Future Care Capital and Social Finance are jointly committing £500,000 of resources to develop the Orchestrator, a programme designed to help health systems identify, design, implement and sustain preventative approaches.

The partnership, supported by a grant from FCC and matched by expert time and resources from Social Finance, has two complementary elements: a joint commitment to developing the Orchestrator, building on Social Finance's experience and investment over the past 20 years, and a wider collaboration to support sustainable transformation across health and care systems.

The two organisations will also work together more widely, combining Social Finance's expertise in system transformation, outcomes-based contracting, finance and investment with FCC's expertise in health and care innovation adoption and system change.

It is already well known that preventative approaches can improve outcomes. The challenge is in sustaining and scaling them. Successful pilots often remain isolated, and funding, governance and delivery arrangements are rarely designed to support long-term adoption. This partnership reflects a shared belief that sustainable change requires a new approach: a long-term commitment built to last, rather than a short-term pilot.

The Orchestrator is designed to help health and care systems, local authorities, regional bodies and their public and voluntary sector partners set and sustain their own agenda for long-term change, rather than relying on one-off initiatives.

It works by helping places rewire how funding flows so it supports agreed outcomes. That means shifting resource away from costly crisis response and towards earlier, relational support, and building that shift into core budgets rather than short-term pilot funding.

For example, that could mean investing in more support for older people with multiple health conditions to live well at home, avoiding repeated A&E admissions and long hospital stays.

The Orchestrator provides a structured approach to supporting long-term system change, helping local partners understand their challenges, identify opportunities, align organisations and resources, and establish the governance, capabilities and practical delivery arrangements needed to implement and sustain change. It acts as a trusted partner to local systems, supporting them to design and deliver solutions that reflect their priorities and needs.

What the partnership means for people using health and care services

By applying evidence-based best practice that has been shown to work, the partnership is designed to enable care that:

• Reaches patients and the public earlier and closer to home;
• Uses digital tools where they are most effective; and
• Shifts from a pattern where people are in and out of hospital and each admission is handled in isolation, towards a view of the whole person to prevent or treat the underlying cause.

This work supports the three transformations at the centre of the NHS 10 Year Plan: from hospital to community, analogue to digital, and treatment to prevention.

Toby Eccles, Social Finance's Co-Founder & Development Director, said:

"Local systems already have the resources and the insight to re-balance towards prevention. The challenge is holding that course over a ten-year view. Our job is to act as an honest broker: identifying where support should genuinely come from us, and where it shouldn't. That means being guided by what a place actually needs, not by the services we want to sell, and being precise about where savings will come from, whether that's reducing high-cost provision, easing pressure on staff and services, or slowing demand enough to make the system financially viable."

John Grumitt, Future Care Capital Chief Executive, said:

“Health and care organisations usually know what they want to change, and often how. The challenge is the transformational capacity, techniques and the funding mechanisms to see it through. This partnership exists to address exactly that challenge. We are providing funding, people and expertise to empower organisations to deliver change - and sustain that change long after our involvement ends.”

What each organisation brings

Organisations undertaking system transformation often need expertise spanning the design of new models of care, financing, implementation and evaluation. The partnership brings these complementary capabilities together, enabling financial and delivery arrangements to be developed alongside implementation planning, innovation adoption and impact measurement. This integrated approach is designed to help organisations embed and sustain change as part of everyday practice.

Social Finance is a not-for-profit organisation with 20 years of expertise in financing, investment structures and system transformation. Since launching the world's first Social Impact Bond in 2010, Social Finance has developed new funding models, delivery approaches and evidence-based programmes across health and social care, employment, children and young people, and housing. It has expertise in social impact investing, service design, data and digital, evidence-based policy and systems change, and in outcomes-based contracting, where funding is tied to the results achieved for people rather than the volume of activity delivered.

Social Finance’s long-running partnership with Macmillan Cancer Support has provided the evidence that outcomes-based contracts can sustain new models of care that lead to better outcomes for communities, the NHS, service providers, and the VCSE sector.
 

Learn more at socialfinance.org.uk 

Future Care Capital is an independent charity breaking the barriers to better health and care, helping health and care organisations tackle challenges and create sustained impact. Alongside its funding for the partnership, FCC will contribute its expertise in health and care innovation adoption and system change, its relationships across the system, and its real-world experience in pathway redesign, evaluation and implementation at scale.

This includes FCC's Innovation Onboarding approach, a structured, repeatable framework that supports organisations from defining an innovation or new model through to assessing readiness, planning implementation, building capability, adoption and sustained delivery.

The charity is not tied to any provider, technology or source of capital, so it can act as a neutral convenor across systems: the NHS and social care, local government, charities, innovators, investors and people with lived experience.

Learn more at futurecarecapital.org.uk

Health and care organisations with a transformation challenge can contact the partnership at john@futurecarecapital.org.uk

Media contacts

Future Care Capital: Mark Williams, mark@futurecarecapital.org.uk / 07469 171789

Social Finance: Kristin Hadland, kristin.hadland@socialfinance.org.uk