Where do we go from here?

With…. Lancashire County, Blackburn with Darwen and Blackpool Councils

And… The National Health Service

Expo Outcomes(Good or Very Good)

Improved Links with public sector 72%Removal of Log Jams to co-operation 35%Improved awareness of Issues 72%Opportunities for Service Delivery 59%

Lancashire County Council

Health and Well-Being Board

Procurement Strategy

Integrated Well-Being Service

Health and Well-Being BoardStarting Well… Living Well... Ageing Well

Better Care Fund

The Six Shifts • Self Care and Technology• Joint Working• Narrowing the Gap• Prevention• Community Assets• Better ‘Flow’

Better Care Fund• Worth £89m in Lancashire• Original submission April 2014• Cabinet Office not happy• £1bn element for performance…..originally a ‘suite’ of

metrics• Now only one: reducing emergency admissions to hospital• Target advised 3.5% ; proposed 1.7%• Submitted by deadline of 19 September 2014

LCC Procurement Strategy

• “Bids from small 3rd Sector organisations as welcome as those from large private sector bodies”

• “We wish to contribute to… a thriving 3rd Sector ...and to community empowerment”

• “Social Value will be considered at the point at which we review our services”

The Reluctant Lawyer…“There may be some increased flexibility around the edges including a ‘lighter touch’ for contracts below £638k, and innovation partnerships to co- design a new service,

BUT... much of the legal framework will remain the same”

Integrated Well-Being Service

• Public Health• Co-design and collaborate to commission new form

of Help Direct• Critical role of third sector/ asset based approach• Focus on joined up presence in neighbourhoods• On line consultation mid October 2014• Invitations to tender December 2014

NHS Procurement

Dr Mike Ions

Commissioning Support Unit

Procurement: Liverpool CCG

Social Value

• is an ethical imperative• must be cornerstone of transformation

agenda• needs commitment of all staff• demands commissioning in new ways• requires partnership with VCSE and SME’s

The (Kate)Barker Commission• Cancer, free on NHS/Dementia, charged to

social care• Make single system, commission together• Prescriptions, Nat Insurance, Winter Fuel etc.• Taxation (Wealth and Property)• Phased in by 2025 (as economy improves)