1. Grand Designs? Location Location? Tim Hind Adviser LGA

2. Architects & Architecture

3. National Priority Outcomes (c. 20 + efficiency) National Indicators (c 200) Improvement Targets (c. 35 + DfES) Local Priority Targets

4. Housekeeping DH – The NHS & Social care “balance” Process imperatives V “Outcomes” –18 week wait –Better health –Tackling inequalities Financial balance and NHS/LG cost issues –Challenges to partnership arrangements

5. Project management – putting it together ECM – outcomes X 5 Adult soc care – X 7 + 2 Other? –Housing & income –Employment, education, training –Transport

6. Health and Wellbeing What is it an who’s responsible? Delivery of health and wellbeing = NHS & LG – not NHS & “Social Care” The importance of people and places The LG Bill Focus on LAA – key local delivery vehicle

7. PSA targets & and CSR07 To Deliver Personalised services for adults (saving NHS money) ECM Changes to meet environmental challenges & strong prosperous communities Efficiency savings Council Tax in line with inflation Continued performance improvement Councils need A share in real terms growth available in public spending –1% pa to maintain services –4% pa to deliver new burdens and ambitions Redirection of resources acute to community Funding for new burdens Power for councils to drive economic growth/ manage cost pressures Capital funding for transport / housing infrastructures

8. Budget March 07: Key points for CSR Headlines Overall public spending growth at 1.9% Annual real increase in education spend of 2.5% 3% p.a cash releasing efficiency savings across central / local govt (£26bn) Targets to reduce specific grants / ring fenced funding Continued use of capping powers CSR in the autumn Response Councils need a share in real terms growth available in public spending 2.5% for education must cover full funding for new burdens in children services Cashable target of £5bn (of a total £26bn) by 2010/11increases LG efficiency target from 14% to nearly 20% - a subsidy for the rest of public sector What do PSA targets mean in this context?

9. Commissioning for outcomes Clarity of definition and purpose –Commissioning for health and wellbeing –Commissioning for LTC –Commissioning health services Whole system commissioning individual, locality and authority –PBC, locality, PCT, sub regional, regional and national

10. Which means - location Developing capacity for personalisation & choice New markets / micro providers New partners & partnerships Workforce development implications