Discovering Health offer consultancy support to commissioners who want to design or re-design their health and social care systems. This could be whole systems or specific areas such as drugs and alcohol. Mark Gilman was involved in performance managing the orthodox drug and alcohol treatment systems that were established in every upper tier (n152) local authority in England. From 2005 to 2015, Mark Gilman led on a series of national and international collaborations to design ‘Recovery Oriented Integrated Systems’ (ROIS) of health and social care. These are sometimes also referred to as ‘Recovery Oriented Systems of Care’ (ROSC). Mark Gilman has presented widely on system change and is able to show how these changes can be made whilst making the necessary cost savings in a time of austerity and public service reform.
Discovering Health is able to offer consultancy services to providers of health and social care who wish to improve their ability to produce real world social outcomes as opposed to inputs and outputs. The drug treatment sector provides a good case study. Drug treatment attracted significant investment over a ten year period from 2000 to 2010. Before the recession this had reached almost £1 billion. The success of this investment was measured in system outputs. Firstly, there was a measure of the number of people who entered treatment and how quickly they got into treatment (Access). Then there was a measure of how many of them stayed in treatment for a minimum of 90 days (Retention). The current proxy measure of recovery is the number of people leaving treatment and not returning within six months of leaving (Successful Completions). These process measures of inputs and outputs are being replaced with measures of real world social outcomes that make sense to local authorities. These include employment, training, education, volunteering and ability to care for children and maintain a housing tenancy. Discovering Health can assist providers to reshape their organisations so that they are able to produce real world outcomes in their clients.