced to demonstrate the
provider is “commissionable”.
These are spread across:
•
•
•
Accountability
Compliance
Empowerment
... with an opportunity to shine through evidence of added Values
ACCOUNTABILITY: 5 components
1. Must be collecting and considering outcomes (how this is done is
open, but rationale must be clearly explained/evidenced)
2. Must be collecting and considering service user experience (how this
is done is open, but rationale must be clearly explained/evidenced)
3. Must have an “easy” referral process (e.g. take self referrals, open
access)
4. Must be reviewing those who access services against local or
targeted populations (as relevant)
5. Must be reviewing waiting times
COMPLIANCE: 5 components
Must be able to evidence:
1. Child protection and safeguarding
- For example: named person lead, CRB for all staff, at least once a year training, clear protocols for
reporting, clear links to confidentiality policy, clear policy with review date
2. Confidentiality
- For example: statement of this that YP of their relevant client group can understand (include
consideration of LD etc in best practice info), protocol re use in practice, clear protocol and review
date, clear protocol re information sharing data protection and consent
3. Supervision standards
- For example: Any direct therapeutic intervention is supervised by an appropriate qualified
supervisor (example list attached), regular system for supervision that meets min standards as per
relevant body
4. Line management standards
- For example: clear line management and governance structures, clear induction, clear training
policies, clear recruitment selection, clear performance management processes
5. Financial stability
- For example: demonstrated funds available to sustain for at least 6 months, size of provider
appropriate to size of funds being sought (within a specified ratio)
EMPOWERMENT: 2 components
1. Must be able to demonstrate participation and collaboration
strategies, for example:
- Any collaborative shared decision making in individual cases (e.g.
choice of worker)
- Any service-wide service user involvement (e.g. YP as trustees)
2. Must be able to demonstrate reviewing of feedback information to
inform service delivery
- User satisfaction, complaints, compliments and suggestions)
VALUE: an opportunity to shine
•
•
•
•
•
Evidence of how the service is good value for money
Evidence of how the service provides social value (e.g. through case
studies)
Any feedback from formally audited standard reviews processes or
graded accreditations
Any references from current or past stakeholders or commissioners
Future – possibility to demonstrate value in relation to PbR clusters