Where next for adult social care? Prof. Jon Glasby Director, Health Services Management Centre

What if SC for? Basic safety net? Citizenship rights? Investing to save (prevention and rehab)? Promoting active citizenship? Supporting carers?

Prevention (and rehabilitation) ‘Breaking out of the Vicious Cycle’ (Audit Commission) ‘Inverting the triangle of care’ (ADSS/LGA) Opportunity/challenge of public health White Paper Evidence base = problematic – scope for ‘practice-based evidence’ rather than ‘evidence-based practice’ (key role for SCIE/ADASS etc?)

Personalisation Personalisation is social care’s ‘Big Society’ – and adult social care could be at the forefront of broader change Biggest risk is that we overly-complicate things, kill any innovation and set staff up to fail Very vulnerable in the current political and financial context

PBs as a form of Conditional Resource Entitlement?

Partnership Will the financial context bring us together or pull us apart? GP commissioning – place/patch/ neighbourhood-based approaches? Language of local democracy – but what does this mean? Importance of ‘creating NHS local’/moving beyond ‘joint commissioning’

Productivity – SC as a form of social and economic investment 3 scenarios ‘Slow uptake’ – funding doubles in 20 years ‘Solid progress’ – costs rise, but less dramatically ‘Fully engaged’ – could manage roughly within current resources (BUT savings accrue elsewhere) – i.e. we invest in social care to achieve savings elsewhere

Implications for ADASS Being clear about what SC has to offer Sharing learning with others/leading the way Standing up for social work Being on the inside v external challenge We need to be in it for the duration Very difficult role for ADASS – scope to learn from other sectors/countries?