1. 1 Local Government Yorkshire & Humberside SHAPING HEALTH AND WELL BEING IN YORKSHIRE & HUMBERSIDE Wednesday, 1 st February, 2012 LESS OF THE SAME, OR DOING IT DIFFERENTLY Martin Farran Executive Director of Adults & Communities Barnsley Metropolitan Borough Council Chair of Yorkshire & Humberside ADASS

2. 2 MAY 2010: A NEW GOVERNMENT NHS reorganisation Chaotic education policies Abolition of regional tier Loss/reduction of grants especially WNF, EMA, EIG Benefits reform Localism, with interference at will Small State, Big Society AND major Local Authority budget reductions (particularly in the north/most deprived areas)

3. 3 CHALLENGE OPPORTUNITIES Financial- LA up to 30% - NHS £20bn – 25%+ - other statutory agencies 25% Demographic -Growing population -Ageing population Structural Change -Will incremental change get us there? -Are we just moving the deck chairs or changing the model of delivery

4. 4 A BRIEF LESSON FROM OUR PAST 1980 Institutional care / limited home based support 1990 NHS Institution closed – shift to care in the community 1993 Assessment & Care Management - residential care - support at home But still doing to Output focussed

5. 5 PRIORITIES Safeguarding – Across sector WFD – Across sector Strategic Commissioning – Across sector -Prevention / early intervention -Use of technology -Service users purchasing / managing own support -Partnership -Independent Sector – Biggest provider -Communities as assets

6. 6 DESIGN OF THE NHS COMMISSIONING BOARD One National Commissioning Board - based in Leeds/London – 860 staff 4 Sectors (as current SHA) – 200 staff To Local Offices (as current clusters) – 2,500 staff 8 Commissioning Support Units Clinical Commissioning Group (CCG) to drive local commissioning linked to LA’s/Health & Well Being Boards

7. 7 DEVELOPMENT OF PERSONALISATION - Independence, Choice, Control 2005/613 Individual Budget Pilot Sites 2009/11Putting People First (LA’s/Social Care) 2011 Think Local, Act Personal (across sector) Making It Real

8. 8 OPPORTUNITIES Alternative Trading Models eg. eMarketplace, Market Development / Social Enterprise Common Services eg. Front Office / Back Office / Buildings Volunteer Strategy / Carers Strategy Community Budgets Personal Budgets Universal Information and Advice

9. 9 OPPORTUNITIES Co-production / Self reliance Personal Budgets – 2013 – 100% - personal health budgets HWB Boards - Joint Strategic Commissioning - Pooled Resources Change to the future delivery model - Independence, Choice, Control Yorkshire & Humberside - Health and Well Being Collaborative - Think Local Act Pers…… TLAP Conference – 30.03.12 - LGYH Proposition

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