1. West Lancs VCFS Forum 18 February 2015 Setting the Context : Drivers for Change Professor John Diamond, Director I4P,Edge Hill University, UK

2. 1.Context : Austerity, Change and Instability 2.Austerity : experiences since 2010 and anticipating the next five years 3.Change : Not only about resources but about voice, ability to influence and capacity to respond 4.Instability : changes to organisations / commissioning / political and social change

3. Anticipating the next 5 years : Disruption and change Difficulty in planning / new networks – willingness to be flexible Changes within existing partners – local authority as well as health and social care – commissioning and procurement

4. Unresolved but key : Combined Authority and Devolution – VCFS needs to be engaged New structures of health and social care New structures for VCFS Leadership role(s) for VCFS – where (level?)/ who ? / how ? Unresolved : accountability, scrutiny and voice