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Relevance

• Evaluations were too often not focused on major challenges and consequently findings were 'unsurprising' or even trivial.

Timeliness

• Evaluation findings were often not available when decisions had to be made.

Replication and lack of cumulative building of knowledge

• Evaluations were often designed as stand-alone pieces rather than building on previous evaluations and contributing to future evaluations.

Reluctance to share knowledge

• Competition, a lack of clarity in communication, and poor knowledge management/mobilisation led to a reluctance to share information, pool data, or drew on the evaluations of potential competitors.

Efficiency

• Evaluations often failed to use routine data and ignored the costs imposed on service providers and users.

Transforming health and care for older people is complex and demanding. Evaluating such efforts requires a range of approaches and ideas, and a reflection on ways to improve how evaluations are commissioned, completed and used in a changing policy landscape. This report by researchers at RAND Europe summarises three workshops undertaken with evaluators, commissioners of evaluations and services, and those delivering services that are evaluated with the explicit aim of addressing these questions.

• Chapter One

  What is the problem?

• Chapter Two

  What should be done differently?

• Chapter Three

  Conclusions and recommendations

• Annex A

  Responses from the warm-up question at each workshop