Author Archives: Paula Fry

Social Impact Bonds offer challenges and opportunities in health and social care

By Alec Fraser, Stefanie Tan & Nicholas Mays SIBs bring promises of extra cash and reduced fragmentation but also concerns about private sector interests, practicality and governance. What does research tell us about Social Impact Bonds (SIBs) and their applicability … Continue reading

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Just how bad is the NHS at innovation? The answer – we don’t know

BY James Barlow “There is strong encouragement for the NHS to make better use of innovation, but we’ve not known how our system performs internationally. Now we are developing a potential measure.” The Accelerated Access Review (AAR) – which aims … Continue reading

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Next step: develop Social Investment Partnerships

by Ben Jupp The experience of Social Impact Bonds can inform a wider set of relationships to help address social needs, argues a key innovator in the field. The health and social care system I work in has rarely been … Continue reading

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Council information brokers could help technology to play vital role in dementia care

By Martin Knapp and James Barlow There’s no shortage of gadgets. But users and carers require help to make the most of what is available. Industry also should focus more on understanding what people really need from assisted living technologies, … Continue reading

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SIBs don’t work for complex problems because they’re unaccountable to service users

By Stephen Sinclair, Neil McHugh and Michael J.Roy Supporting change through social policy is an iterative process which develops participatory relationships with users. Social Impact Bonds fail on this front, rendering them unfit for purpose. SIBs are intrinsically unsuitable for … Continue reading

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Dream of Social Impact Bonds should not blind us to their dangers

By Mildred E. Warner In the US, SIBs are the height of social policy fashion, but the risks are clear and numerous. The dream of Social Impact Bonds (SIBs) sounds pretty exciting. It’s that you can invest in something good … Continue reading

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‘We should model complex public health interventions before piloting them’

By Zaid Chalabi Mathematical models can test multiple variables cheaply and quickly, giving early indications of what really matters. That helps in designing pilots and understanding how context can affect a policy’s success, argues Dr Zaid Chalabi. I was part … Continue reading

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Ethical risks of marketising public services demand caution

By Julia Morley Social Impact Bonds and similar financial vehicles may seem guaranteed to deliver key values, but they raise important moral dilemmas. The impulse to use new private sector approaches to funding public services, via Social Impact Bonds (SIBs) … Continue reading

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SIBs may be overhyped but their focus on outcomes is a vital policy innovation

BY ALEX NICHOLLS Some claimed benefits of Social Impact Bonds remain unproven. But they tackle long-term weaknesses in public service delivery by concentrating on outcomes, early intervention and collaboration. Governments around the world are increasingly funding health care and other … Continue reading

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How to commission evaluations of national policy pilots

BY STEFANIE ETTELT AND NICHOLAS MAYS Evaluations of national policy pilots are often embarked on with high expectations and end with a sense of frustration on all sides.  Policy-makers often expect clearer, and more positive, verdicts from evaluation than researchers … Continue reading

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