Providing a high quality healthcare system to support the complex mental health needs of populations requires novel commissioning methods. One such approach is to use outcomes as the basis for ensuring good quality, integrated and responsive services are provided. With a limited pool of learning to draw from nationally, commissioners in Tower Hamlets asked us to help them develop bespoke measures and processes for outcomes-based contracts.

We supported Tower Hamlets over a number of phases to develop a new commissioning process for children and young people’s mental health. We adopted a co-production approach, engaging a number of young people to help shape the design of the outcomes framework.

Engaging a wide range of stakeholders, including providers and service users, we supported the development of a bespoke set of outcomes and a supporting measurement framework for the CCG to use in its contracting processes.

Taking forward the 20 shared outcomes and three impacts that make up their outcome based commissioning, Tower Hamlets CCG is now developing incentivised agreements between organisations, piloting the collection of measures and working towards better health and wellbeing outcomes across all universal services.