Outcome Based Specification Template Specification of Requirements for: Alcohol harm reduction social marketing campaign 2012 1. Brief Summary of Service Leicester City has secured funding through Public Health for a social marketing campaign relating to alcohol harm reduction. In 2010/11 a social marketing campaign was carried out in Leicester City to reduce alcohol consumption in three deprived areas among 25-44 year olds. The Public Health team in Leicester City would like to build on this work to develop a further campaign based on the insight that was gained in 2010/11. 2. Background and Context The idea of a social marketing campaign is that the actual activities are based around insight about the target audience. This makes it more relevant to them and therefore more successful. We have already done the insight gathering part so for this proposal we are just looking for the supplier to come up with a solution to change the behaviour of the target audience. This could a mix of the following: Control: legislation, regulation, enforcement, standard setting Design: service design Inform: communications campaign to inform, raise awareness, persuade patients to change behaviour Support: a service to support patients in their behaviour change (could be a website, drop-in clinic, outreach, telephone helpline). Excessive and frequent drinking can damage health and lead to anti-social behaviour, violence and accidents. Insight gathering from the last campaign: High levels of alcohol consumption contribute to a range of health problems, such as liver cirrhosis, strokes, mouth cancer, high blood pressure and breast cancer. It will also cause symptoms such as tiredness, depression, weight gain, memory loss and sleep problems. The NHS classifies drinking behaviours as follows: Recommended limits Increasing risk levels High risk levels Men No more than 3-4 units per day on a regular basis. Should have two drinkfree days in the week. Regularly drinking more than 3-4 units per day Regularly drinking more than 8 units a day or 50 units a week Women No more than 2-3 units per day on a regular basis. Should have two drinkfree days in the week. Regularly drinking more than 2-3 units per day Regularly drinking more than 6 units a day or 35 units a week Rates of alcohol consumption in Leicester City are estimated to be below national 1 rates, presumably due to the high proportion of BME residents. However, there is a significantly higher rate of alcohol-related deaths and hospital admissions as well as alcohol related crime. Research into the attitudes, motivations and behaviours of the target audience in Leicester City revealed that: • Family, friends and socialising play a key role in their lives • They tend to stay in their own communities •The audience has a short term view of life, living day to day or week to week depending on financial restrictions. They do not have aspirations or future plans. Any planning ahead is more prevalent in those with children •Short term thinking fuels a drinking cycle: They have nothing to look forward to and so drinking provides short term enjoyment but limits their ability to plan ahead. •High levels of drinking is the social norm •It is mainly positive emotions that are associated with drinking •The audience justifies its drinking levels: drink the same as everyone else, do not see themselves as binge drinkers because they feel they are in control of their drinking. They believe there are worse things than drinking and have previously drunk higher levels. •Routine drinking is supplemented with occasional binge drinking (audience definition of) •They use alcohol as a form of escape from the daily routine, financial pressures or loneliness. •Socialising was stated as the core motivation for drinking •They modify drinking behaviours to overcome barriers such as financial, children and hangovers •Little awareness of longer term health effects •Liver disease was widely quoted as a side effect but there was no awareness of the wider spectrum of health impacts •Believe there are worse things for your health •Fatalistic reluctance to investigate health issues •Do not believe any health symptoms are a result of drinking •Have negative expectations of behaviour change: expect lifestyle overhaul, don’t want to lose social glue, don’t understand how much they will need to cut back •National alcohol campaigns had not been noticed or resonated with the audience Following this research a campaign was developed in three ward areas; including posters, door drops, web page, events, bus adverts and PR; based on the key insights: •Drinking is a by-product of socialising, therefore solutions would still need to provide opportunities for this •The campaign needed to be more hard-hitting than existing national campaigns •Liver disease was a well-quoted side effect of excessive drinking, therefore the campaign also needed to address the wider spectrum of conditions •The audience was comfortable with receiving support in pharmacies for smoking cessation services and requested similar support for alcohol. 2 3. Strategic Aims and Priorities Note: The service provider will not be responsible for reporting progress against the priorities and indicators below. The performance measures described in Section 8 below will be used as indicators of overall ‘direction of travel’, and as specific measures of service effectiveness. ONE Leicester priorities Improving Health and Wellbeing Actions to make healthy choices easier choices ‘Creating Thriving Safe Communities’ LAA Priority Indicators Making Communities safer NI39 NI20 Reducing alcohol related hospital admissions locally Reducing assault with less serious injury locally Other Performance Indicators (if required) Local 4. Post campaign evaluation Specific aims and objectives of the service This campaign will need to achieve the following objectives: 5. Raise awareness of the health and other risks of excessive alcohol consumption Improve social norms with respect to alcohol consumption within target communities Reduce alcohol consumption in these communities Increase understanding of recommended drinking levels The Service/Activities to be delivered The appointed supplier will develop and deliver interventions and/a campaign to meet the objectives of this project. Specific details of this will be agreed with the supplier to meet the target audience insight. The chosen supplier will come up with a mix of these elements to change the behaviour of the target audience, based on the insight we have already gathered. For example, the campaign last year consisted of: INFORM: a communications campaign to raise awareness of healthy drinking levels and health harms from too much alcohol; suggested ways that people could cut back on alcohol but still keep their social life. (Socialising was the key motivator for why people drink and removing alcohol altogether would be remove their social glue) SUPPORT: Brief interventions in pharmacies to help people cut back (based on target audience recommendation from experience with attending smoking cessation support their) The mix this time will depend on how the chosen supplier interprets the existing insight and their creativity in coming up with ideas to change behaviour. 3 6. Target groups and/or areas The target audience for the campaign is as follows: •Men and women aged 25-44 •Live in deprived areas of Leicester City - Beaumont Leys, New Parks, Braunstone Park & Rowley Fields, Eyres Monsell, Castle, Freemen, Charnwood •Drink at increasing risk and high risk levels Although alcohol related hospital admissions are more prevalent in the older age groups, a younger target audience has been selected in order to correct poor drinking behaviour before it has an impact on health. 7. Environmental Sustainability, Equalities, and other impacts Environmental Sustainability The provider will be required to ensure that services are delivered in such a manner that fits with the EMAS policy of Leicester City Council. EMAS (Eco Management and Audit Scheme) is the system the Council uses to manage and reduce its impact on the environment. It is based around our Environmental Policy. For further information please use the hyperlink below. http://www.leicester.gov.uk/your-council-services/ep/the-environment/environmentalpolicies-action/ Equalities The provider will be required to ensure that : • that the campaign is free from bias and acknowledges and respects gender, sexual orientation, age, race, religion, culture, lifestyle and values. If any needs are required as per the equalities act, such as language or disability, these needs will be provided for during the campaign. For further information please refer to the City Councils equality policy. 4 8. Performance Measures 8a. Outcomes Outcomes are the expected changes or benefits that happen as a result of the service or activity being delivered. Raising awareness of the people that are most Until the supplier is health risks of excessive likely to be at risk of appointed and the alcohol consumption excessive drinking to intervention mix is known, be able to make the exact evaluation tools informed choices cannot be determined. based on the However, there is an information given to expectation that the them through this provider should offer up a campaign selection of tools they may wish to use in this campaign Improving social norms in people that are most Until the supplier is relation to alcohol likely to be at risk of appointed and the excessive drinking to intervention mix is known, be able to make the exact evaluation tools informed choices cannot be determined. based on the However, there is an information given to expectation that the them through this provider should offer up a campaign selection of tools they may wish to use in this campaign Reduce alcohol consumption Alcohol consumption Until the supplier is to be lower than before appointed and the any intervention mix is known, interventions/campaign the exact evaluation tools tools were carried out. cannot be determined. However, there is an expectation that the provider should offer up a selection of tools they may wish to use in this campaign Increased awareness of Knowing units will Until the supplier is alcohol units enable better choices appointed and the for the client group intervention mix is known, when choosing what to the exact evaluation tools drink cannot be determined. However, there is an expectation that the provider should offer up a selection of tools they may wish to use in this campaign 5 8b. Outputs Outputs are easy to measure, countable units, they tell us how much, how many or how often. Output *Target Number Supporting Evidence The exact measurements will be determined when the interventions /campaign specifics are agreed with the supplier. These could include: Website hits e.g.: 1000’s TBA Media coverage Leicester mercury TBA Opportunities to see Drop in TBA Document downloads Online Audit C TBA People spoken to Brief intervention TBA Events attended Open days at community centres TBA 8c. Milestones Milestones should set out an outline timetable or delivery plan to show when and how the outputs and outcomes will be achieved. Activity/Action By when Related Output/Outcome – what changes have occurred Receive proposals from suppliers +4 weeks Panel scoring and final evaluation Meet and appoint supplier +4 weeks Initial contract and planning meeting Kick-off project +6 weeks Project start Further milestones to be agreed with the supplier at the kick-off meeting ie: quarterly agreed progress etc.. 1st quarter and then onwards throughout the 6 moth contract project period Quarterly project planning and delivery meetings NB: Milestones will be flexible in recognition of the number of quotes received and the process of elimination if required. 9. 10. Location/Availability/Accessibility of Service City locations Use of community settings Partnership Arrangements 6 The provider will need to familiarise themselves with the city and understand local public health statistics. 11. Contract Value Up to £40,000.00 12. Timescales/Period of Contract 6 months 13. Monitoring and Recording Arrangements Regular meetings and status reports from the supplier including quarterly reports of progress and planning as well as outcomes and outcomes stated previously. 14. Quality Standards To Be agreed after contract award in negotiation with the provider. 15. Commissioning Officer Details Emma Munday - Alcohol strategy manager A1 New Walk Centre, New Walk Place, Leicester, LE1 6ZG 0116-252-6516 [email protected] Priti Raichura – Public Health Principle B6 New Walk Centre Leicester 0116 252 8329 [email protected] 7
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