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Student membership number: 10425158 Place of study: West Kent College Course title: Professional Diploma in Marketing Subject: Managing Marketing Assignment title: Option 1 - Introduction of Performance Measurement Standards 6534 words (excluding Executive Summary)
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RECCOMMENDATION REPORT
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Contents:
Executive Summary 1. Current Performance Measurement Standards 2. Alternative Standards 2.1. Quality Models 2.1.1. ISO 9001 2.1.2. European Foundation for QualityManagement (EFQM) Excellence Model 2.1.3. Practical Quality Assurance System for Small Organisations ( PQASSO) 2.2. Marketing Performance Measures 2.2.1. Balanced Scorecard 2.2.2. Benchmarking 3. Proposed standards 3.1. Marketing Performance Measures 3.1.1. Benchmarking 3.2. Competitive advantage 4. Changes required to the Fundraising and Marketing Team 4.1. Barriers 4.2. Proposed changes 5. The Role of the Marketing Manager 6. Budgets 7. Cost/Benefit Analysis Bibliography Appendix 1Tables and Graphs Appendix 2 The Heart of Kent Hospice Brief Background Appendix 3Existing Marketing Function Structure page 5 page 7 page 7 page 7 page 7 page 8 page 9 page 10 page 11 page 11 page 12 page 12 page 13 page 13 page 14 page 14 page 15 page 17 page 19 page 20 page 22 page 23 page 28 page 31
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Clarification of the teams purpose and priorities More resource for community fundraising Clearer definition of roles Reassessing current systems Internal marketing More integrated working Smarter working Fundraising and Marketing road shows
The existing structure of the team is augmented by adding 1FTE and 0.5 FTE to ensure successful implementation of the project. Fundamental to the delivery of the project is also the development of the team and the professional development of all individuals.Team learning and development needs analysis has been undertaken and the results are outlined in the report. The report further identified the role of the Marketing and Fundraising Manager as a lead responsibility for the implementation process. To achieve this, the manager will have to reconsider his management style from authoritarian to team-based decision making. Marketing Manager personal development plan is also outlined in the report. Overall it is estimated that the delivery of the plan will cost 21,718 over the two year period. Cost /benefit analysis undertaken suggests that the project will pay for itself in the second yearby increasing the level of voluntary, corporate and trusts donations by a total of 12/% on forecasted annual income totalling to 11,892, which after taking away the costs will leave a surplus of 4,992. Social benefits will also include raising the
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profile of the Hospice amongst palliative care professionals, improved staff motivation, reduced absenteeism and increased volunteer hours.
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2. Alternative Standards
Increasing numbers of not-for profit organisations are demonstrating their quality to the outside world by working with comprehensive quality standards and introducing marketing performance measures initially developed for the commercial sector.
Each of the clauses has a number of detailed requirements that have to be met According to Sherratt (2009), the benefit of adopting the standard is that it helps organisations define key roles and responsibilities in quality management In addition, once an organisation has been accredited with ISO 9001, it will be able to provide evidence to its stakeholders that its quality management processes meet recognised international standards. ISO 9001 was designed for, and is only used for external certification. The downside ofISO 9001 when applied to a voluntary organisation is that it lacks the addressing of such areas as good governance, outcomes and charity related finance issues, which are essential for the effective governance and management of any charity. In addition, the implementation of ISO 9001 places high demand on staff time as the standard itself is of high complexity.
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Fi 1: EFQM Model (Source: proveandi prove.org, available at http://www.bqf.org.uk/ex_framework.htm, accessed in May 2011)
The benefits of the model are that it is non-prescriptive and provides a broad set of assumptions of what is required for a good organisation and its management. In addition, it seeks to encourage a culture of continuous improvement and provides a clear overview of an organisations activities. However, the model doesnt offer formal mark or accreditation meaning it is less recognised byorganisations stakeholders.
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M t responsi ilit Resource management Service planning and provision Measurement anal sis and improvement
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Planning Governance Leadership and management User-centred service Managing people Learning and development Managing money Managing resources Communications and promotion Working with others Monitoring and evaluation Results
In each quality area, the standard itself is clearly defined and applies to all organisations.The model offers a staged approach to implementing quality through three levels of achievement, starting from self-assessment at level 1 and progressing onto an optional Quality Mark endorsed by the Charity Commission at levels 2 and 3 (CES, 2011). Designed as a workpack, it offers a flexible approach allowing the organisation to work at its own pace(CES, 2011). Each quality area includes the standard itself, benefits of working on the standard, as well as the elements of what the standard covers.Each standard also has a list of indicators that broadly show what the organisation should be doing to meet its desired level. Opposite each indicator, PQASSO sets out suggestions for sources of evidence that the indicator is met(CES, 2011). PQASSOs strength is that it gives a shared meaning of quality across quite disparate activities and can complement the use of other quality systems already in place, as it takes a holistic approach and considers all aspects of the organisation.Other benefits of using PQASSO include:
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Better communication and motivation among staff across the organisation Greater involvement of all customer groups and improved opportunities for providing customer feedback Continuous improvement over time following a plan-do -review cycle (as illustrated in Figure 2) Greater recognition and credibility from statutory trusts and corporate funders as well as service commissioners.
Although low in cost and complexity, PQASSO standards are not as widely recognised as ISO 9001 or EFQM.
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review
Review action
plan
Collect information
do
Figure 2: PQASSO Implementation Cycle (Source: adapted from Charity Evaluation Services)
Accounting
Productivity
Internal Measures
Number of new donors recruited per period Donor acquisition costs
Frequency of donations
% of marketing costs as proportion of total cost Income stream and campaign specific budget monitoring Penetration of specific segments of the donor market
Staff satisfaction
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Share of the donor market within the charitys sector Marketing spend per donor
Number of first time donors converted into regular Number of contributions to an online survey
However, resource considerations might affect the degree to which a charity applies marketing metrics.
Figure 3: The Balance Scorecard (Source: Balanced Scorecard Institute, available at: http://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx, accessed in May, 2011)
One or two UK hospices are already experimenting with the Balanced Scorecard technique, presenting their Boards with a simple one-page summary of a range of performance measures in four key areas of hospice activity (Help the Hospices, 2007).
2.2.2. Benchmarking
Benchmarkingis another useful way of measuring organisational processes and practices against those in other organisations. Although first developed in the private sector, benchmarking is now widely used in the third sector with over 62% of UK charities regularly engaging in benchmarking initiatives (CES, 2010).The benefits of benchmarking are that it can help to determinepriorities for performance improvement and to set meaningful and realistic targets. It would also help to provide reassurance for what is already working well.However, it
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might prove difficult to find a close match to the organisation under review. It is therefore best to take part in benchmarking at a sub-sectoral level, but even then consideration should be given to the size, vision, and strategic priorities of another organisation. As demonstrated above, many different approaches to quality management are available to the non-profit sector today, it is important however to ensure that the model chosen most closely meets the needs of the Hospice and does not require too heavy an investment of already scarce resources.
3. Proposed standards
Although quite comprehensive in its own right and fit for the purpose of reporting on clinical performance,the Clinical Governance frameworkcurrently in place is not equipped for embracing marketing related or indeed other areas performance measures under its remit. However, with no adequate measurement of marketing performance in place,the effectiveness of marketing activities is significantly diminished and is likely to affect future voluntary funding levels and ultimately the quality of service provided. To address this, we recommendcomplementing the framework with PQASSO and ISO 9001standards which will be introduced concurrently to ensure all areas of the charitys activities are covered with an aim of achieving a recognisable accreditation with both stakeholders and regulators and, in the longer term , improving the quality of the Hospices services.Both standards have been used extensively within the third sector and will complement each other in that ISO 9001 is extremely rigorous in its approach to quality and offers a widely recognised accreditation, whereas PQASSO is sector specific andcoversareas such asgood governance, outcomes and charity related finance issues, which are essential for the effective governance and management of the Hospice. At the same time evidence collectedand generated in meeting clinical governance standards will form a sound basis for rolling out both models. Both models are of relatively low cost, but will require high level of support from the senior management team and a fair amount of staff time.
Suggested metrics:
market share the donor market within the hospices sector % of marketing costs as proportion of total cost % penetration of specific segments of the donor market marketing spend per donor Income stream and campaign specific budget monitoring % preferred donation method value of event sales Number of leads generated at Kent County Show and 20/20 Volume of coverage in the media % public awareness of the charity brand and its services % overall donor satisfaction with the charitys activities
y y y y y y y y y y y
Accounting
y y y y y y y y
Productivity
Relationship
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y y y y y y y y y y y
Internal
Number of Facebook fans/Twitter followers Number of first time donors converted into regular Website hits and number of responses to an online survey Donor perceptions of effectiveness Number of new donors recruited per period Donor acquisition costs Donor retention rate Staff turnover Average number of days taken as sick leave Staff satisfaction surveyagainst target Number of training/development days, by department
y y y y y y y y
Comparison with that of other Hospices how can increase Strategy adjustment what work and what doesnt Future website improvements Feedback mechanism feeling better involved Trends, seasonality better recruitment activities planning Retention vs recruitment Justifies expenditure on relationship marketing activities Currently internal marketing virtually non -existent, poor communication will justify the need for internal marketing and enhanced communication Opportunity to improve Medical teams vs administrative should be seen as equally important to generate greater returns
y y
Use of the above measures will bring many advantages. As such, the suggestedaccounting measures will provide a clearer overview of where the charitys revenue comes from, indicating value of individual income streams. Ongoing and effective accounting measurement would allow to better control of resources, providing opportunity to adjust planning and future strategic decisions (Sherratt, 2009).
Productivity measures, on another hand, would identify the most and least productive fundraising areas and publics perceptual or behavioural responses to the Hospice brand within its catchment areaallowing for future decision making. Relationship and customer related measures are an absolute keyin ensuring donors satisfaction with the charitys activities and levels of accountability. This is something the Hospice has largely overlooked before. However, satisfied donors are more likely to act as ambassadors in promoting the Hospice in the local community, potentially leading to increasing donation levels, volunteer hours or corporate sponsorship. Donor profiling will help enormously in avoiding mass marketing activities in the future and better targeting for specific events/campaigns. Internal measures will report on the effectiveness of donor acquisition activities and evaluate donor retention levels providing sound basis for choosing between retention or recruitment strategies.
Finally, innovation and learning measures will address the issue of internal marketing and establish if there is need for improved internal communication.
3.1.1. Benchmarking
Benchmarking with other hospices of similar size should also be integrated into the ongoing process of measuring marketing performance. This will not only provide an extra dimension to performance results, but would also expand networking opportunities and help to identify partners for any future collaborative work. The Hospice should therefore adopt a more proactive approach to participating in benchmarking initiatives across the sector. These are often initiated by Help the Hospices or other fellow hospices across the country.
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Figure: 4 McKinsey Seven S Framework Source: easyfreeware available at http://www.easyfreeware.com/mckinsey_7s_model_software-31759-image.html, accessed in May 2011
4.1. Barriers
To define the changes, we first undertookanalysis of potential barriers, which are likely to affect successful implementation of the proposed standards. These are:
Goal problems -Team overall goals are poorly specified and therefore difficult to measure. Most team members are unclear about their individual objectives and overall expectations of the team. Although some team members have developed individual tactical plans, there is no overall operational plan for the department. Lack of resources - The team is currently under resourced with Events Co-ordinator also fulfilling Community Fundraiser role. This creates conflicting priorities, with both income streams suffering as a result. Role problems - There is some confusion in roles, with a certain amount of overlapping between jobs which causes further role conflict and duplication of work. Constraining systems - There is a talented team, who are constrained more by systems in place then they are by ability. The current management accounting systems and reporting mechanisms are very weak and do not provide information in a required format.Those staff using Raisers Edge dont have enough knowledge to utilise the system to its full capacity, resulting in inaccurate reporting. Resistance to change - There are some staff and volunteers who are suspicious of change.
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Working in silos - While efforts have been made to improve this there is still sense amongst the team that they are working in silos and not working collaboratively as a team. This is exacerbated by the office space which is series of small offices, with some staff working outside the fundraising office entirely. Team working too hard - This may seem an odd barrier to highlight, but it is clear that all the fundraising team are working very hard, but not always as productively as they could. The lack of administrative support for fundraisers means that they are doing too much of the administrative work themselves leaving them with little time to concentrate on their prime objectives. Lack of support from other functions The Hospice has functional hierarchal structure which although ensures central strategic control, discourages inter-functional interaction, with little communication and integration between teams.Although some staff in other parts of the Hospice recognise the good work that the Fundraisers do, others see Marketing and Fundraising as a resource drain.As a result, the team does not receive all the support it needs form other functions.
Clarification of the teams purpose and priorities - All team members need to be made aware of what these are and what individual contribution they make in achieving these. Departmental operational plan in line with strategic priorities also needs developing. More resource for community fundraising -The post needs to be advertised as soon as possible (in conjunction with HR). This will bring the team back to its original capacity and make the workload more manageable without any compromises being made between event and community fundraising areas. Clearer definition of roles- Job descriptions in some areas need to be revisited and brought up-to-date ensuring there is no duplication. HR Manger will also need to be involved. Reassessing current systems - Managementaccounting systems need to revisitedin conjunction with Finance Team to ensure these provide meaningful information and in a format suitable for future decision making. Those staff using Raisers Edge need to have adequate training to bring them up-to speed in using the system effectively. Reporting and monitoring mechanisms need to be re-assessed to provide for accurate performance measurement in line with performance measures suggested earlier. Internal marketing -Reasons for change need to be clearly communicated to all staff emphasising that these are essential to the future stability ofthe Hospice. Ongoing feedback on progress is essential along with motivation, two-way communication and getting staff involved. It is important to identify supporters, neutrals, and opposers (Jobber, 2001, cited in Sheratt et al, 2009) and target them appropriately. Consider using influential supporters as ambassadors for change. Any fears/concerns should be taken seriously and addressed in a timely manner. More integrated working - With clearer definition in roles it should be easier to encourage joint working. Open plan offices would further improve co-operation. Specific investment in team-building and joint planning could help to improve this. It is also recommended that serious consideration is given to knocking down all the internal walls in the Fundraising and Marketing building and making it open plan. This would create much more pleasant working environment and would encourage joint working. Smarter working - The current administrative function needs to be redefined to ensurethat all team members receive the administrative support that they need. It is not envisaged that this means a great increase in admin staff. Rather it means that existing resources need to be deployed more effectively. Adding an internship position to the team structure would also take some of the pressure away.
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Fundraising and Marketing road shows - these will help to communicate the role Marketing and Fundraising Team play in delivering overall strategy to other staff in other functions. This will open a dialogue between teams and instigate open and honest discussion leading to better collaboration between functions.
We do not envisage a massive increase in fundraising and marketing staff to deliver the above changes. The existing structure is enlarged by adding 1FTE Community Fundraiser and 0.5 FTE Intern to ensure successful implementation of the project, as illustrated in Figure below:
Fundraising and Marketing Director (1 FTE) Team Administrator (1FTE) Marketing and Communications Manager (1FTE)
Fundamental to the delivery of this project is the development of the team and its individual members. As previously discussed, the team members arelackingsome of the skills necessary for fulfilling their roles successfully. This is not because they lack abilities, but rather support and training. The introduction of an overarching quality system and alternative performance measures will increase this gap even further. To address this, team learning and development needs analysis has been undertaken with results outlined in Table 3 below:
Role Corporate Fundraiser Critical skill/knowledge required for the role: Raisers Edge Budget monitoring Planning and reviewing IT skills - Microsoft Excel and Power Point PQASSO and ISO 9001 Raisers Edge Budget Monitoring Planning and prioritising Events management Social Media Net working What are the development needs: Tracking and managing information about constituents and gifts; using Batch for reporting Variance analysis, flexing budgets , forecasting Flowcharts; estimating resources, GANTT ChartsUsing charts and formulas, creating professional power point presentations Overview Staged approach Tracking and managing information about constituents and gifts; using Batch for reporting Variance analysis, flexing budgets, forecasting Planning resources and time, prioritising workload Budgeting; forecasting expenditure; managing health and safety; event risk assessment , evaluation Using fan pages, twit deck, hash tags, retwits Being more proactive and confident at industry events/ Town Centre management meeting/other networking opportunities Method/Solution: In-house with Database Coordinator In-house with Finance In-house - delivered by Pitman In-house- delivered by Pitman In-house with Marketing Manager In-house with Database Coordinator In-house with Finance 1 day course - Pitman centre 2-day course with Kent Trainers In-house with Catch 22 On the job supported by line manager
Events Co-ordinator
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Overview Staged approach Team Administrator PQASSO and ISO 9001 Raisers Edge Budget Monitoring Event Genius ( as part of CMS training) Managing volunteers Data entry and events records in Events module Variance analysis, flexing budgets, forecasting Adding events onto the website and online payment gateway, uploading images/files using CMS Supporting and supervising volunteers
In-house with Marketing Manager In-house with Database Coordinator In-house with Finance In-house delivered by Impact In-house with Volunteer Services Development Officer and HR Manager 1/2 day course - Pitman centre In-house with Marketing Manager 2 day course with Blackboard 3 days at Richards House Hospice
Database Co-ordinator
Delegating and managing workload Overview Staged approach Data entry in The Raisers Edge Events module, event records, registering participants for events, and recording registration fees, producing pre formatted reports, preparing labels and donor acknowledgement letters Overview Staged approach Tracking and managing information about constituents and gifts; using Batch for reporting Variance analysis, flexing budgets, forecasting Planning resources and time, prioritising workload Overview Staged approach Tracking and managing information about constituents and gifts; using Batch for reporting Overview Staged approach * Further skills gap and development needs will be
identified once the post is recruited for
PQASSO and ISO 9001 Raisers Edge Budget Monitoring Planning and prioritising PQASSO and ISO 9001 Raisers Edge PQASSO and ISO 9001
In-house with Marketing Manager In-house with Database Coordinator In-house with Finance 1 day course - Pitman centre In-house with Marketing Manager In-house with Database Coordinator In-house with Marketing Manager
By taking on board the proposed changes and having appropriate training and development, the team will be able to unfreeze the present level (Lewin, 1958 cited in Sheratt, 2009) of working and move on to a new level of working better as a team not only within the Fundraising and Marketing function boundaries, but within a broader team of colleagues from across the Hospice. Some of the training outlined will require for other functions across the organisation to share their knowledge and expertise with the Team. This should be seen as beneficial, as once again it would start the dialogue between the teams and help to establish collaborative relationship, something that has been largely overlooked to-date. However, this will have an implication on other teams team time and resources and will have to be carefully considered. Once the necessary training is provided, it will be necessary to review individual plans by conducting one-to-one interviews to ensure that the development needs have been met. It might be also beneficial to obtain a 360 degree feedback for all team members from their peers, volunteers, and colleagues in other departments they work most with. It does, however, needs to be anonymous and made clear that feedback will be used for identifying further personal and professional needs.
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chairing the working group meetings managing the implementation of the overall plan ensuring that the working groups progress is communicated to the rest of the organisation acting as a progress chaser, ensuring that action points are taken forward.
It is important that the Manager has a good understanding of how both PQASSO and ISO 9001 work. The necessary training on both systems needs to be provided at pre-implementation stage, following by an ongoing mentoring and consultancy support. It is important, however, that their role is not seen as the sole person responsible for all work relating to quality standards implementationthatis carried out within the organisation, as this would become burdensome andineffective. Apart from leading the implementation working group, the role of the Marketing Manager will equally involve implementing the standards within the Fundraising and Marketing Team. To achieve this, the Manager needs to demonstrate leadership; however the management style adopted will affect how this is received by the team. The current management style is that of a more authoritarian nature(Tannenbaum and Schmidt, 1973, cited in Sheratt et al, 2009). It is recognised that the style needs to be amended to team-based decision making to encourage open communication and trust within the team. The acknowledgment of team and individual contributions will help to make the team feel more involved and valued and will keep them motivated. Sustaining the changes to managerial behaviour, as well as promoting involvement and team work are essential for the success of the project. The introduction of the new standards and subsequently new processes and systems will no doubt be seen not only as big change, but also as a challenge.Purely focusing on getting the job done may be detrimental to other team members and affect how the team works. At the same time, pushing others to achieve difficult targets is well known to have a de-motivating effect on all. The Managers role will therefore also be to find the rightbalance between Task, Team and Individual goal, as illustrated byAction-Centred Leadershipmodeldevelopedby Adair (see Figure 5):
Figure 5: Adairs Action-Centred Leadership model (Source: Weybridge Associates, available at http://waybridge.com/tag/adair-model, accessed in May 2011)
Such balance can be achieved by carrying out appropriate planning, controlling, supporting, informing and evaluating functions throughout the implementation process.As such, it is expected that the Marketing Manager will perform the following functions in ensuring successful implementation of the standards:
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The reasons for introducing the standards will need to be clearly explained to the team, ensuring that individual members accept these and understand their individual contributions to the overall task Detailed action plans will need to be developed for the team and individuals, defining accountability, priorities, time frame, and targets. These will need to be monitored on monthly basis to ensure targets
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are met. Any issues identified need to be addressed promptly, with necessary training/coaching provided as necessary. Feedback from all team members to be obtained as to whether the plan is working. Necessary adjustment need to be made at this stage. Team and individual efforts and progress achieved need to be recognised (internal marketing) and rewarded. At the same time, those individuals who cause concern need to be supported with their needs clearly identified and additional training /coaching provided, if necessary. To keep morale levels high and ensure team are motivated, personal example must be set at all times by the Manager. Once the actual implementation is completed it is important to review the process and learn the setback. Measuring performance does not end at the end of the implementation stage, but rather becomes an ongoing process.
To ensure that the above functions are carried out to their best, the Marketing Manager recognises the need for personal development and appropriate training prior to implementation. An outline of the personal development plan is provided below:
Actions: PQASSO Resources: PQASSO workshops, training, mentoring Timeframe: In stages to allow to become familiar with one aspect of the system before being trained on another Complete within 1 month Complete within 3 months Within 1 month Training be completed within 3 -5 months, seminars etc ongoing Complete within 6 months
ISO 9001 Budget Monitoring Change management Leadership management styles Implementing quality third sector Valuing, Supporting and Motivating others
ISO 9001 training, onsite consultancy, mentoring, online workshops/webinars In-house Finance Team/Training Training, attending topical seminars/conferences (with HR manager) Training, attending topical seminars/conferences (with HR manager) Join an online discussion group and Help the Hospices networking group, visiting other Hospices/charities in the area Training, attending topical seminars/conferences (with HR manager)
Ongoing
Theproposed changes are based on the assumption that the Hospice will adopt a market or customer oriented approach as its main strategic direction for the future. Failure to adopt such approach will lead to the Hospice continuing to provide excellent care to its beneficiaries, but not paying enough attention to its donors. This has already had a negative impact on the amount of voluntary income generated and should be addressed promptly, if the Hospice is to maintain its competitive position. It is critical that the proposal receives the buy in of the senior management team and the Chief Executive Officer to ensure that it is rolled out across the organisation and with support of other departments, such as Finance, IT, Family Services Team and Patient Services Department. Without such buy in and involvement of other relevant staff the delivery of this plan will be jeopardised. It is recommended that the Marketing Manger presents the plan to the Senior Management Team at the next Heads of Departments meeting to ensure is agreeable by all and if not amend the plan accordingly. We strongly believe that the implementation and achievement of PQASSO, ISO 9011 and above proposed performance measures will enable the Hospice not only meet the requirements of the Charity Commission, its funders and commissioners; but also to operate effectively and efficiently ensuring its future sustainability.
6. Budgets
Detailed budget for the introduction of the performance measurement standards within the marketing function for the period of the Year 1, and Year 2 is outlined below. This includes pre-implementation, implementation and post-implementation stages. Overall it is estimated that the delivery of the plan will cost21,718 over the
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two year period. Further costs may incur at post implementation stage. These will need to be reviewed at the end of Year 1. Staff cost are not included into the budget, but will of course need to be considered along with any variance to the expenditure throughout the implementation process.
PERFORMANCE MEASURES IMPLEMENTATION BUDGET - 2 YEAR VIEW Year 1 Year 2 Pre-Implementation Costs Q1 Q2 Q3 Q4 Q1 Q2 Q3 PQASSO PQASSO work pack and CD98 98 ROM Staff training 1,359 453 453 453 Consultancy fees 1,350 450 450 450 Internal seminars 150 50 50 50 ISO 9001 User guides 85 85 Staff Training 2,679 893 893 893 Consultancy fees 3,000 1,000 1,000 1,000 Internal seminars 150 50 50 50 Meetings 300 100 100 100 Development needs: 1,350 450 450 450 Staff training Team away day 500 500 Pre-Implementation totals: 11,021 4,129 3,446 3,446 0 0 0 0 Implementation Costs Q1 Q2 Q3 Q4 Q1 Q2 Q3 PQASSO Staff training 1,359 453 453 453 Consultancy contract with CES 800 800 800 2,400 Internal seminars 50 50 50 150 ISO 9001 Staff Training 1,338 446 446 446 Consultancy fees 3,500 1,000 1,000 1,500 Internal seminars 150 50 50 50 Meetings 300 100 100 100 Development needs: 900 300 300 300 Staff training 0 0 3,199 3,199 3,699 0 Implementation totals: 10,097 0 Post-Implementation Costs Q1 Q2 Q3 Q4 Q1 Q2 Q3 Post implementation review 600 600 Post implementation totals: 600 600 TOTAL for the project: 21,718
Q4
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0 Q4
7. Cost/Benefit Analysis
To assess the merit of implementing the new quality standards, cost/benefit analysis has been conducted, as per below:
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Year by Year figures over 2 years Costs Pre-implementation stage User guides Staff training Consultancy fees Internal seminars/meetings Team away day Implementation stage Staff training Consultancy fees Internal seminars/meetings Totals per yr Benefits 5% increase on trust funding on expected annual income 1% increase legacies on expected annual income 5% increase on corporate sponsorship on expected annual income Reductions in mailout costs as a result of improved targeted marketing 1% Increase in regular donations Totals per yr Balance 3,837 4,200 1,075 2,480 2,480 300 2,480 -11,740 11,892 4,994 Year1 183 5,388 4,350 600 500 1,199 1,800 200 14,220 2,398 4,100 400 6,898 Year 2
It is clear that in financial terms only the project will pay for itself in the second year by increasing the level of voluntary, corporate and trusts donations by a total of 12/% on forecasted annual income totalling to 11,892, which after taking away the costs will leave a surplus of 4,992., with payback time being 2years. In addition, intangible benefits have to be taken into account as well. These will includewidening palliative care training provision for other health care providers in the local community, which although cannot be measure in financial terms, will raise the profile of the Hospice amongst palliative care professionals leading to increased commissioning opportunities. Other benefits will include improved staff motivation levels, reduced absenteeism and increased volunteer hours. Ongoing costs in post implementation will need to taken into consideration, these are however envisaged to be minimal, as once all the internal processes are in place these should naturally become part of the restructured teams workload.
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Bibliography
1. Balanced Scorecard Institute, http://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabid/55/Default.aspx 2. British Quality Foundation, (2011) http://www.bqf.org.uk/performance-improvement/about-efqmexcellence-model 3. Charity Evaluation Services (2011) PQASSO and ISO 900. www.ces-vol.org.uk/pqasso. 4. Charity Evaluation Services (2011) PQASSO Strengthening third sector organisations for a better society. www.ces-vol.org.uk/pqasso. 5. Charity Evaluation Services (2011) PQASSO First steps in quality. www.ces-vol.org.uk/pqasso. 6. Gamble, A. (2008) Benchmarking in the third sector. Charity Evaluation Services, www.cesvol.org.uk/pqasso.
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ISO 9001
Medium/high All All, but focuses on quality management system High 85 High Publications Training Consultancy
EFQM
Low All All
Demand on staff time Cost to buy a copy of standards Complexity Support/training available
Medium 98 Low Workbook and CD-ROM for doing it yourself Local network of mentors Bespoke mentoring Training Consultancy support throughout implementation Free half-day workshop prior to implementation Two-day implementation course - 453 per person Yes
Medium 150 Medium How to use the Excellence Model - 15 The model in practice - 28 Consultancy support Reports Endorsed Adviser Network Free first consultation Comprehensive one-day workshops for members 125 + VAT and nonmembers 250 + VAT No
Yes
The Heart of Kent Hospice Mission Statement The Hospice has the following mission statement:
The Heart of Kent Hospice is a specialist team offering skilled care, comfort, compassion and hope to people facing the challenge of life-threatening illness. The Hospice will do this by: 1. Providing high quality specialist palliative care that is innovative and responsive to the needs of our patients, their families and their careers, irrespective of diagnosis. 2. Disseminating the principles and practice of palliative care to the wider community. 3. Engaging with the local community so that they understand what we offer and actively support us.
Corporate Objectives:
Objective Strategies adopted to deliver objectives 1. To satisfy 100% of customers by continuing to 1. By widening access to services with - increase in non cancer patients develop its services, keeping pace with changing - increase support for patients in care homes needs 2. By enhancing community service to support patient
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2. To increase income by 40% by the end of the three year period to continue to develop the services
1. To excel at key processes to ensure the way they do things enable them to deliver their mission
1. To have appropriate culture and skills to ensure these exist to achieve objectives 1 to 3.
and family choice at the end of life 3. By broadening the depth and range of outpatient services to meet patient and family support needs. 1. By maximising business opportunities that are available to the hospice in order to secure finances 2. By developing business plan for Fundraising and Marketing embracing all income streams with a significant focus on Regular Donor and Major Donor campaigns 3. By developing legacy campaign 1. By implementing the marketing plan and capitalising on the opportunities that digital media such as the website can bring. 2. By maximising the efficiencies that can be gained by appropriate use of information, communication and technology 3. By developing general awareness of End of Life Care to enable patients and carers to plan ahead appropriately and support the hospice in the work that is does 1. By developing innovative ways to encourage volunteer recruitment and retention so that the organisation is furnished with the right number and quality of volunteers, and continues to build on the strong volunteering culture that exists within Hospice care. 2. By ensuring that the Hospice has an organisational culture that embraces change, respects others and manages risk appropriately. 3. By ensuring that the organisations educational strategy meets the needs of staff, volunteers and trustees.
Marketing Objectives:
Marketing 1. To increase voluntary income by 30% by the end of the three year period
y
y y
2. To increase number of younger volunteers hours donated to the Hospice by 20% a year
y y
3. To raise awareness about the Hospice within targeted stakeholder groups (beneficiaries, the general public, donors, trustees, staff, suppliers, volunteers,
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y y
Marketing Strategies By a combination of market penetration, product development and market development strategies, specifically by expanding the fundraising product range by introducing at least two high profile events per year and developing new products for existing donors markets By increasing the number of regular supporters to 500 by the end of the three year period generating 70k By developing legacy income through a planned and coordinated legacy campaign By targeting local secondary schools and collegesfor practical volunteering opportunities By engaging with younger audiences through social media means promoting Hospice's work and volunteering opportunities By targeting local community groups and businesses to adopt the Heart of Kent Hospice as charity of the year in 2011 By increasing press coverage by 20% on 2010/11
Managing Marketing
y y y
By developing and implementing a robust internal communications strategy By increasing website traffic by 25% in the three year period By better communicating what the Hospice stands for and what it does, ensuring all communications (including corporate publications, the website, signage, correspondence and promotional material) are consistent and reflect the spirit of the Hospice.
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Overview
The Heart of Kent Hospice opened in May 1991 as a result of the commitment and dedication of a group of volunteers, who set up the 'Wishing Well Appeal' in order to raise funds and build a hospice for local people. It is situated in the grounds of Preston Hall near Aylesford and covers Maidstone and the surrounding areas. The Hospice is a registered charity which provides specialist palliative care services to people facing the challenge of terminal illness. All services are provided free of charge. The Hospice is regulated by the Healthcare Commission and is also registered as an independent hospital specialising in palliative care. The Hospice employs around 80 full and part-time staff and relies on the support of over 500 active volunteers, who work both in the Hospice and in the community. The Hospice aims to support and complement the care provided by other statutory and non statutory organisations to patients and their families living in the Maidstone area. At any one time the Hospice supports up to 350 patients, plus their families and carers, by providing community service, inpatient beds for up to 12 patients and up to 45 day therapy places each week. The Hospice also has two wholly owned subsidiary companies, Heart of Kent HospiceTrading Limited ("Trading") and Heart of Kent Hospice Promotions Limited ("Promotions")."Trading" operates 12 shops selling donated goods, cards and other merchandise. "Promotions" runs a lottery scheme. Both companies gift aid their taxable profits to the Hospice. In addition, the Hospice has a programme of education offering a range of courses, designed to provide and promote knowledge, skills and confidence to professionals in clinical, non-clinical and voluntary roles within healthcare and other key service areas in order to spread best practice across the community.Besides its existing clinical courses it now offers high-quality training in a number of statutory and mandatory subjects, generating additional income for the Hospice. Annual running costs are over 3.6m. Of this around 29% comes from statutory sources, with further 71% being raised through a number of fundraising activities in the local community. The Hospices footprint is some 250,000 people, and while fundraising underperformed in the past, the arrival of a new Chief Executive and Director of Fundraising has seen significant income growth with the Hospice achieving a small surplus in the last two consecutive years, that is compared to a deficit of 300,000 in 2006/2007. To the end of March 2010, Hospices trading subsidiary and legacies and trusts achieved good results with an increase of 19% and 30% compared to previous year, respectively. Lottery saw a healthy increase of 9%. Fundraising and donations income, however, fell by 2% and 8% respectively. At the same times costs rose by 5.7% over previous year.
Current Services Range 1. Palliative Care Services Patients accepted for care have flexible access to the following services according to need and subject to availability: y Inpatient Care - Inpatient Unit consists of eight single en-suite bedrooms and one four bedded bay and can provide in-patient care for up to 12 people at any one time with a team of doctors and nurses to provide symptom control, support, respite and terminal care. There is no set length of time for an admission with length of stay being dependent upon meeting the assessed needs on an individual basis. y Community Care - Community Team provides high quality specialist palliative care for patients with a progressive terminal illness who are being cared for at home, and offer support to their family, carers and friends. y Day Therapy - has up to 15 places each day meeting a variety of needs with access tophysiotherapy, occupational therapies as well as counselling and spiritual support. It also provides patients with an opportunity to meet others facing life-threatening illness. y Pre and Post Bereavement Support is offered to the patients and/or their carers. y Complementary Therapies - are used alongside medical treatments for patients, and are offered to families and carers to aid relaxation and promote a sense of well-being. Therapies offered include: aromatherapy, body massage, reflexology, hand and foot massage and Bowen technique. y Counselling, Social work and Chaplaincy support - are provided by the Family Services Team. These include psychological, social and spiritual care to patients and their families and can help people talk
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Customer Base
The Hospices customer base consists of two broad groups, specifically beneficiaries and supporters. In summary, the Hospice concentrates its efforts on meeting the needs of its beneficiaries with programme of care, being tailored to their individual needs, but doesnt recognise supporters as an equally significant group of customers. 1. Beneficiaries group includes: patients of 16 years of age and over with any advancing, progressive, life limiting illness in need of specialist care; patients family members and /or carers of any age, and bereaved of any age. All beneficiary groups have access to care regardless of their race, religion, sex, or nationality. To benefit from the range of services provided beneficiaries need to reside within the Hospices catchment area. Each patient undergoes an initial pre-assessment, where programme of care, tailored to their individual needs is agreed. 2. Supporters group includes: individual and corporate donors, voluntary workers, and purchase The rs. Hospice has over 9,500 individual and corporate donors registered, who have given a donation to the Hospice in the last three years, but only 238 of these are regular donors. Although no demographic profiling or buying behaviour available for the majority of supporters, it is, however, known that corporate donors and bereaved families form the strongest supporter groups; generating 20.4% and 18.3% of the total voluntary income respectively. It is also estimated that over 50% of all donors would be involved in at least five or more fundraising activities. Average donation accounts to 50 per donor. The Hospice had three major donors donating to the Hospice in the last four years.There over 500 active volunteers, 70% of which are aged 60 and over. No purchasers data was made available to the researcher as the trading subsidiary has a separate strategic plan to that of the Hospice.
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Managing Marketing
Fundraising and Marketing Director (1 FTE) - Vacant Marketing and Communications Manager (1FTE) Team Administrator (1FTE)
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