ADD2041 Quality Assurance for Healthy Schools London

Type of decision: 
Assistant Director's decision
Code: 
ADD2041
Date signed: 
17 October 2016
Decision by: 
Amanda Coyle, Assistant Director, Health and Communities

Executive summary

Healthy Schools London is an awards scheme funded by the Mayor of London that supports and recognises school achievements in pupil health and wellbeing. (MD1551and MD1151). This ADD seeks to allocate £25k of the £100k provided by Danone in sponsorship of the Healthy Schools London programme by procuring a specialist provider to support the HSL team with establishing a new Quality Assurance process and supporting London Boroughs to set up local Quality Assurance processes in line with the Healthy Schools London quality assurance criteria. 

Since its inception, the HSL programme has gained investment from 29 boroughs and more than three-quarters of London schools.  Due to its success, though, the programme’s delivery has surpassed the capacity of the existing HSL delivery team.  The HSL Team are now in the process of handing over the assessment of Silver and Gold Awards to Borough Leads which requires establishing a HSL Quality Assurance process that Boroughs must meet. This ADD seeks to allocate £25,000 of the £100k Danone sponsorship monies to support the HSL programme by procuring external consultancy to: 
•    Support the HSL Team in establishing a Quality Assurance Process with criteria that Boroughs must meet in order to approve HSL applications
•    Support for Boroughs in setting up local Quality Assurance processes in line with the Healthy Schools London quality assurance criteria – written guidance accompanied by training 
•    Development of monitoring and evaluation tools that will help schools produce data to demonstrate their outcomes
•    Support overall delivery of the HSL programme.
 

Decision

That the Assistant Director approves expenditure of up to £25,000 from Danone sponsorship (£100k) to procure external support to establish a Quality Assurance process for Healthy Schools London and support Boroughs to set up local quality assurance that meets HSL requirements during the 2016-17 financial year and beyond.

 

Part 1: Non-confidential facts and advice

Introduction and background

1.1    Children in London are more likely to be overweight or obese than theirs peers in the rest of England, and are growing up in a city where it is literally the norm to be overweight (more than half of adult Londoners are overweight).  Around 4,000 Londoners die each year as a result of being overweight or obese. This has implications across the life course.  Obesity takes people out of the labour market, with significant costs from loss of productivity from sickness, absence and early disability. It is estimated that 26,500 Londoners claim disability living allowance as a result of obesity and diet related health issues. The cost of obesity to London’s economy is around £2 billion annually. This is on top of £2.3 billion in annual costs to the NHS in London. 

1.2    The Mayor’s Healthy Schools London programme, part of the wider GLA Obesity Programme (funded under MD 1151 and MD 1551), represents a London-wide initiative to addressing obesity before many of these costs are incurred, through prevention and early intervention.  Originally launched in April 2013, the programme has since gained the support of 29 boroughs, which have invested staff and money into the borough-level delivery of the programme.  Additionally, 77 % of London schools have engaged with it (1789 schools), 955 schools have earned a Bronze Award, 331 schools have earned a Silver and 65 a Gold. 

1.3    The Mayor’s HSL programme consists of a core, GLA-based delivery team co-ordinating and supporting the work of borough level leads.  This programme structure offers an economy of scale by co-ordinating initiatives between boroughs, facilitating cross pollination of local learning and providing increased visibility.  The core GLA team is also responsible for the review of schools’ Silver and Gold award submissions and the distribution of HSL Awards.  However, due to the programme’s success amongst London schools, the delivery of these responsibilities has surpassed the capacity of the current GLA delivery team.  For this reason, the GLA Health Team is seeking to procure additional delivery support in the form of trainings to schools and borough leads.  

1.4    The HSL programme has been given £100k over 2 years – 2015/16 and 2016/17 by Danone to work with HSL in relation to their Eat Like a Champ programme. This ADD is to allocate up to £25,000 of this sponsorship money to support the HSL programme by procuring an external agency to further support HSL delivery.
 

Objectives and expected outcomes

2.1    A specialist provider to procure external consultancy to: 
•    Support verification Award applications
•    Support delivery of trainings and capacity building amongst schools and HSL borough leads.
•    Support establishment of Quality Assurance process 
•    Support overall delivery of the HSL programme.
 

Equality comments

3.1    A Health Inequalities Impact Assessment (HIIA) was conducted in March of 2013, prior to HSL’s launch, to consider the impact of the programme on disadvantaged groups, who already suffer poorer health.  The HIIA informed delivery of the HSL programme in order to minimise the risk of any potential negative impacts on disadvantaged groups.

3.2    More recently, a health inequalities mapping and participation analysis was conducted by the GLA Health Team to determine if the programme was having a positive effect on health inequalities.  The analysis determined that London schools which have achieved the HSL Bronze award have a higher proportion of deprived pupils compared to schools which are not involved with the programme.  

3.3    On average, schools that have achieved the Healthy Schools London Bronze award have 26% more pupils who are eligible for free school meals, looked after or are children of service personnel.
 

Other considerations

a) Key Risks and Issues

Risk description and potential impact

 

Assessment

Mitigation / Risk Response

Failure to continue delivering the HSL programme

 

A large percentage of awards applications that come into the HSL delivery team are rejected for failing to meet the necessary standards for an award, and many of these are not seen to be in a state suitable for initial submission.  Responding to these requires direct work with individual schools and is very time intensive.  Often it entails going through several iterations with each school and creates a substantial burden for the programme’s officers.  The cumulative effect is a substantial obstacle for overall programme delivery.

 

 

Impact: High

 

Likelihood: High

 

 

This ADD represents a mitigation response to this risk via reallocation of LHIB underspend to procure trainings to borough leads and schools. 

 

Delivering trainings in the boroughs will improve the general quality of school submissions, thus reducing the number of resubmissions and direct individual work needing to be done with schools.  This will reduce the work burden on the delivery team and ensure they are able to meet the growing demands of the programme.

 

By improving the efficiency of programme delivery, these trainings will ensure the continued success of Healthy Schools.

Reduction in quality and rigour of the programme negatively impacting ongoing HSL evaluation

 

Without improved efficiency in programme delivery, the current team will not be able to devote sufficient time to the quality of incoming applications and overall programme delivery.  This will have a negative impact on the programme’s clinical efficacy, which could potential result in a poor outcome to the programme’s ongoing evaluation.

 

Impact: High

 

Likelihood:  Medium

This ADD represents a mitigation response to this risk

 

Trainings in the boroughs will not only skill schools and borough leads up on the awards process and the requirements of the applications, they will also educate and signpost schools to evidence-based interventions and assessment tools.  This will improve the effectiveness of health interventions delivered in schools and improve the efficacy of the programme as it is evaluated.

b) Links to Mayoral Strategies and Priorities 

The HSL Programme supports the delivery of the Mayor’s Health Inequalities Strategy as well as the response to the London Health Commission and the work of the London Health Board, which maintains mental health and adolescent resilience as one of its priorities.  The HSL programme also has the potential to support delivery of a variety of Mayoral priorities related to the London Flagship Food Boroughs, London Schools’ Gold Club, sport, culture, TfL, planning and volunteering teams.

c) Impact Assessments and Consultations

As mentioned in section 3 ‘Equality Comments’ the HSL programme has undergone a Health Inequalities Impact Assessment and a health inequalities mapping and participation analysis to ensure the programme does not negatively impact already disadvantaged groups.  Additionally, the HSL programme was developed with extensive stakeholder consultation, involving boroughs’ public health and education teams; teachers, head teachers, GLA colleagues and national government. This consultation work shaped the delivery model and helped to establish the necessary delivery networks. Stakeholder consultation continues to be an integral part of the programme’s delivery.
 

 

Financial comments

5.1    Approval is being sought for the GLA to contribute up to £25,000 to procure external support to establish a Quality Assurance process for Healthy Schools London (Funded under MD1551 and MD1151) and support Boroughs to set up local quality assurance that meets HSL requirements during the 2016-17 financial year.

5.2    This cost will be funded from the Danone sponsorship, (£100k total commitment over two years 2015/16 and 2016/17) provided by Danone in sponsorship of the Healthy Schools London. Agreement has been received from Danone to support this expenditure in 2016-17.
 

Planned delivery approach and next steps

Delivery support for the HSL programme will be delivered via external, expert support procured in line with GLA HR procedures.  The anticipated timeline is as follows:

Activity

Timeline

Tender published

October 2016

Closing date for tender response

November 2016

Shortlisting and interviews

November 2016

Appointment

December 2016

Delivery begins

Jan 2017

Delivery end

March 2017