1 Community Budgets Political Leadership Group First Meeting 5 th April 2011.

Slides:



Advertisements
Similar presentations
An Introduction to Community Budgets ELS SSP :
Advertisements

A Health and Wellbeing Board for Leicestershire Cheryl Davenport Programme Director.
Leicestershires Vision for short break transformation Leicestershire is committed to the transformation and expansion of short break services for disabled.
Practical approaches to building and sustaining community capacity
Children and Younger Adults Department How Derbyshire is taking integrated working forwards Richard Corker – Planning and Project Manager Kevin Matchett.
Engaging with the NHS Commissioning Board and the impact of the changes in the wider LHE Simon Weldon, NHS Commissioning Board London Regional Team London.
Integration of Adult Health and Social Care VHS Member event, Monday 1 July Grant Hughes, Scottish Government
Police and Crime Commissioners Session 2 Working in Partnership with Police and Crime Commissioners.
The future of the NHS in North Central London Islington Voluntary Sector Health Network 18 January 2011 Jacqueline Firth Engagement Manager, NHS Islington.
Equity and excellence: Liberating the NHS. Background Published in July 2010, the White Paper ‘Equity and Excellence: Liberating the NHS’ outlined our.
The Families First Programme in Herefordshire
The Care Act: Reforming Care & Support Staff Conference 10 November 2014 Cathy Kerr, Director, Adult and Community Services.
Integration, cooperation and partnerships
Understanding how commissioners work, and the ways in which HITs can influence their decisions Louise Rickitt & Mel Green June 2015.
Building Strong Partnerships to Improve Health – Mandy Chambers Head of Health Improvement NHS Derbyshire & Chair of Bolsover Partnership (BLSP)
Ian Williamson Chief Officer Greater Manchester Health and Social Care Devolution NW Finance Directors Friday 15 May 2015 Ian Williams Chief Officer Greater.
SEN and Disability Green Paper Pathfinders March 2012 Update.
Early Years Framework Planning for Effective Implementation in Argyll and Bute Community Services Early Years Team Anne Paterson- QIO Mark Lines- Service.
1 GM Public Service Reform Complex Dependency April 2014.
The Future of Adult Social Care John Crook March 2011.
Annual Public Meeting 1 September, ASB Community Trust  Established in 1988 as a result of the sale of the Auckland Savings Bank  15 Trustees.
Early Intervention: Making it happen Claire McCarthy 4Children
Support and aspiration: A new approach to special educational needs and disability Ann Gross, DfE 7 November 2011.
Children’s Trust Network 19 October 2011 Developments in Safeguarding Anthony May Corporate Director for Children, Families and Cultural Services.
Children and learning – the new agenda Children and Lifelong Learning Scrutiny Committee July 05.
Health Overview Policy and Scrutiny Panel Update on Health Reform Proposals James Foster North Somerset Council.
Commissioning support for local authority sport and physical activity services c CLOA AGM 25 June 2015.
1 Greater Manchester Whole Place Community Budget Improvement and Efficiency Commission 12 April 2012 Theresa Grant Acting Chief Executive, Trafford Council.
Every Child Matters Improving outcomes for children in the UK Dr Gillian Pugh DBE Oslo, April 2006 Early interventions for infants and small children in.
SEN and Disability Green Paper: Update March
Health, Wellbeing and Social Care Scrutiny Committee.
Early help – some signals and examples Nick Page 18 March 2013.
The convoluted process of collective leadership in Local Area Agreements Dr Crispian Fuller Local Government Centre Institute of Governance and Public.
More Social Security Powers A local government perspective A local government perspective.
Integration of Adult Health and Social Care. What is the problem we are trying to solve? Too much variability of health and social care in different parts.
LINks (Local Involvement Networks). Outline Help and Care LINks and Host LINks and OSCs Establishing the LINk The LINk in action.
Governance and Commissioning Natalie White DCSF Consultant
Caring for our future Caring for our future: shared ambitions for care and support Emerging thinking: Personalisation November 2011.
Cancer Mortality Target Measuring and Monitoring at a National Level Jennifer Benjamin, Department of Health Kathy Elliott, National Cancer Action Team.
SEN and Disability Reform Partner Supplier briefing event December 2012.
Helping Families update Scrutiny Select Committee Meeting March 2013 Nick Page.
Devolution in Greater Manchester October 2015 Alex Gardiner, New Economy.
Bromley & Bexley Pathfinder Whole System Change ‘Bringing It All Together’ 15 th October 2012 London Regional SEND Conference Helen Norris, Head of Specialist.
Children’s Services Policy Early Years & Getting it Right for Every Child.
* Schools – policy environment and mental health Bhupinder S Bhoday Team Leader - Children's Mental Health Team, Department for Education.
@theEIFoundation | eif.org.uk Early Intervention to prevent gang and youth violence: ‘Maturity Matrix’ Early intervention (‘EI’) is about getting extra.
Making support for troubled families work July 2012.
What does the Devolution Agreement Say? £6bn of Health & Social care budgets transferred to the region. This covers the whole of the health and care system.
Doing the Right Thing Unlocking the voluntary and community sector’s potential for making change happen in health and care.
Commissioners Network 12 th Jan 2011 Domiciliary Care workstream update Catherine Pascoe South West Dementia Partnership.
Support and aspiration: A new approach to special educational needs and disability A consultation March 2011.
Five Year Forward View: Personal Health Budgets and Integrated Personal Commissioning Jess Harris January 2016.
Changes in healthcare commissioning Phil Ambler Operations and Information Manager UK Vision Strategy.
NHS Reform Update October Context Health Reform Agenda Significant pace of change Clear focus on supporting the Transition Process At the same time.
Colin Mair Chief Executive Improvement Service. COSLA / IS Conference ‘Mobilising and Supporting Change’ Colin Mair, Chief Executive, Improvement Service.
Commissioning Integrated Rehabilitation and Re-ablement Services? Cath Attlee and Ray Boateng 1.
A Partnership Approach to Implementing Welfare Reform Presentation to Third Sector Employability Group 16 November 2012.
Commissioning for Better Outcomes Dr Karen Newbigging Health Services Management Centre.
“Our vision is for a Scotland where people who are disabled or living with long term conditions and unpaid carers have a strong voice and enjoy their right.
Integration of Adult Health and Social Care. Social Work Services 11 'Stand Alone‘ departments 5 Social Work and Education 4 Social Work and Housing 2.
Torbay Council Partnerships Review August PricewaterhouseCoopers LLP Date Page 2 Torbay Council Partnerships Background The Audit Commission defines.
One Nottingham Lunchtime Learning Public Spending Cuts.
Integrated Care Workforce Showcase Event Nov 2015 Yvonne Rogers – Strategic HR/Workforce Lead.
Overview and Scrutiny, Coordinating and Call In Committee Personalisation Presentation 3 March 2009.
Clover Rodrigues Cardiff Third Sector Forum 13 December 2013.
Overview Training for Nottingham’s Commissioning Framework Liz Jones Head of Partnership Policy, NCC Nick Weatherall, Commissioning Officer, NCVS.
The Transformation of Social Care Janet Walden 13th November 2008.
Robin Lorimer 17 May, 2007 Birmingham © btconnect.com.
March 2012 Social Care Reform Integration – where we are now and where are we going David Behan – Director General Social Care, Local Government and Care.
New Economy Breakfast Seminar – 13 July What Has Changed?
Presentation transcript:

1 Community Budgets Political Leadership Group First Meeting 5 th April 2011

2 Shared ambition 1.Creating strong foundations for the Community Budgets Group to deliver the national roll-out of Community Budgets for Families with Multiple Problems 2.Tackling the barriers/issues that are getting in the way of developing ambitious Community Budgets 3.Developing a radical vision and model(s) for Community Budgets 2

3 Delivering the national roll-out 2 Delivering on the first 16 will make the case for Community Budgets by creating a strong narrative on what has been achieved and the benefits of their Community Budgets Need to identify the learning from how the 16 have developed Community Budgets to share with other areas Means we must tackle the key barriers to local transformation that have been identified – other areas can follow this and benefit from the barriers that have already been busted – and can continue to lead the way in tackling new barriers The first 16 areas are well placed to develop the radical vision and model(s) for Community Budgets

4 Current list of issues A number of issues have emerged from the first phase negotiations: Cultural Issues Developing a narrative that demonstrates the win-win for all partners Working with GP consortia/PCCs Joining up supporting troubled families with the prevention agenda (e.g. Graham Allen’s work on early intervention) New structures and governance Systems Issues Data sharing Community-led Community Budgets Community rights to challenge services Accountability Simplifying assessment & other procedures Financial Issues Innovative financial models (includes Social impact bonds and Payment by results) Cost benefit analysis and evaluation (evaluation workstream is underway) Apportioning savings between partners Devolving money/services to communities Mapping spending on Families with Multiple Problems Moving to virtual and actual pooling 5

5 Developing a narrative that demonstrates the win-win for all partners 4 Areas have highlighted reluctance on the part of some local partners to engage in the Community Budget process A quick win – develop a narrative that sets out benefits to each partner of tackling Families with Multiple Needs through a Community Budget.

6 Working with GP Consortia/PCCs 4 Areas’ asks have covered flexibility on NHS clustering arrangements, how to engage GP Consortia and commissioners and preserving joint local authority and PCT commissioning arrangements DH has written to health bodies setting out the importance of participating in Community Budgets The forthcoming workshop, led by DH, may further help There is a lot of structural reform taking place, with the introduction of Police and Crime Commissioners adding to this The crux of this issue is how to engage the new bodies in the development of a Community Budget when they have not yet been established whilst maintaining existing relationships

7 Joining up FMP with prevention 4 So far the focus of attention has been on those families which are already in crisis and in need of intensive support Increasingly, it will be important to also address the needs of those not quite at this point but are on the cusp of needing intensive interventions Community Budgets should look to build in the prevention agenda so as to stop families getting to the point where they need more expensive support 27 areas have said that they are willing to work with Graham Allen as an Early Intervention Place

8 New structures and governance 4 Do Community Budgets need any particular structures and governance arrangement to deliver an ambitious agenda (links to accountability)? Is there anything reach requires a common solution? Or Should areas design their own solutions?

9 Data sharing 4 A number of areas have raised concerns with Whitehall Departments There remains a lack of clarity over what specific barriers remain and whether these relate to legislation, business practice or lack of awareness of freedoms that have already been granted 11 th April workshop being set up by DCLG & LGG to explore the issues Could produce a single product - local-partnership focussed information product bring all the key guidance into one place, best practice, solutions to problems that areas have found and Q&A.

10 Simplifying assessment procedures 4 As part of its work on safeguarding, the Munro review has secured some flexibilities for five areas on assessment procedures Procedures remain complex and may not allow the most effective use of resources The Munro team is shortly meeting areas, including Community Budget areas, to further explore what further simplification of the system could be taken forward. Could there be joint work with DfE to design a streamlined system to either feed into the Munro review or the Government’s response to the final report?

11 Financial issues 4 Includes innovative finance models, cost benefit analysis, apportioning savings, devolving money to communities, moving to virtual and actual pooling Cabinet Office is working with areas on Social Impact Bonds We need to be clearer about what is being sought on payment by results but areas have pressed to develop a model in respect of benefit and crime budgets An evaluation of Community Budgets is underway What needs to be taken forward? Can it be managed as one workstream?

12 Radical vision and model(s) What might a radical vision and model(s) for Community Budgets look like? A single payment stream from Whitehall to deliver a set of outcomes, underpinned by local commissioning of what is needed to deliver? Personal budgets? Community-led Community Budgets and community rights to challenge services? Linked to local integrated services? Payment by results across all funding? Incremental development of Community Budgets and expansion beyond Families with Multiple Problems? 4

13 Support Tackling the issues will take significant effort: How can the Group support leads? What role can the 16 first phase areas play? How can LGG help? What can departments/DCLG do? 4