ADASS Resource Reduction Board John Jackson Co-Chair ADASS Resources Network

Scope of this presentation Financial pressures we face Key points from the submission to the spending review What can we do about it – areas to explore? What can we do about it – working together

Financial Pressures We Face Treasury has asked Government Departments to look at spending reductions of up to 25% However, some services may be protected which means that other services will have to find more What happens to spending on adult social care is not only down to DH but also DCLG and local authorities It also depends on other funding sources: specific grants; Supporting People; benefits Adult social care faces significant demographic pressures – 4% per annum This means that we may be asked to find savings of 40% per annum by 2014/15

Adult Social Care submission to the Spending Review - context Jointly agreed between ADASS and LGA as part of overall local government submission Details can be found at: http://www.lga.gov.uk/lga/core/page.do?pageId=13748140 Submission explains the funding of adult social care, performance record, our track record on making efficiencies, demographic pressures, workforce issues, potential for further efficiencies Key section is (correctly entitled) Tough Choices

Adult Social Care submission to the Spending Review – some key facts Total spending in 2008/9 = £16.6 billion Income from client contributions = £2.2 billion Net spending = £14.4 billion In contrast, total spending on health, social care and relevant benefits = £120 billion Only 12% comes from adult social care Demographic pressures = 4% per annum Survey: adult social care achieved 2.2% efficiency savings last year; 3.0% expected this year

Adult Social Care submission to the Spending Review – key arguments Already meeting the expectations of the Government: services provided externally; significant use of the voluntary & community sector; focus on personal choice; radical change happening We should be expected to deliver efficiency savings of 3% each year although this will be tough. May involve increased charging and restricting eligibility Volunteering can help but not with intimate personal care Not possible to achieve savings of 25 – 40% No one has shown how that might be done But there is scope to make bigger savings by looking at health and social care in the round How the White Paper is implemented is crucial – prescribed pooling of budgets and joint commissioning?

What can we do about it – areas to explore? Comprehensive agenda set out in Use of Resources in Adult Social Care Examples cited in Submission DH focus: telecare, crisis or rapid response, stopping using expensive inhouse services, more efficient assessment and care management, reablement Health/social care: falls, continence, dementia, loneliness, stroke Andrew Kerslake highlighting the importance of much wider variety of housing options

What can we do about it – working together We do not have the right to despair. We will let down vulnerable people if we do. We are going to have to be even more creative than we have been to date. It is possible to make genuine efficiency savings even if you are very efficient already Isolated thinking will not be good enough We need to engage with service users, carers and providers We are in this together and must work together if we are to manage this as best we can Resource Reduction Board – ideas and volunteers urgently needed

Local Government House ADASS Business Unit Local Government House Smith Square London SW1P 3HZ Tel: 020 7072 7433 Fax: 020 7863 9133 EMAIL: team@adass.org.uk WEB: www.adass.org.uk