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Innovative Outcomes-Based Payment: Transforming Public Sector Services

This presentation, led by Annamarie Hassall on March 15, 2012, explores Serco's experience with outcome commissioning and payment in various public sector contexts, including street management, Doncaster prison, and the DWP Work Programme. We emphasize the importance of incentivizing achievement, establishing relationships with commissioners, and allowing responsibility transfer for better innovation. Challenges discussed include attribution, the integrator's role, and timing for outcome measures. This approach promises improved practices in public services, especially in children's services like Sure Start Centres.

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Innovative Outcomes-Based Payment: Transforming Public Sector Services

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Presentation Transcript

  1. Can Payment by Results drive improved practice? Serco Perspective Bringing service to life Presented by: Annamarie Hassall Date: 15 March 2012

  2. 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

  3. 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

  4. 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

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