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General overview

Stage of development: Implementation

Policy sector: Employment and training

Date outcomes contract signed: Mar 2020

Start date of service provision: Jul 2020

Anticipated completion date: Aug 2024

Capital raised (minimum): GBP 328k (USD 406.95k)

Max potential outcome payment: GBP 1.31m

Service users: 411 individuals

Intervention

Delivering services using Individual Placement and Support principles to clients with learning disabilities in Tower Hamlets.

Target population

People with learning disabilities

Location

Country

  • United Kingdom

Service delivery locations

  • Tower Hamlets

Involved organisations

Configuration of contracting parties:

  • Outcome payer holds contract with Mental Health and Employment Partnership limited (led by intermediary)

Commissioners/outcome payers

Service Providers

Investors

Intermediary organisations

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Outcome metrics

  • Metric 1: Engagement and completion of vocational profile
  • Metric 2: Job start
  • Metric 3: Job sustainment < 16 hours per week
  • Metric 4: Job sustainment > 16 hours per week

Results

This project started delivering services in April 2020 and will finish in August 2024. Data was last updated in December 2023. These are interim results.

Outcome achievements

Overall target is based on the high case scenario defined in the Life Chances Fund Final Award Offer or Variation Agreements.

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The intermediary organisation's comment on this graph:

'The metrics selected are in line with the IPS Grow key performance indicator framework, which was developed in collaboration with high fidelity UK IPS services. The metrics chosen represent a balance between achieving the 'key' outcome: entry into work, with a proxy measure for the quality of the outcome: how long the job is sustained.

MHEP provided an opportunity to trial IPS-style supported employment for those experiencing learning disabilities and/or autism. We have learnt that the support pipeline and desirable outcomes for this group are slightly different than the standard model for IPS. In particular, we've learnt that the conversion from engagements to job starts is much higher for this cohort, and that part time work tends to be a more preferable and sustainable job outcome than full-time work. We have also learnt that, generally, those experiencing learning disabilities require more intensive long-term in work support to sustain work compared to other cohorts.

As well as achieving the specified outcomes in each project, conversations with providers and commissioners have suggested that the SIB structure may have helped move provider/commissioner relationships beyond 'compliance' toward collaborative problem solving to achieve better outcomes for service users.'

Outcome payments

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The intermediary organisation's comment on this graph:

'In this project, MHEP receives outcomes payments for each outcome achieved. The Local Authority receives a block payment to deliver the service. The provider is paid in block, rather than for outcomes.

This project enabled us to pilot IPS-style supported employment with a new cohort. While much of what we learnt from other MHEP services was relevant, the contract design, outcomes metrics, and targets for each outcome all needed to be adapted to better meet the needs of those with learning disabilities. We learnt that SIBs need to expect and enable adaptation for pilots, even more so than in more established services, by, for example, considering new metrics, or shifting performance expectations as we learn what 'success' looks like.'

Linked resource by project's intermediary organisation:

https://golab.bsg.ox.ac.uk/documents/MHEP_full_report.pdf

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