1. Health and Social Care Grants Review Stakeholder engagement event
Thursday 26 April 2018

2. Agenda 1 Welcome 2.00 2 Grants review – our thinking so far 2.05 3
Break and your immediate questions
2.40 4
Over to you - round table discussions
3.00 5
Plenary – response to your immediate questions
3.40 6
Close
4.00

3. Purpose of the event
To share the work done so far and our current thinking
To get some dialogue going – we hope you will:
give us your views
challenge our thinking
generate some new thinking to inform the next stage of development

4. How we deal with questions
As we only have a limited amount of time in these sessions and want to make the best use of time possible:
We are not going to allow time for questions after the presentation but will ask you to record any questions or immediate thoughts on one of the graffiti boards
We will pick up the key themes from the questions in the plenary session
Be clear that this is the first of the discussions and not the only chance to feed in.

5. How have we got here Existing grant programmes due to expire
Strategic responsibility for health and social care moved to the IJB
Need to ensure that any new grants programmes are aligned with IJB priorities and current challenges
Reports to IJB in September and November 2017

6. Steering Group members
Ann Duff – CEC Communications
Claire Ironside - EAHP
Ella Simpson – EVOC/SPG member
Emma Gunter – CEC Contracts
Graeme Henderson – Penumbra/ CCPS/ SPG member
Maggie Deane - CEC Procurement
Mike Massaro-Mallinson - EHSCP Locality Manager NW
Moira Pringle – Chief Finance Officer IJB
Moyra Burns - NHSL Health Promotion
Neil Fraser - CEC Procurement
Stephanie-Anne Harris – LCHIF/ SPG member
Suzanne Lowden - EHSCP Strategic Planning
Wendy Dale - EHSCP Strategic Planning

7. Context Roles of the: Why review Integration Joint Board (IJB)
Health and Social Care Partnership (HSCP)
City of Edinburgh Council (CEC)
NHS Lothian (NHSL)
Why review
Current challenges
Strategic Direction
Impact of other pieces of work

8. Role of the IJB £s £s NHSL EIJB CEC Directions Directions £s £s CO
NHSL and CEC delegate services and budgets to EIJB £s £s
NHSL
EIJB
CEC
EIJB produces strategic plan and issues directions to NHSL and CEC with associated budget and performance measures for delivery of services
Directions
Directions £s £s CO
Strategic Planning
Operational oversight
Performance Management

9. Role of the HSCP EIJB CEC NHSL CO EHSCP Staff and budget Staff and
Operational delivery
Set aside services
Hosted services

10. Doing more of the same won’t work
2018/19
2019/20
2020/21
2021/22
2022/23 £k
Opening cost base
633,265
657,726
678,904
700,606
722,839
Projected increase in costs
23,341
21,206
21,712
22,233
22,854
Total projected costs
656,606
678,932
700,617
745,693
Projected income
624,065
625,236
626,288
627,719
629,150
Projected shortfall (£k)
(32,541)
(53,696)
(74,329)
(95,121)
(116,544)
Projected shortfall (%)
5.0%
7.9%
10.6%
13.2%
15.6%

11. Managing our resources effectively Making best use of capacity
Strategic Plan
Locality working
Tackling inequalities
Technology
Living within our means
Frail older people and those with dementia
Mental health and substance misuse
Prevention and early intervention
Sustainable primary care
Integrated workforce development
Knowing our population better
Long term conditions
People living with disabilities
Right care,
right place,
right time
Person centred care
Managing our resources effectively
Making best use of capacity

12. Impact of other work
Under Review

13. Current use of grants £ Addictions 97,073 Blood borne viruses 252,843
Disabilities
183,815
Mental Health
70,218
Older people
1,709,617
Unpaid carers
223,569
Health improvement
97,901
Health inequalities
1,755,686
Total
4,390,722

14. Locality split NW
£810k NE
£483k
Citywide
£2.25m SW
£660k SE
£196k

15. Priorities Inputs Reducing social isolation
Strategic Plan priorities and actions
Promoting healthy lifestyles, including physical activity and healthy eating
Mental wellbeing
Locality Improvement Plan outcomes
Supported self-management of long-term conditions
Information and advice – income maximisation
Outline Strategic Commission-ing Plan outcomes
Reducing digital exclusion
Building strong, inclusive and resilient communities

16. Rationale for priorities
Reflect the strategic plan, locality improvement plan outcomes and emerging priorities from OSCPs
Relatively broad categories
Reduces risk of grants programme not aligning with strategic commissioning plans
Moves focus to people and their communities of place and interest but provides scope for current recipients

17. Principles

18. Any questions Please use the opportunity of a 20 minute break to:
Grab a drink
Write up any burning questions or immediate thoughts on the graffiti boards

19. Round table discussions
Having heard all the information presented do you think we are on the right lines or have we missed anything?
What opportunities does this review present for your organisation?
How can we all work together on whole system change to deliver efficient and effective outcomes?

20. Key themes from questions pm
Timescales on decisions
Process
Length of awards
Splitting the pot – will allocations change, citywide – localities
What will be funded (specifics) – Carers, Older people’s day services, Independent advocacy
Efficiencies- why and when

21. Key themes from questions pm
Core costs and funding for activities
Difficult to respond to generalities
Tendering
Asset sharing
Support for grant recipients
What does grants programme shaped with third sector look like
Citizen voice
Leverage

22. Next steps Engagement events with partners 26 April 2018
Interim report to the Integration Joint Board
18 May 2018
Follow up engagement event
7 June 2018
Development of detailed proposals for new grants programme
June/ July
Second report to Integration Joint Board
August 2018