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The Commissioning Better Outcomes (CBO) programme is funded by The National Lottery Community Fund, with a mission to support the development of more social impact bonds (SIBs) and other outcomes-based commissioning1 models in England. The National Lottery Community Fund has commissioned Ecorys and ATQ Consultants to evaluate the programme. A key element of the CBO evaluation is nine in-depth reviews, and this review of the North-West London End of Life Care Telemedicine Project is one of these.

This report is the first in-depth review of the Telemedicine Project. Its focus is on stakeholder experiences and learning from the design and development of the SIB up to the point at which it was launched, and the immediate challenges in the period after launch. The interviews with stakeholders whose views are reflected in this report were conducted in 2018 with follow up in 2020. There are some limitations to our research as a result of staffing changes within key stakeholder organisations at the time of the fieldwork – where gaps in our knowledge exist, these will be further explored during our second in-depth review where possible.