Stakeholder Engagement Report - London Councils

There was universal consensus on the need for an integrated tariff, especially now that
there are major opportunities to address HIV and sexual health at one clinical intervention
point. This would help local councils know they were paying like for like and therefore
getting VfM.
There was some concern over previous decisions made in relation to commissioning,
for example, some stakeholders believed that the funding and contract rollovers for the
previous pan-London work ended up made the programme less effective and cohesive
than it could have been, some expressed doubts as to the impact of much of that work.
“We would be going back to the Dark Ages if we have 33 London Boroughs tinkering
around the edges with silly pots of money which will have no or little impact. The
investment is paltry compared to the lifetime treatment costs of one person living with
HIV. Please - let’s get this right”
4.2.1 Data management, monitoring and
evaluation
“What happened to all that monitoring we did for the last report? Where did it go?
Who used it and for what purpose?”
Key Issues
The value of any funded intervention needs to be made explicit; with measured outputs
reflecting clearly defined outcomes. However, four issues emerged from the stakeholders
where data management was an issue.
Lack of standardised monitoring and
evaluation framework
“Poor monitoring processes lead to poor fractured responses and bad behaviours.
This must be addressed with good commissioning leadership and accountability, with
providers making their data accurate and accessible.”
Stakeholders were aware that some providers had developed their own monitoring and
evaluation tools, that could give bias to reports. Stakeholders expressed strong views that
service user voices should be included in any monitored data and that there was a sense
that this has been previously ignored as part of any overall evaluation process. Whilst some
expressed concerns that service users would be biased anyway, as they were using specific
services, this should not exclude their right to have their say in what is being delivered.
Whilst there was broad recognition that the transition of responsibilities to Local
Authorities is recent, most were hopeful that the use of data would be made explicit
within the next round of decision making on allocations.
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