Neighbourhood Health Joint Outcomes and Commissioning Evidence Workspace

- Partners can agree broad priorities without one shared baseline or neighbourhood denominator. - Measures may be duplicated or defined differently by ICBs, councils and voluntary-sector partners. - Programme activity can be difficult to connect to system outcomes such as non-elective admissions, bed days, independence or inequalities. - Health and Wellbeing Boards need a traceable record of why priorities were chosen and whether delivery is changing outcomes.

Likely buyers are ICB/local-authority joint programmes or place-based partnerships rather than individual clinical teams. Users include analysts, commissioners, public-health specialists and programme leads. The product must sit above existing data warehouses and case systems rather than duplicate them.

The evidence supports a persistent coordination and measurement problem, but not a need for another data warehouse. The viable opportunity is the shared governance/evidence layer between existing analytics systems: common definitions, intervention-to-outcome links, ownership, review cycles and defensible decision history.

Run a paid pilot with one Health and Wellbeing Board covering 3-5 neighbourhoods. Map existing plans and metrics into a common outcomes register without replacing source systems. Measure time spent reconciling metrics for board reporting, number of conflicting definitions resolved and whether partners use the workspace to make or stop funding decisions.

Defensibility depends on a reusable neighbourhood-health ontology covering populations, national goals, local outcomes, interventions, wider determinants, metric definitions and provenance. Cross-organisation permissions, version history and evidence-to-decision lineage are more differentiated than visual dashboards alone.

Help neighbourhood partnerships move from separate dashboards and strategy documents to one traceable record of what they are trying to change, how success is measured and which interventions appear to be working.

Proxy based — medium confidence.

Comparable public-sector analytics and programme software is commonly sold through enterprise or project contracts rather than transparent self-serve pricing. A suitable commercial test is a £20,000-£50,000 neighbourhood-system pilot for 3-5 neighbourhoods, followed by £30,000-£100,000 annual licences depending on population, integrations and partner count.

Evidence basis: Patient Pass (£5,000–£15,000 per licence per year) is the closest verified adjacent anchor used here. Its buyer, duration and scope are not assumed to be identical; implementation is separated where the opportunity requires integration, assurance or managed delivery.

Ask one accountable NHS, council, employer, school-system or care-service budget owner to fund a paid test of Neighbourhood Health Joint Outcomes and Commissioning Evidence Workspace lasting 8–12 weeks, using an opening price of £20,000-£50,000 and covering two operational teams and 50 representative referrals, cases or employees. Paid scope: A shared neighbourhood-health outcomes workspace linking the evidence baseline, local priorities, interventions, metric definitions, owners, funding and outcome trends across NHS and council partners. Charge by service, organisation, enrolled person or managed cohort and compare the fee with current referral, case-coordination, absence-management and specialist-support effort. Measure time to action, safe escalation, case completion, avoidable hand-offs, staff hours and sustained return/retention. Continue only if time to appropriate action improves by at least 20%, no safety escalation is missed and the budget owner elects to continue. Stop or reprice if clinical or safeguarding quality falls, coordination effort rises or the buyer will not fund the next cohort.

Raise above 90 if a pilot becomes the formal board-level outcomes register used by both ICB and council teams. Reduce below 65 if existing Microsoft/BI tooling satisfies the shared-governance requirement with minimal configuration.