Agenda item
Scrutiny Review - Presentation ( Behavioural Science to Improve Outcomes ) - To follow
Minutes:
The Committee received a
presentation on Behavioural Science from Professor Ivo Vlaev of
Warwick University and Amy Jones of Ernst Young LLP. A copy of both presentations are interleaved with
the agenda.
·
Human behaviour greatly affects wealth, the
environment and society and importantly in light of the current
climate of financial insecurity, this adds another layer of
complexity and challenge. In addition, the meeting was advised that
unhealthy behaviours like smoking, obesity and healthcare
associated infections are related to the choices people
make.
·
A realisation of the need to influence behaviour
change in all aspects of society has resulted in institutions and
government applying behavioural insights to public policy around
the world.
·
The art of influencing behaviour is nothing new and
has been around for quite a while, for example coercion, however
what is new in recent years has been identifying how best to do it.
Recent research in behavioural science
indicates that approaches based on information and education do not
actually work that well, but people are influenced in remarkably
similar ways by the framing of a decision and by subtle contextual
factors which are fast, automatic and largely
unconscious.
·
Professor Vlaev informed the meeting that applying
behavioural science has resulted in improving health outcomes in
that, there has been a dramatic fall in levels of smoking across
adults in the UK, although not in the case of the poorest members
of the society. Members were advised that the behaviour changes of
smokers was primarily due to a combination of factors such as price
rises, social marketing campaigns and public smoking bans
·
Members were informed that although straightforward
incentives in influencing behaviour has its appeal amongst policy
makers, these approaches are grounded
in a neoclassical perspective which states that preferences are
rational and reflective, with a bold assumption that
self-interested individuals always make rational
decisions.
·
Behavioural economics challenges the assumption that
people are rational and utilizes a theoretical approach rooted in
sound evidence based- theory. This theory involves understanding
behaviour change and any intervention design should be informed by
recent comprehensive models of behaviour and behaviour
change.
·
According to recent and integrative frameworks for
understanding behaviour and designing behaviour change , human
behaviour is an interacting system in which capabilities,
opportunities and motivations interact to generate behaviour
therefore produce behavioural capability which in turn influences
these components.
·
The three conditions necessary and sufficient for
the performance of a specified behaviour are the skills necessary
to perform the behaviour, an intention to perform the behaviour and
no environmental constraints that make it impossible to perform the
behaviour.
·
With regard to capability, the issues to consider
are the level of knowledge, awareness and mental stamina to engage
in understanding and reasoning. The question here is whether people
will be able to understand, will they find it difficult and is
there a role for tools to assist in understanding and
reasoning.
·
In terms of opportunity, Members were informed of
the importance of having environmental infrastructure and
technology in place to support and sustain the behaviour. Meeting
was informed that there is clear evidence which confirms how people
are affected by their environment.
·
Members were informed that studies have shown that
motivation plays a key factor in people’s behaviour, of which
80% is reflective, which is uncontrolled, emotional, effortless,
fast and unconscious and the remaining 20%, automatic which is
controlled, rule based, slow, rational and conscious.
·
Professor Vlaev informed the meeting that models on
behavioural insights have shown that when human beings receive
information, it automatically triggers a habit which leads to a
decision, however when the information is novel, then decisions
tend to be reflective and conscious. Human behaviour tend to avoid
losses and acquire gains in their decision making
process.
·
Nudge theory or economics challenges the previous
theory and practices of addressing human behaviour. it recognises
first that the environment has a big impact and questions what can
be done about human irrationality. Nudge economics recognises that
instead of telling people what to do, go with human
nature.
·
Professor Vlaev highlighted two cases when nudge
theory had been applied and had resulted in an improvement in
better outcomes. The drawing of a fly on men’s urinal at
Amsterdam Airport had resulted in a significant decline in
spillages on the toilet floor and importantly cleaning cost.
Another example shared with members was the decision by the highway
authorities in Lake Shore, Chicago to paint narrow white lines on
the road in an area notably for high levels of accidents. The
decision to paint lines resulted in drivers unconsciously slowing
down as they approached the hotspot and a fall in car
accidents.
·
Nudge means pushing people gently, not shoving or
forcing them or persuading them into new and better behaviours
which would be cost effective. Professor Vlaev, shared the 9
practical tools - MINDSCAPE, an acronym which means, Messenger,
Incentives, Norms, Defaults, Saliency, Priming, Affect, Commitment
and Ego. Tools essential for Nudge theory to be successful in
influencing behaviour change.
·
Professor Vlaev reiterated the importance of the
message that is to will impact behaviour change, the need for it to
be timely and importantly who delivers the message as people tend
to respond to someone who is recognisable, hence the role of
celebrities. Also social norms is relevant, for example sharing
what others are doing goes a long way in changing behaviour, this
is notable with messages left in hotels regarding using less towels
reminding hotel guests of environmental issues, such messages
resonates with people. Also offering options will not result in any
significant change in behaviour but employing default techniques
has seen changes in behaviours, for example instead of offering
resident’s options of grey or green energy, default to the
latter and everyone will take up that option. Employing this
default technique has resulted in an uptake in pensions schemes and
organ donations, where enrolment becomes automatic and opting out
will require a concerted effort.
·
Members were advised that making things accessible
will result in an uptake of service or activity as evidence
demonstrates that the introduction of cycle paths and running paths
had led to a significant increase in cyclists and runners without
any form of persuasion. Also salient
messages regarding household electrical appliances and its energy
use, savings on electrical bills is well received. In terms of
discouraging short journey driving mentioning the amount of levels
of Co2 emissions does not work but stating the cost to car budget,
using computerised data, people take notice.
·
Another success highlighted as a result of employing
‘nudge theory’ was the painting of baby faces on shop
shutters which has detracted perpetrators. Evidence indicates that
such an image speaks to people’s innate caring nature as no
one wants to deface baby images. Experimental trials with baby
faces introduced in Camden and Croydon has resulted in a 50%
reduction in antisocial behaviour.
·
Amy Jones of LLP shared her experience with the
Committee, having set up Croydon’s Behavioural Science Unit,
the first in local government across the country. It’s
mission was to discover the root causes of problems in service
delivery, design solutions with people in mind, and making the
delivery of the Service easier. Members were reminded that whatever
initiative designed is evidence based and trialled.
·
Amy Jones informed members that in over 2 years 80
projects had been delivered by the Behavioural Unit (BU)and about
150 members of staff had been upskilled with lots of benefits and
returns on investment.
·
Members heard evidence of the approach employed by
the Behavioural unit with the sole aim of improving the delivery of
Croydon council services. The approach would require a mapping
exercise for users, speaking with stakeholders as they are aware of
the various challenges, identifying biases, bottlenecks and
opportunities and targeting behaviours. The end result is to design
something that addresses those behaviours and make it easier. This
will have to be tested, after which, if necessary amend and make
some improvements. The final stage will be to implement and roll it
out.
·
Other instances where behavioural insights approach
had been employed by the Unit was in addressing the failure of the
Council complying with the statutory deadline of 21 days with the
Children Looked After. There was a high number of DNA appointments
(Do not Attend), where young people failed to attend their
appointments which was costing the NHS £160 a day. The unit
decided to make subtle changes to the invitation letter, inserting
a map within the letter and the time of appointment and a tear off
slip reminder. This subtle change resulted in a 50% drop in DNA
appointments.
·
Members were advised that although the essence of
most interventions is in principle to make things easier, there are
instances where the intervention is to make things harder such as
introducing wall climbers to prevent the painting of graffiti on
walls.
·
Following the Grenfell Fire Incident, the unit
helped redesign the messaging around hazardous materials being left
in communal area of tower blocks. Attention was also directed at in
particular the notices, placing them in visible areas. In addition
the unit recognised the difficulty with hard to reach groups and
BAME residents regarding the fire safety literature and signs
especially with residents that English is not necessarily their
first language, so a decision was taken by the unit to improve the
design graphics which then spelt out the message better.
·
Amy Jones also shared with the meeting the e
involvement of the unit in improving the late applications with
regards to the Council’s secondary school admission, which
has resulted in a 33% decrease in late applications. In addition
members were advised of the benefit in monitoring the number of
hits on the council website as it provides the Council the
appropriate time and opportunity to engage with residents in a more
effective way.
·
The Committee heard evidence of how the BU addressed
issues of under occupation using behavioural insights. In this
instance, the unit recognised immediately that the one size fit
approach which was previously employed was not applicable. The unit
in particular focussed on a particular group called the
‘Silent generation’. This required a mapping exercise
to understand their journey and the entry point into under
occupation. From this mapping exercise, the BU was able to identify
their exact needs. Amy Jones reiterated the 3 essentials for
behaviour change, capability, opportunity and motivation, noting
that in the case of the silent generation, previously the focus had
been primarily on motivation and just addressing their present
needs and not their future needs, so the Unit came up with a
checklist to be used by staff and then plotted it with different
messages to identify which was effective. In this case the unit
agreed that the most effective message was deadlines resulted in
behaviour changes.
·
In response to a question on how to address
recycling of food waste on housing estates, members were advised of
the importance of intelligence gathering, after which biases,
bottlenecks and opportunities will need to be considered. Any
solution designed to address behaviours will have to be evidence
based, piloted and then rolled out.
·
Members were advised that any initiative addressing
behaviour change would require political buy in and leadership. In
addition, before tackling behaviour among its residents, staff
behaviours would need to be addressed.
·
Members were reminded that besides employing nudge
techniques to influence behaviour change, some forms of enforcement
and incentives may still be required. In response to a question on
how to ascertain what works, Amy Jones noted that to determine what
work best, initiatives need time to be tested.
·
In response to complaints about inadequate recycling
facilities for food waste, the meeting was advised of an
unpublished research which suggests that replacing large containers
with smaller bins especially as there is a stigma attached to
larger bins in communal area, that these smaller bins would go a
long way in increasing recycling rates, however there is a cost
implication with this option especially as the support and
assistance of the managing agency will be required to ensure its
effectiveness.
·
With regards to concerns about the confusing
messages to residents in different authorities regarding items to
be recycled, it was noted that issues around capability, knowledge,
skills and motivation would need to be thoroughly considered.
Education is key, however any campaign to address behaviour change
should be timely.
·
In response to a question on how to monitor the
effectiveness of any initiative to address behaviour change, the
meeting was advised that having in place an Internal Hub within the
Council will be in a position to analyse, engage trials and
introduce flexibility.
·
Amy informed the meeting that presenting the LGA has
a behavioural insights funding program for behavioural science
projects, but this deadline has now ceased until the next round of
funding in November 2020.
The Chair thanked both Professor Vlaev and Amy Jones for their presentations.