Name | Cause | Intervention | Financial terms | Service provider | Intermediary | Outcome payer | Evaluator |
Canada’s Community Hypertension Prevention Initiative | Hypertension | Online health learning platform with support from dietitians, personal health coaches, membership to health and fitness centres. | 6.7% return if targets are met. $C4 million maximum outcome payment. Fixed coupon of $C1 million. | Heart and Stroke Foundation | MaRS Centre for Impact Investing | Public Health Agency of Canada | Social Research and Demonstration Corporation |
Fresno’s Asthma Impact Model (AIM4Fresno) | Chronic asthma | In-home care initiatives and education to reduce exposure to indoor environmental asthma triggers. | 8.2% return by 2015 return if targets are met. Undisclosed maximum outcome payment. | Central California Asthma Collaborative and Clinica Sierra Vista | Social Finance USA and Collective Health | Undisclosed. | Ian Duncan at The University of California, Santa Barbara |
Newcastle’s Ways to Wellness | Long-term conditions | Community-based social prescribing which included identifying health and well-being goals and increasing access to community and voluntary groups and resources with a non-medical link worker. | 1.38 times the initial investment return if targets are met. £8.2 m maximum payment. | First Contact Clinical Mental Health Concern, HealthWORKS Newcastle, Changing Lives. | Bridges Fund Management | Cabinet Office Social Outcomes Fund and the Newcastle West Clinical Commissioning Group (CCG). | The Institute of Health and Society at Newcastle University |
Haringey, Staffordshire and Tower Hamlets’ Mental Health Employment Partnership | Mental health | Individual placement support service model and principles, where an employment advisor is embedded in local mental health professional teams. | 8% return return if targets are met. £ 2.9 million maximum outcome payment. | Twining Enterprise, Making Space, and Working Well Trust | Social Finance UK | Cabinet Office Social Outcomes Fund, Haringey Council and CCG, Tower Hamlets CCG, Staffordshire County Council and CCGs, and Commissioning Better Outcomes Fund | Commissioning Better Outcomes Fund Evaluation, by Ecorys and Answer the Question (ATQ) Consultants |
New South Wales’ (NSW) Resolve | Mental health | Recovery-based community support programme, encompassing intensive residential care and support at Resolve centres with peer-workers, collaboration with clinical services in Local Health Districts. | 7.5% per annum return return if targets are met. $A23.9 million maximum outcome payment. 2% per annum fixed coupon | Flourish Australia (also known as RichmondPR). | Social Ventures Australia | Government of NSW, Ministry of Health acting through the Health Administration Corporation (HAC). | Urbis |
Hachioji’s SIB | Colorectal Cancer | Machine learning or artificial intelligence to make recommendation on Hachioji City residents to undergo colorectal cancer screened. | Undisclosed return. ¥9 762 000 maximum outcome payment. | Cancer Scan | k-three | Hachioji City | Tokyo Institute of Technology, Cancer Scan and University of Tokyo |
Kobe’s SIB | Preventing severe diabetic nephropathy | A 6-month project on health and dietary guidance to high-risk individuals. | 5% return return if targets are met. ¥34.06 million maximum outcome payment. | Disease Prevention Program (DPP) Health Partners | Social Impact Investment Foundation | Kobe City | Institute for Future Engineering |
Netherlands Cancer and Work Health Impact Bond | Cancer | Intensive programme of physical and mental exercise at home and at work. | Maximum outcome payment: €0.77M. 10% interest per year. | ArboNed (occupational health and safety service). Re-turn (reintegration agency) | Undisclosed | De Amersfoortse (insurer) | Organisation for Applied Scientific Research (TNO) and Tilburg University |
Devon’s Healthier Devon | Diabetes | A 2-year lifestyle behavioural change (exercise and diet/nutrition) programme for high-risk prediabetics. | Maximum outcome payment: £774 068 Total £657 068 to the National Lottery Community Fund. £117 000 to Devon County Council. | Westbank Community Health and Care (Devon based charity). | No intermediary, used Westbank for coordination. | Devon County Council and Commission Better Outcomes Fund | University of the West of England. |
Israel | Diabetes | Personalised intervention pf lifestyle changes (motivational, nutritional, technological and physical activity). | Maximum outcome payment: undisclosed. | B-well | Social Finance Israel | Israeli Health Maintenance Organisations (Clalit and Leumit) and the National Insurance Institute | Social Finance Israel |
Auckland Mental Health SIB | Mental health | Holistic service for those with mental health conditions to find and sustain employment, through support and screenings. | 9% maximum return for class A (lower risk), 17% for class B (higher risk). | Advanced Personal Management (APM) Workcare. | Undisclosed | New Zealand Ministry of Social Development. | Undisclosed |
NCD, non-communicable disease; SIB, social impact bond.