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The Story of the PrimeMinisters Delivery Unit
Santiago, ChileJuly 2010
Michael Barber
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Four themes
The challenge of delivery
The Delivery Unit at work
1
Assessing delivery
The lessons of delivery
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Across the globe the pressure on public services
to deliver is rising steadily
Productivity
Pressure forenhancedoutcomes
Pressure forenhancedcustomer service
2
public services
Pressure forefficiency
savings
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A mandate for reforman
instruction to deliver
Tony Blair, on the meaning of the
3
General Election he had just won bya landslide, 8 June 2001.
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The leaders dilemma
You have to have a long-term
strategy if you want to have a
4
s gn cant an ast ng mpact;but the long-term strategy has
to deliver short-term results
otherwise no-one believes you
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What is Deliverology?
It will enableyou to
Deliverology (n.) is a systematic process for drivingprogress and delivering results.
What are you trying to do?1
How are you planning2
5
answerrigorouslythe followingquestions:
to do it?
At any given moment, howwill you know whether you
are on track?
3
If not, what are you goingto do about it?
4
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a map of delivery
Controversywithout impact Trans-formation
Trans-formation
6
o ness oreform
Quality of execution
Status quoImproved
outcomes
uccess udelivery
Improved
outcomes
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Ambition
Believe thatambitious changeis achievable
Focus
Maintainconsistent,relentless focus
Clarity
Communicateprecisely anddirectly
Urgency
Apply gentlepressure
Irreversibility
Think about howto make changestick
The final step in building a delivery
unit is to develop a culture of deliveryA culture
of deliveryembodies . . .
7
Be theunreasonablevoice that Challenges
performance Asks tough
questions
priority targets
Demand practicalsolutions thatproduce results
Base all actionson empirical facts
Spend timeunderstand whatshappening on the
front lines
challenges butpush for fasterprogress
Emphasize themoral purpose of
aspiration
Avoidcomplacency ofearly success
Build mindsets &institutions for
enduring success
Delivery is more than a series of activities it is a fundamentally a state of mind
A culture of delivery within the delivery unit enables the culture to take root across the system
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Four themes
The challenge of delivery
The Delivery Unit at work
8
Assessing delivery
The lessons of delivery
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The delivery units approach: 1
Targets, which set measurable goals
Plans, which are used to manage delivery and set out the key
milestones and trajectories
Monthly reports on key themes
9
Priority reviews, to check the reality of delivery at the frontline
Problem-solving/Corrective action, where necessary
Delivery reports, summarising the governments progress on
delivery every six months
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Key questions to answer in a delivery plan
What is the service delivery chain?
Who is accountable at the top . . . and all along the delivery
chain?
What are the key actions (milestones)?
What is the timetable?
10
Who are the key stakeholders? How will they be brought onboard?
What are the major risks? How will they be managed?
What impact will the actions have on the key outcomes(trajectories)?
What data do you need? Will it be early enough to act ifprogress is off track?
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The delivery units approach: 2
Getting the key relationships right
The Prime Minister: Whatever youre doing were focussed
on your priorities
The Chancellor of the Exchequer: Well make sure themoney you allocate delivers results
11
Cabinet Ministers: Well help you get your bureaucracy todeliver the governments priorities
Top Civil Servants: Well sustain a focus on these prioritiesand help you solve your problems
Everyone: However much we contribute you get the credit
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Blairs involvement: A decisive factor
Agreeing the Delivery Unit agenda at the outset andreviewing it annually
Chairing quarterly 1-hour meetings with each of 4 ministers
Reading 2 or 3 brief weekly notes and commenting
12
Reviewing half-yearly Delivery Reports on the wholeprogramme
Monthly one-to-one meeting with head of Delivery Unit andinvolving him in the top team
Active, visible support for the Delivery Unit and its agenda
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After successfully setting the delivery agenda andestablishing delivery discipline across Whitehall, thePMDU will now focus on accelerating and intensifying
the drive for results
The Prime Ministers delivery unit: stages of development
5 Year Parliament
Year 2Year 3
Year 4Establish-ing the The drive
The Delivery Unit set the delivery agenda in Year 1 andestablished delivery disciplines across Whitehall in Year 2.
In Year 3 it accelerated and intensified the drive for results.
13
Early progress butnot yet irreversible
ear ear ear ear ear
We are here
Increasingly difficultfor actions taken atthe centre to
influence real worldoutcomes in Years 4and 5
Pr
iority
areas
cove
re
Year 1Setting the
agenda anddevelopingtheapproach
delivery
disciplineacrossWhitehall
for results
Year 3 iscrucial for
delivery
Manage
through tosuccess
Plandelivery ofnext par-liamentstop
priorities Plan exit or
handover
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Four levels of intensity: Managing and anticipatingdelivery problems
Crisis management Substantial, regular PM timerequired
All key government players
involved
Level 4
Monthly PM attention Departmental minister
Significant problemwith political salient
Level 3
14
leadership Problem-solving teamcomplications
Official-level problem solvingto urgent time table
PMDU as partner
Significant problemwithout obvious
solution
Level 2
Timely nudge from deliveryunit
Off-trackLevel 1
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Story one
Just in time:How the Accident and
15
-
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Until 2002 A&E performance had plateaued:The PSA target was not taken seriously
A&E attenders spending no more than 4 hours in A&E, U.K.
90%
95%
100%2001/02 2002/03 2003/04 2004/05
Target first introducedin NHS Plan, Jun 2000
16Source: Department of Health
70%
75%
80%
85%
SONDJFMAMJJASONDJFMAMJJASONDJFMAMJJASONDJFM
PSA announced,Jun 01
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Ministerial focus, increased priority and sharperaccountability had a major impact
A&E attenders spending no more than 4 hours in A&E, U.K.
90%
95%
100%2001/02 2002/03 2003/04 2004/05
A&E included inhospital star ratings
17Source: Department of Health
70%
75%
80%
85%
SONDJFMAMJJASONDJFMAMJJASONDJFMAMJJASONDJFM
DH taskforcebegins
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A&E attenders spending no more than 4 hours in A&E, U.K.
90%
95%
100%2001/02 2002/03 2003/04 2004/05
The introduction of incentives brought anotherstep change
A&E included inhospital star ratings
Target revised to take account
of clinical exceptions
Incentive scheme
18Source: Department of Health
70%
75%
80%
85%
SONDJFMAMJJASONDJFMAMJJASONDJFMAMJJASONDJFM
DH taskforcebegins
introduced
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A&E attenders spending no more than 4 hours in A&E, U.K.
90%
95%
100%2001/02 2002/03 2003/04 2004/05
Performance management and targeted supportdrove the system
A&E included inhospital star ratings
Target revised to take account
of clinical exceptions
Incentive scheme
19Source: Department of Health
70%
75%
80%
85%
SONDJFMAMJJASONDJFMAMJJASONDJFMAMJJASONDJFM
DH taskforcebegins
introduced
Performance management
Provide tailored support for specific problems
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A&E: The messages are clear
1. Introduce a sharp accountability and the right incentives
A demanding target
Accountability for results and financial incentives focus minds
2. Engage the delivery chain
Remove the excuses
20
3. Provide tailoredsupport for specificproblems
Segment the problem
Refined support provided by credible experts
4. Performance manage to the very end
Real-time data, promptly acted upon, is vital
Play to the final whistle
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Story two
The problem of Autumn:Grinding out improved
21
rail reliability
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Rail punctuality varies seasonally and reached an all-time low after the Hatfield crash in October 2000
National actual PPM (period data)
80%
85%
90%
95%
22Source: Department of Transport
Mar 97 Mar 98 Mar 99 Mar 00 Mar 01 Mar 02 Mar 03 Mar 04
Hatfield crash
PPM
55%
60%
65%
70%
75%
0%
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Rail punctuality varies seasonally and reached apost-Hatfield peak this year
National Public Performance Measure (PPM) actual data against Moving Annual Average (MAA)
National actual PPM (period data)
National moving annual average
80%
85%
90%
95%Post Hatfield peak
23Source: Department of Transport
PPM
55%
60%
65%
70%
75%
Mar 97 Mar 98 Mar 99 Mar 00 Mar 01 Mar 02 Mar 03 Mar 040%
Hatfield crash
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Rail punctuality varies seasonally and reached apost-Hatfield peak this year
National Public Performance Measure (PPM) actual data against Moving Annual Average (MAA)
National actual PPM (period data)
National moving annual average
80%
85%
90%
95%Post Hatfield peak
24Source: Department of Transport
PPM
55%
60%
65%
70%
75%
Mar 97 Mar 98 Mar 99 Mar 00 Mar 01 Mar 02 Mar 03 Mar 040%
Hatfield crash
Autumn performancealmost at pre-Hatfield levels
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Rail: The messages are clear
1. Establish a shared goal
Demanding and realistic
Align key players around the goal
2. Manage performance
Dont just connect the data, use it
25
3. Its all in the detail
Whistles and watches
Joint Control Centres
4. Autumn shouldnt be a surprise
The weather is a variable
Preparation should be constant
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Four themes
The challenge of delivery
The Delivery Unit at work
26
Assessing delivery
The lessons of delivery
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The assessment framework enables the likelihoodof delivery to be predicted
Department .
PSA Target
Degree of challenge
Judgement Rating Rationale summary
Likelihood
Recentperformance
Likelihood of delivery
ua y o p ann ng,
implementation andperformancemanagement
Capacity to driveprogress
Stage of delivery
of delivery
Red Highly problematic Requires urgent and decisive action
Amber/Red Problematic Requires substantial attention, some aspects need urgent action
Amber/Green Mixed Aspect(s) require substantial attention, some goodGreen Good Requires refinement and systematic implementation
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Performance of type X departments yet to reach 90%.
National aggregated position hides variation - in October 2003,
44% of type Xs are still below 90%, handful are still below80%.
Method for dealing with breaches now clear, publicconsultation completed, and final decision now made.
Evaluation of new initiative for improving processes in everyDepartment currently underway.
Performance has sustained at 90% since July but is nowstatic and increasingly off-trajectory
4 hour total time in A&E, England total
70%
75%
80%
85%
90%
95%
100%
30-M
13-A
27-A
11-M
25-M
08-J
22-J
06-J
20-J
03-A
17-A
31-A
14-S
28-S
12-O
26-O
09-N
23-N
07-D
21-D
04-J
18-J
01-F
15-F
29-F
14-M
28-M
LDP profile
2003/04 floor
4 week moving average All types
4 week moving average Type 1
It also explains these judgements and sets out agreedactions for the next 6 months
Progress against
trajectory
An analysis of
progress
28
What will success look like in 6 months?
Average performance at 95% and rising
No department below 85%, no more than 10% of departmentsbelow 90%
Incentive system operational and early results evaluated
Clear arrangements established and in place for maintainingperformance at higher level
Contingency arrangements operational for possible latebreaches
Results communicated to wider public
Action required
Urgent Communicate the 98% decision clearly to the front line
Agree performance ratings with audit body for 2003/04 and 2004/05respectively; agree any other incentives needed in the course of2004; and communicate these to the front line
Plan and start roll out of effective management intervention system
Performance manage front line departments against theirtrajectories through the taskforce, and continue reporting at unitlevel, with a focus on the tail of poor performers
PMDU/Dept will review performance and these actions at an official-level review in early January and at a PM stocktake on 15 January.We will agree further actions, including a risk analysis, at that stage
ar-03
pr-03
pr-03
ay-03
ay-03
n-03
n-03
l-03
l-03
ug-03
ug-03
ug-03
p-03
p-03
ct-03
ct-03
ov-03
ov-03
ec-03
ec-03
n-04
n-04
b-04
b-04
b-04
ar-04
ar-04
What PMDU willdo to help
The steps necessary toachieve that success
Clear measurablestatement of whatsuccess looks like byDecember 2004
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The Delivery Report: Dept A
PMDU AssessmentFinal
Summary at PSA level Copy :
Overall Judgement
ode
PSA Tar etDegree of
Quality of
planning,
implementation
Capacity to
driveStage of Likelihood of
July 2004
Rank
(out of 21
Assessment Criteria
The delivery report summarises progress in eachdepartment
Rank
(out of 21
30
and performance
managementprogress
V High - High - Medium - LowRed - Amber/Red - Amber/Green -
Green
Red - Amber/Red - Amber/Green -
Green
1-Policy development
2-Implementation
3-Embedding change
4-Irreversible progress
Red - Amber/Red - Amber/Green -
Green
VH - H - M - L R - AR - AG - G R - AR - AG - G 1 - 2 - 3 - 4 R - AR - AG - G
PSA 1 VH AG AR 3 R 20
PSA 2 H AG AR 3 R = 18
PSA 3 VH R R 2 R 21
PSA 4 VH AG AR 2 AR = 14
PSA 5 VH G AG 2 AG 5
s
20
= 18
21
= 14
5
s
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Overall
Judgement
DeptDegree of
challenge
Quality of planning,
implementation and
performance
management
Capacity to
drive progress
Stage of
Delivery
Likelihood of
Delivery
July 2004 Rank(out of
21)
Assessment Criteria
The delivery report: League table July 2004
Rank(out of
21)
31
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Progress on the prime ministers priorities can besummarised in a league table
Overall
Judgement
DeptDegree of
challenge
Quality of planning,
implementation and
performance
management
Capacity to
drive progress
Stage of
Delivery
Likelihood of
Delivery
- - - - - - - - -- - - - - - - - - - - - - - -A PSA 1 L G G 3 G = 1
B PSA 2 L G AG 2 G = 1
C PSA 3 H AG AG 3 G 3
D PSA 4 H G AG 3 AG 4
A PSA 5 VH G AG 2 AG 5
July 2004 Rank(out of
21)
Assessment Criteria
Rank(out
of 21)
= 1
= 1
3
4
5
32
C PSA 7 H AG AG 2 AG = 7
D PSA 8 H AG AG 3 AG = 7
A PSA 9 H AG AG 2 AG = 7
B PSA 10 VH AG AG 2 AG = 10
C PSA 11 VH AG AG 2 AG = 10
D PSA 12 H AR AG 3 AG 12
A PSA 13 VH AR AG 2 AR 13
B PSA 14 VH AG AR 2 AR = 14C PSA 15 VH AG AR 2 AR = 14
D PSA 16 VH AR AR 2 AR = 16
A PSA 17 VH AR AR 2 AR = 16
B PSA 18 H AG AR 3 R = 18
C PSA 19 H AG AR 2 R = 18
D PSA 20 VH AG AR 3 R 20
A PSA 21 VH R R 2 R 21
= 7
= 7
= 7
= 10
= 10
12
13
= 14= 14
= 16
= 16
= 18
= 18
20
21
A i l i di f ll f
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A simple indicator of overall performancecan be designed
December 2003, %
5347
B t D b 2003 d j l 2004 th
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Between December 2003 and july 2004 there was a15% swing from red to green
38
July 2004, %
62
A d b D b 2004 f th 21% i
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And by December 2004 a further 21% swingfrom red to green
17
December 2004, %
83
So progress across the board from 2001 2005 was
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So progress across the board from 20012005 wassignificant, but
It took a long time
It was uneven across the country
The agenda in the media shifted
36
Some targets didnt tell the whole story
The process of reform generated controversy
And genuine transformation had only just begun
Moreover the public is unimpressed by adequate
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Committing
Staying
Moreover, the public is unimpressed by adequate... they want good and aspire to great
GREATGOOD
Grumbling
ADEQUATE
Exiting
AWFUL
F th
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Four themes
The challenge of delivery
The Delivery Unit at work
38
Assessing delivery
The lessons of delivery
Transformation will depend on combining
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Transformation will depend on combiningthree elements
The right mindset
Guiding coalition
Shared vision
Ambition
Clear priorities
Bold reform
Choice
Personalisation
Responsiveness to thecommunity
Effective performancemanagement
Targets
Sharp accountability
Good real-time data
Best practice transfer
Ministerial consistency
Urgency
Capacity to learn rapidly
Collaboration acrossgovernment
Vibrant supply side
Serious investment
3 year funding forfrontline
Flexible deployment of
staff
Transparency
Management againsttrajectory
Capacity to intervenewhere necessary
Incentives to reward
success
The objective of the delivery capacity review
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Drive deliveryPlan fordelivery
Understand thedelivery challenge
Develop afoundation fordelivery
The objective of the delivery capacity reviewis to assess the systems starting place
Do system leadersshare ambitiousaspirations?
Does the systemuse guiding
Does system havecapacity to collectand analyze data?
Are leadingindicators used to
Do system leadersshare anintegrated theoryof change?
Has system
Are regularroutines in place togive leaders theinformation theyneed?
1 2 3 4
40
Remember: the
focus is on thesystems capacity
to deliver theagreed uponaspiration NOTthe entire systemseffectiveness
change?
Do leaders and members of the top team model the behavioursneeded for successful delivery?
Do leaders promote constructive relationships that enable delivery? Do leaders recognize and celebrate success?
Does system know
causes ofexecutionchallenges?
trajectories to
targets? Are clear delivery
plans in place toachieve targets?
quickly when
problems areidentified?
5
Create an irreversible delivery culture
The delivery capacity review results have
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Minimize time invested indefining aspirations
Capitalize on strong dataanalysis capabilities
The delivery capacity review results haveimplications on the design and priorities of thedelivery unit
Rating Implications
Green
Results from a delivery capacity review
Establish aspiration and create
a foundation for delivery System has clear, meaningful,
shared aspirations
Understand delivery challenge
41
Focus more energy on
translating data results intospecific actions
Invest heavily in prioritizingcompeting initiatives
Consider drawing somedelivery unit staff from unitswhere mindset already exists
System has clear aspirations and rich data, but struggles to follow through and drive progress
Amber-green
Red
Amber-red
Drive delivery System generally struggles to sustain
momentum and identifies problems afterit is too late. There are a few units wheredelivery mindsets exist
actionable insights from analysis
Plan for delivery
System lacks integrated strategyto achieve aspirations;interventions change often