Presentation from Phil Hope, Director, Improving Care at Age UK's Services for Later Life conference 2012

1. Social impact bonds:
Improving care for older people
and reducing unnecessary
admissions to hospital
Phil Hope: Co-Director, Improving Care and Adjunct
Professor Global Health Institute, Imperial College, former
Minister of State for Care Services
Kieran Brett: Co-Director, Improving Care; former Special
Adviser to the Prime Minister and SoS Health

2. The NHS at a Crossroads
1. Population Scenario 1 – Rationing
growth and cuts
3. Ageing
Capped
5. Dementia
Budget (£100
billion) Scenario 2 – Deficits
7. NHS inflation
and no bail-outs
QIPP (£20
9. New technology
billion)
11. New drugs
Scenario 3 – A
13. New treatments sustainable NHS
delivering better
15. Rising outcomes
expectations

3. Rates of emergency hospital admissions
for 65+ vary across the country

4. What we are trying to achieve:
better care for older people at lower cost
Existing model
of care
Future model
of care
4
Copyright Age UK and Improving Care

5. How this might look in a SIB site
Copyright Age UK and Improving Care 5

6. What is Improving Care Trying to Achieve?
• Improved health outcomes and a better quality of life for vulnerable older
people
• Health and social care provided closer to home
• Greater support for carers and families
• Fewer unnecessary admissions to hospital
• Stronger partnerships between voluntary organisations and the public sector
• Building social capital – volunteering and community support
• Long term sustainability of the health care system in an ageing population

7. How a Social Impact Bond works

8. Social Impact Bond - Delivery model
Improving
Care + national
Ethical investor
partner e.g. Age
UK
NHS Commissioner
Delivery partner
NHS Providers
e.g. Age UK

9.  Robust data analysis with clear baselines and agreed
metrics
 Robust financial model with cashable savings
 Evidenced-based best practice service design
 Guiding coalition and committed leadership
 Contract-based relationships between partners
 Robust performance management and improvement
systems
 Good information management and IT systems
 Clear governance structures and processes