Personalisation update Birmingham’s Story Steve Wise Service Director (Business Change) September 2012

Birmingham’s Costs The options for the Council: Maintain current budget? Fund the demographic projections? Transformation? LSE projection Budget projection 10 years Costs Transformation projection BCC projection

Benefits model Cost avoidance Cost reduction Year 10Year 6 £250k £300k £340k

What has changed? Was more service for more people with the same money (transformation) Now more for more with less (austerity) Transformation - £229m of savings over 10 years to fund demographic growth. Austerity – now £419m of savings over 10 years – but still not enough.

Funding Picture NHS Public funded social care via local government Personal contribution

Transformed Funding Personal care and contributions

Gate keeping IBs Market shaping Informed choice Prediction and prevention Income maximisation Enablement Benefit dependencies USERS More funds diverted to enablement Fewer users require an IB

Where do you fit in? In the prevent space around £9m. There is some penetration into care packages (£2m out of a total of £180m). From my perspective the voluntary sector could exist across all elements of the personalisation journey. Younger adult care needs a change of approach!

Conclusions We were already on a massive change journey with transformation. Austerity has tested the system to the limit! Integration with Health essential? If the voluntary sector is not to be squeezed, look at personalised services – Birmingham circa £180m!