1. The future role of VCSE organisations in health and care Alex Fox, CEO of Shared Lives Plus & Chair of VCSE Review Advisory Group

2. The model needs to change
NHS designed for shorter lives, fixable illnesses and injuries.
Population living longer with long term support needs.
The big challenges facing the NHS do not have a medical solution.
Money and power remains with the acute end.
Meanwhile social care personalisation has made better progress in empowering individuals than empowering communities.

3. Beyond better services
The Care Act: social care’s primary purpose is wellbeing.
NHS England 5 Year Forward View: ‘renewable energy’.
Achieving wellbeing is not in services’ gift.
It needs interventions which build capabilities and resilience.
So for system change we need:
A new ‘front end’ which is built around community capacity
Acute & crisis interventions built around individuals & their networks

4. The role of the VCSE sector?
Co-designing holistic local systems focused on long term goals
Strengthening families; communities: building resilience
Engaging the whole of the community
Building social action, volunteering and local leadership
Addressing the social determinants

5. The challenge for the VCSE sector
Getting a seat at the table
Changing the conversation during austerity
Sharing the resources, risks and responsibilities
Remaining close to communities
Demonstrating the impacts we claim

6. The Joint VCSE review
To reach and engage communities the statutory sector needs to collaborate effectively with people, community groups, charities and social enterprises.
Alistair Burt is the new Minister of State for Community and Social Care. He gave his approval for the VCSE Review to continue its work after the General Election.
The VCSE Review has been supported by Simon Stevens and Duncan Selbie, the CEOs of NHS England and Public Health England and Una O’Brien, Permanent Secretary for the Department of Health from the beginning.

7. The Joint VCSE review
Initiated by NHS England, Dept Health and Public Health England
1. Investment and partnerships between health and care agencies and the VCSE sector across England.
2. A review of the Voluntary Sector Investment Programme. Managed by the Department of Health comprising three funds:
The Strategic Partner Programme;
The Innovation, Excellence and Strategic Development Fund;
The Health and Social Care Volunteering Fund
The review is led by an advisory group of members from the statutory health and care system, VCSE sector and funders.
Please see the full background papers on the website
In November 2014, the Department of Health (DH), Public Health England (PHE), and NHS England initiated a review of the role of the VCSE sector in improving health, wellbeing and care outcomes.
The purpose of the review is to:
Describe the role of the VCSE sector in contributing to improving health, well-being and care outcomes
Identify and describe challenges and opportunities to realising the potential of the sector to contribute to these outcomes
Consult on options for policy and practice changes to address challenges and maximise opportunities, then develop final recommendations
Chaired by Alex Fox, CEO of Shared Lives Plus working with an Advisory Group of representatives from the VCSE sector, Department of Health, NHS England, Public Health England, Cabinet Office, and other funders such as the Big Lottery Fund.

8. The Joint VCSE review
Early a series of focus groups and roundtables with the VCSE sector
March an interim report republished
August - November 2015 – second phase of engagement stakeholders
Share your views in today’s event
Complete either or both of the online surveys on the discussion papers:
Share your views by post if you cannot respond online
Online webinars and live chats
Comment on or contribute a blog on the VCSE Review website
Early 2016 – final recommendations published
The initial engagement was just with the Voluntary Community and Social Enterprise sector. This second stage of engagement (7 August – 6 November) will be open to commissioners and funders e.g. local authorities, clinical commissioning groups, NHS trusts
In early 2015 the VCSE Review Advisory Group held a series of focus groups and roundtables with the VCSE sector to find out more about the challenges facing their organisations and communities, and what was working well.
We published what we heard in an interim report in March 2015.
In August we launch(ed) a second phase of engagement with the VCSE sector and commissioners to share what we heard in phase one, find out what we missed and identify additional solutions. Share your views via:
This workshop
The VCSE Review website blogs
Consultation titled VCSE Review: Discussion Paper on the Voluntary Sector Investment Programme:  -review-vsip
Consultation titled VCSE Review: A discussion paper to gather views on the challenges and solutions to investment in and better partnership working with the VCSE sector
VCSE Review:  review
Online webinars and live chats, details of which can be found on the VCSE Review website
By post to the programme manager, Angie Macknight, National Council for Voluntary Organisations, Society Building, 8 All Saints Street, London N1 9RL
In 2016 we will publish our recommendations about investment and partnership working. We need your views and experience to help shape those priorities and solutions.

9. The sector as a design partner
The Joint VCSE review
The value of the sector
Demonstrating impact
The sector as a design partner
Promoting equality and addressing health inequalities
How the sector is funded
National grants & partnerships
Commissioning
Infrastructure
The discussion paper on the challenges and solutions to better investment in and partnership with the VCSE sector covers all the headings listed above. This is too many to have a useful discussion. It is better to pick the key issues and talk about how these matter for your organisation and communities.
You can show all of the list on the slide and highlight the topics you will cover during the workshop discussion
In the group discussion you can choose to have:
a general discussion about investment in the VCSE sector and partnership working &/ or
go into greater detail about specific issues which matter to you
If you have time, we would like to know if your views and experiences are the same or how they differ from what we heard in phase one.
We are interested in what we may have missed or misunderstood last time.
We want to hear about what is working well and examples of good practice that can be shared.
You can refer to the questions from the discussion papers if this is helpful.

10. The strengths and USP of the sector
What we heard in phase one. The sector at its best is:
Holistic and personalised
Diverse and flexible
Innovative
Community- embedded
A design partner
In it for the long term
OPTIONAL SLIDE
How can Joint Strategic Needs Assessments (JSNAs) become more focused on VCSE and community assets locally?
How can commissioners and VCSE organisations at a local level be encouraged to better work together in co-producing local plans?
Do you know of any relevant evidence or examples of good practice locally of good partnership working between the VCSE and statutory organisations?
For some smaller VCSE providers it is not always about money. It is where money is cut (e.g. from infrastructure support). We would like to know how commissioners can and do reduce barriers and other support to enable community and VCSE sector provision to thrive.

11. The strengths and USP of the sector
We heard the challenges include:
Increased demand
Some of the sector’s best work is best funded through grants: eg prevention, community building
Declining resources.
Contracts rather than grants.
Contracts are short term & narrow.
OPTIONAL SLIDE
How can Joint Strategic Needs Assessments (JSNAs) become more focused on VCSE and community assets locally?
How can commissioners and VCSE organisations at a local level be encouraged to better work together in co-producing local plans?
Do you know of any relevant evidence or examples of good practice locally of good partnership working between the VCSE and statutory organisations?
For some smaller VCSE providers it is not always about money. It is where money is cut (e.g. from infrastructure support). We would like to know how commissioners can and do reduce barriers and other support to enable community and VCSE sector provision to thrive.

12. The strengths and USP of the sector
We heard the challenges include:
Contracts getting larger
Social impact is a USP
Local infrastructure organisations shrinking
The Social Value Act (2012) is an important lever for improving investment and partnerships with the VCSE sector.
Equalities organisations suffering most
Disproportionate bureaucracy
OPTIONAL SLIDE
How can Joint Strategic Needs Assessments (JSNAs) become more focused on VCSE and community assets locally?
How can commissioners and VCSE organisations at a local level be encouraged to better work together in co-producing local plans?
Do you know of any relevant evidence or examples of good practice locally of good partnership working between the VCSE and statutory organisations?
For some smaller VCSE providers it is not always about money. It is where money is cut (e.g. from infrastructure support). We would like to know how commissioners can and do reduce barriers and other support to enable community and VCSE sector provision to thrive.

13. The strengths and USP of the sector
We heard the challenges include:
Outcomes set elsewhere
Goals should be co- designed with the sector.
Sector lacks tools to measure outcomes
Desire for nationally recognised, affordable tools.
Even when outcomes measured, the playing field does not feel level
National datasets needed.
OPTIONAL SLIDE
How can Joint Strategic Needs Assessments (JSNAs) become more focused on VCSE and community assets locally?
How can commissioners and VCSE organisations at a local level be encouraged to better work together in co-producing local plans?
Do you know of any relevant evidence or examples of good practice locally of good partnership working between the VCSE and statutory organisations?
For some smaller VCSE providers it is not always about money. It is where money is cut (e.g. from infrastructure support). We would like to know how commissioners can and do reduce barriers and other support to enable community and VCSE sector provision to thrive.

14. The strengths and USP of the sector
We heard the challenges include:
Many VCSE organisations support marginalised groups.
Need clearer challenges to commissioners to address health inequalities and reach the whole community.
The sector plays a crucial role in tackling health inequalities.
A national focus on supporting equalities organisations?
Equalities organisations: disproportionate loss of funding? Numbers falling?
OPTIONAL SLIDE
How can Joint Strategic Needs Assessments (JSNAs) become more focused on VCSE and community assets locally?
How can commissioners and VCSE organisations at a local level be encouraged to better work together in co-producing local plans?
Do you know of any relevant evidence or examples of good practice locally of good partnership working between the VCSE and statutory organisations?
For some smaller VCSE providers it is not always about money. It is where money is cut (e.g. from infrastructure support). We would like to know how commissioners can and do reduce barriers and other support to enable community and VCSE sector provision to thrive.

15. Gathering views and evidence
Feedback from today’s discussion groups will be fed in
vcsereview.org.uk - comment on blogs or contribute your own
Contribute your own response via the two online surveys:
Voluntary Sector Investment Programme:  
Challenges and solutions to better investment and partnerships:
Consultations close on 6 November 2015

16. Twitter: @alexsharedlives
My contact details
West Wales Adult Placement
Alex Fox, CEO,
Shared Lives Plus,
Can we have a People Powered NHS? RSA:
The new social care, RSA:
The State of Shared Lives in England: