1. Community

2. 2 What we did in 2010

3. 3 Our Offering Intensive intervention for independent lives Care coordination, advice & signposting Ongoing care, with specialist/non-specialist Preventative community initiatives Technology assists

4. 4 What this means! Privatised social care Merged functions New functions Skills transfers Supply chain model High turnover model Increased flexibility Outcomes are king Tapering input model Non-payable inputs Self assess quality

5. 2 Steps Up – 1Step Back –Customer Expectations Mixed messages Vulnerability Issues –Providers managing change planning, investing, delivering -Divergent Commissioning -Available resources

6. 6 What helps? Integrated approach to service design Co-production with communities Regional coordination Quality supply chain management Building market readiness

7. 7