Performance-linked Private Consignment (PFS)

　In Yokohama City, financial management is expected to become even more severe due to a decline in the working-age population and the progress of a super-aging society.
In order to respond to increasingly complex and diversifying social and regional issues in the future, we will strengthen collaboration and cooperation with various entities.
It is essential to promote open innovation and promote efficient and appropriate financial management.
　Faced with such unprecedented changes in social conditions, social impact bonds (SIBs) and other social impacts.
The performance-linked private contract method (PFS) is based on new ideas that are effective in realizing sustainable growth and development in Yokohama.
Positioned as one of the co-creation methods, we have been working on studies and trials for introduction since FY2015.
Social Impact Bonds (SIBs) and other activities in effective administrative areas are not limited to precedents.
We will actively consider and introduce the use of the performance-linked private consignment contract method (PFS) and utilize it to promote measures that look into the future of Yokohama.

Projects based on the performance-linked private consignment contract method (PFS) are projects entrusted to private businesses by local governments, etc.
　Set performance indicators corresponding to the administrative issues to be resolved, and link the amount paid to the status of improvement of the performance indicators.
　It is carried out by the contract method.

　The expected effects of utilizing the performance-linked private consignment contract method (PFS) are as follows.
　　●Active use of know-how of private businesses to solve administrative issues, and flexible and meticulous by private businesses.
　　　Providing services to create higher outcomes (outcomes) such as improving the satisfaction of the people and local residents.
　　●Create opportunities for diverse private businesses with know-how to solve administrative issues to enter public services.
　　　Accumulate and improve their know-how in private businesses and promote the development of private businesses.
　　●The amount paid by local governments to private businesses is linked to the status of improvement in performance indicators.
　　　Increase the cost-effectiveness of individual businesses and achieve Wise Spending (wise budget expenditure)
　　●Toward the administrative issues (policy objectives) to be resolved, we will organize the links between projects and their results (relationships such as causality) and organize them.
　　 We set performance indicators, maintain and utilize information and data for measurement.
　　Evidence-based policy making (EBPM). Promotion of policy planning based on evidence

Performance-linked outsourcing in single-parent family adolescent and connection support projects (learning support for children)
　This is the connection period from elementary school to junior high school, which is easy to trip to learning, and the relationship between parents and children becomes difficult due to puberty.
elementary school studenｔ, a first-year junior high school single-parent family, aims to overcome the worries of each individual's learning and establish learning habits.
We will provide learning support through visits for the purpose of supporting entrance to school and fostering future visions.
　In addition, in this commissioned business, we will achieve higher results by utilizing the capabilities and knowledge of the business operators.
For the purpose of collecting data and knowledge for verifying business effects, the amount paid will change depending on the achievement status of the performance indicators determined in advance.
The project will be implemented under a performance-linked contract.

For more information, please refer to the following URL. (Access to Child and Youth Bureau HP.)
　https://www.city.yokohama.lg.jp/business/nyusatsu/kakukukyoku/2022/itaku/kodomo/sisyunnki_kosienn.html

Online Health and Medical Consultation Using Social Impact Bonds experimental project

　A service that allows you to easily consult a professional physician online from pregnancy to 4 months after childbirth, when you are particularly anxious.
(Obstetrics and gynaecology Online and Pediatrics Online) were offered to verify the effect of reducing the risk of postpartum depression in mothers by using services.　

◆Overview of SIB experimental project
　・Targets　　：Pregnant women (approximately 730 people) from pregnancy to 4 months after childbirth, when anxiety is particularly likely to occur.
　・Methodology　　：Participants from experimental project were randomly assigned to the following two groups A and B to compare the risk of postpartum depression among the groups.
　・Research Method: The target group is automatically divided into Group A or Group B, and the following services are provided for each group.
　　　　　　　At the time of three months after childbirth, the Edinburgh Postpartum Depression Questionnaire (EPDS) uses the service to provide maternal postpartum depression.
　　　　　　　Verify the risk reduction effect.
　　　　　　　　Group A: Online health and medical consultation on weekdays and nights, daytime midwife consultation available after childbirth, etc.
　　　　　　　　　　　　　　　　You can browse dedicated websites that are useful during pregnancy and after childbirth.
　　　　　　　　Group B: You can browse dedicated websites that are useful during pregnancy and after childbirth.

※This project is implemented as a commissioned project utilizing SIB, a new public-private partnership method, and is a mother's postpartum depression.
　Risk reduction effects were evaluated as performance indicators, and commissions were paid according to the results.

◆Results of implementation
・Reiwa 2.3 Online Health and Medical Consultation experimental project Business Implementation Report (PDF: 1,118KB) (Kids Public Corporation)
・Results Report on Online Health and Medical Consultation experimental project (PDF: 2,261KB) (University of Tokyo)

◆Press release　

①May 9, 2022
　 Based on the final evaluation results of "Online Medical Consultation" conducted by Yokohama City's first SIB experimental project, we will start service at Kohoku Ward!
https://www.city.yokohama.lg.jp/city-info/koho-kocho/press/seisaku/2022/sib-hyouka.html

②August 26, 2020
SIB experimental project, which introduced private funds, started in September 2020 with Kohoku Ward as a field to verify the effect of reducing the risk of postpartum depression.　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　
https://www.city.yokohama.lg.jp/city-info/koho-kocho/press/seisaku/2020/200826sibmodel.html

③October 28, 2020
It has become easier to participate in Kohoku Ward online medical consultation research!
https://www.city.yokohama.lg.jp/city-info/koho-kocho/press/seisaku/2020/202001027sibkohoku.html

Please refer to the following for details.