Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith.
-
Upload
tristen-rippon -
Category
Documents
-
view
217 -
download
2
Transcript of Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith.
Prevention and Demand Management
Working Together – to develop the way forward
Cllr Heather Smith
Prevention Strategy
The story so far
Janet DoranAssistant Director Community Services
Journey to date –
• Consultation and engagement• Customer Forum• Stakeholder events• Strategy developed and agreed• Fair and Equitable Funding Formula• Decision to halt work in the Summer
Customer Forum
‘‘An important job had to be done and Everybody was sure that Somebody would
do it. Anybody could have done it, but Nobody did it. Somebody got angry about
that because it was Everybody’s job. Everybody thought that Anybody could do it,
but Nobody realised that Everybody wouldn’t do it. It ended up that Everybody blamed Somebody when Nobody did what
Anybody could have done’.
Prevention Customer Forum
Where Next?
Prevention
HousingHealthy schools
Welfare Benefits
Under Twos money
Clinical Commissioning Group
Health & Wellbeing Board.
Health watch
Troubled Families Money
Why Healthwatch
• Health watch are likely to be involved with locality groups and health and wellbeing fora
• They will have access to other organisations and customer / user groups
• This will enable us to access specialist groups of customers fast, to support the forum knowledge
• Access to research and models of good practice
What we give back in return
• A group of customers who have expertise in prevention services
• A voice within the prevention agenda • A sharing of information • Work together to make sure the customer is
heard with in localities
The Big Idea
Our Idea May Deliver
Local focused services
No duplication
Cost Efficient
How It Works
Prevention MoneyIn Locality
£
Local And District Council
Health And Wellbeing Fora
GPCommissioning
Schools and Education
Customers
Voluntary sector
County council
• Local people • Customer forum• Health watch
• Infrastructure organisations • Local and county wide
providers
• commissioners• Councillors • Legal rep• Scrutiny committee member
Assessing and Monitoring
Out Come
• Save money. • Less duplication.• Services delivered in a targeted way.• Less layers of hierarchy.• Local focus. • Customers get joined up working and
organisations work together .• Services are appropriate to local need.
Finance Update
Jon LeeLGSS
Strategic Finance Manager
A Year in the Life of the Medium Term Financial
Plan
2012-13 to 2015-16 Balanced Medium Term Financial Plan
• Council Approved Budget February 2012• First ever fully balanced four year MTFP• Backed up by robust, detailed proposals
Problems Not Going Away
Eurozone Crisis
Banking/Credit Crises
Double-Dip Recession
Continuing Austerity
Economic Indicators
GDP – slow recovery
Inflation – return to 2% target
Deficit – continued austerity
Debt – continues to increase!
National Funding Outlook
2010
/11
2011
/12
2012
/13
2013
/14
2014
/15
2015
/16
2016
/17
2017
/18
2018
/19
2019
/20£0
£50
£100
£150
£200
£250
£300
£350
£400
£450
£500
Social Care - Children Social Care - Adults Environment (inc Waste)Money available for all other services
£ (m
illio
n)Graph of Doom?• Innovation• Strategic Partnerships• New Ways of Working• Opportunities
Greater DemandReducing IncomeIncreasing Gap
Clouds on the Horizon....
Balanced 2012-13 to 2015-16 MTFP
REVISED SERVICE ASSUMPTIONS
E.G. DEMOGRAPHY & DEMAND
FURTHER AUSTERITY MEASURESCOUNCIL TAX
ASSUMPTIONS
CONITNUING UNCERTAINTY IN
ECONOMY
LOCAL IN YEAR PRESSURES
LONG TERM FORECAST FOR
LOCAL AUTHORITY EXPENDITURE
RESERVES AND RISK
BUSINESS RATES
RETENTION
LOCALISATION OF COUNCIL
TAX SUPPORT
Light at the end of the tunnel?
Sunshine or train headlights?!
• Ongoing austerity – 2018?
• High levels of national debt
• Stagnant economy
• Uncertain direction of global economy
• Impact of funding changes unclear
• Spending review Autumn 2013
• General Election 2015
The Way Forward
Janet Doran and Andrew Jepps
Budget Proposals 2013-14
Total Budget Reduction - £2.531 Million • 10% Reduction Children’s Centres • 10% Reduction Housing Support Services• 25% Reduction Third Sector Infrastructure
Support • 12.5% Reduction Small Grant Provision • 15% Reduction Older People Services• 10% Reduction Carers• 10% Reduction Youth Provision
What Is Still Relevant in the Current Strategy
• We remain accountable for services to the most vulnerable, but must explore with our partners the most effective and efficient ways to deliver that support (Page 3)
We still :
• Want to work with local communities• Have to make considerable savings• Want to make an impact on preventing
children, families and older people from needing high cost services (Page 4)
•There is reduced spending for social care and health services •The population of the County is growing and changing which means there are more people that will need help•There is evidence that prevention services can help people with less resource and give better outcomes. (Page 9)
Still Relevant...
•People want much easier access to local support with just one place to go with better information sharing to avoid multiple assessments•Access to specialist knowledge and skills when they are needed is important•There are opportunities from working in collaboration•There is support for local decision making and the idea of a funding methodology (Page 9)
What People Said...
Families and individuals are helped to avoid a crisis that could lead to needing specialist services;Target spending more effectively towards the needs of those on the edge of care; Provide strong evidence of the impact that they have in reducing the needs for specialist services. Helping families and individuals to “step down” into universal or low level targeted support services (Page 10)
The County Council and partners will concentrate on commissioning prevention and demand management services which achieve the following:
Targeted prevention support
Information sharing
No identified additional
needs
Additional needs
Complex needs
ThresholdsPathwaysNeeds met
Children and Families Continuum
Adults and Older People Continuum
Information sharing
Additional needs
ThresholdsPathwaysNeeds met
Lead Professional
from statutory specialist service
Lead Professional Practitioner
from relevant discipline
Lead Professional not required
Lead Professional not required
Helping you to help yourself
Specialist
Targeted Prevention
Early Help
Universal
‘Working Together’
PDM Commissioned Services
Vol & Community Sector
Targeted Prevention
Team
Troubled Families
Health
Borough & District Councils
Contracted Services
Data Performance Information
Business Systems
Vulnerable individuals/families/communities
CCL Staff
Social Care Staff
Other Statutory Services
•Recommissioning is likely to produced a Significant Change•More Skilled Generalists•Being Clear about what additional support will be needed•Working closely with health to commission together
Thinking So Far...
Commissioning Proposals
Three Strands
• Children and Families• Vulnerable Adults• Frail Elderly
Intended timelines for Commissioning
Continued Provider and
Customer Developmen
t, Engagement
and Consultation
Action Dates
Contract extensions/variations Dec – Apr 2013
Open Event Feb/March 2013
Strategy Refresh March-April 2013
Potential cabinet decision June 2013
Procurement June 2013
New service in place April 2014
Reflection and questions
• Please note any queries on post it notes and place on boards
• Responses to questions will be published on Prevention Website
Working Together
• Group Discussion – based on focussed commissioned areas
• Identifying outcomes – making a difference
• Next steps for working together