Transcript Document

Public Service Reform and the
Public’s Health
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PSR Strategic Overview
• Ambition is for sustainable economic growth, where all
residents contribute to and benefit from sustained
prosperity. This is set out in the GMS and our Growth
and Reform Plan.
• Generating growth and jobs will not be sufficient to close
the gap between tax and public spending.
• Reform public services to connect our people and
neighbourhoods to growth.
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• Reform has to become a key mainstream element of
how districts and partners will meet the financial
challenges of 2015/16 and beyond.
• 2014/15 – two big ticket proposals to significantly
scale up reform:
Complex dependency – broader and deeper than
Troubled Families
Health and social care integration – investing in
integrated care at scale
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Ambition to be
Financially Self-Sufficient
• GM spends around £5bn more than
our total tax contribution
• Total tax take estimated at £17bn.
Significant investment in growth. GM
economy more resilient than most
• Need to sustainably reduce £22bn
public spending
• Total spend has not changed in real
terms, despite the cuts
22bn
17bn
£22.9 bn
£22.5 bn
• Proportions have changed – more on
welfare benefits: costs of failure
• Work and skills is the key issue for
both growth and reform; productivity,
dependency and public spending
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Reform and Growth
• GM vision to pioneer a new model for sustainable economic growth, based
around a more connected, talented, and greener city region where all our
residents are able to contribute to and benefit from sustained prosperity.
• GM PSR Programme is central to the delivery of this vision. Increasing
independence and enabling people and their families to take advantage of
economic growth across the wider city region.
• PSR is how GM will reduce demand and dependency on public services by
putting in place evidence based activity that reduces dependency, enables
greater productivity and economic growth.
PSR principles
1. Interventions chosen on strength of evidence base
2. Integrated and sequenced – bespoke packages of support – right time and
order
3. Family based approach not just focusing on an individual
4. New investment models – partners investing across boundaries
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Reform Timescales
October 2013
• Develop best examples of
Investable Propositions
• Submit GM Growth and
Reform Plan for deal with
Government, and ESF£
Autumn 2013 – March 2014
• Commit to testing PSR at
greater scale over next 18
months to generate
strongest possible
evidence
October 2013
March 2014
2014/15 – March 2015
• Testing PSR at greater scale
• Obtain strong evaluation evidence of
actuals, to replace modelled assumptions
• Second version Investable Propositions
that convince partners to invest at scale,
and Government to do a GM deal
April 2014
End March 2014
• Submit Health and Social
Care pooled budget plans
• ESF round 2014-2020 starts
April 2015
2015/16 to 2020
• Investment agreements operational
for all PSR themes
• Fully implement PSR across GM
• Aim to have GM deal on growth and
reform with the next Government
over a full spending period
2020
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Physical Activity and
Public Service Reform
• Need to target public health interventions and bend the
focus of mainstream services to stem the flow of demand.
• There is now better understanding that physical inactivity is
a risk factor for ill health - and future dependency on public
services.
• Some recognition that all agencies need to take action to
reduce inactivity to reduce future demand on public
services.
• However, physical activity is not regularly included in
mainstream activities and many agencies are not clear what
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cost benefits are associated with increased physical activity.
• Evidence base is available – and well developed in
some areas – but not routinely applied by services.
• Return on investment tool has been developed but it
measures benefits for health services (NHS) not all
other agencies.
• More work to ensure that physical activity is
reframed – as an evidence based intervention to
reduce demand on public services…
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Cycling: Societal Benefits
•
Older people (50+) who engage in regular
physical activity reduce their risk of dementia
by 40%. (Dementia related services cost local
government and the NHS over £19 billion a
year)
• Mental health – condition management is
better and recovery for longer for patients
that undertake regular exercise (cycling is
specifically mentioned).
• The LSE Report - The British Cycling Economy:
 Gross cycling product (potential growth for
Greater Manchester) of £230 per cyclist.
 Frequent and Regular cyclists could save the
economy £2 billion across ten years in
reduced absenteeism
 Latent demand for cycling could amount to
around £516 million of untapped economic
potential for UK
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Cycling and Public Sector Reform
• Need to raise awareness of what the future costs to
public service agencies will be for a population that do
not exercise regularly.
• Translate the physical activity language to one that is
relevant for adult social care, children’s services etc.
• Be clear about how cycling can be built into other
community activities or services.
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• Think about how the conversation moves on from 20
mph schemes (important but not everything) – to
exercise becoming part of case management with
complex individuals.
• Help agencies understand that investment in cycling
is more than capital schemes.
• Working with community asset building programmes
to develop community infrastructure to help people
get on their bikes, keep their bikes working and stay
safe.
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