Transcript Slide 1

9th July 2012
Spending Reductions +
Increasing Demand =
Doing Things Differently
Overall funding for Councils
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The Context
Spending Reductions
• 30% reductions planned nationally over 3 years
• Approximately £4 billion public sector spend in
Leicestershire
• 30% applied to this = either £1.2 billion reduction or
£2.8 billion to spend – glass half empty or glass half full?
• Need to use what we do have as effectively as possible
– maximise our impact
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The Context
Increasing Demand
• Number of over 75s in Leicestershire forecast to increase by 83%
by 2030 – providing residential care for just 10% of these would
cost c£40 million extra per annum
• Diabetes costs rose by 58% between 2006/7 and 2010/11 –
unless we change something we will spend 17% of the NHS budget
on diabetes by 2035
• Obesity costs projected to double, from £25 million to more than
£50 million per annum, by 2050
• A 20% increase in the number of workless would cost an
additional £13 million a year
• Our 3,300 troubled families and families with complex needs cost
us £158 million per annum
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Troubled Families Profile: 1300
49% of households have some
form of mental health problem
64% have educational risks
Rises to 81% with Alcohol & Drug misuse
1 in 2 families involved in
crime / ASB
96% have at least one family
dysfunction risk
DV, Behaviour, Poor Parenting, Safeguarding,
unstable relationships etc
truancy >15%, SEN, exclusions,
class behaviour
57% solely or heavily reliant upon
state benefits
75% actually in receipt of benefits
36% of families have a physical
health condition
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We therefore need to do things differently…
• Focus on priorities
• Achieve better outcomes at lower cost
• Focus on prevention and early intervention
• Enable our communities
• More individual/personal responsibility
• Place-based approach
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Priorities
Principle = A shift to prevention and early intervention
in order to maximise the impact of limited resources –
“spend now to save later”
• A reduction in the number of Troubled Families
• Services designed to mitigate the impacts of an ageing
population and allowing older people to live
independently for longer
• Growth in the Leicestershire economy
• A healthier population with increased life expectancy,
and a reduction in health inequalities
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Specialist Groups
Localities
Leicestershire Together
Commissioning Board and Executive
Health &
Wellbeing
Community
Safety
Troubled
Families
Economic
Children &
Young People
Blaby
Cross-cutting themes
Housing/Planning/Infrastructure
Safeguarding
Stronger Communities
Transport
Sport and Physical Activity
Voluntary Community Sector
Rural
Housing Services
Charnwood
Harborough
Community Budget Programmes
Hinckley &
Bosworth
Melton
North West
Leicestershire
Oadby &
Wigston
Environment
Scrutiny = Leicestershire Together Working Group
Communities of interest/Protected Characteristics
Community Forums x25
Theme Commissioning
Boards
So how are we going to achieve the change?
• Different motivation for
people to work together
• Shared priorities and
plans
• ‘Whole system’ and
integrated approach to
commissioning services –
four key stages = Analyse,
Plan, Do, Review
• We need to invest now
in order to save on acute
services later
Strategic
Commissioning
4.
Review
Supplier
management
Contract
management
monitoring
Needs
analysis
Spend
category
analysis
Priorities
Contract
specification /
SLA
development
3.
Do
1.
Analyse
Strategic Procurement
Procurement
process
support
Market
analysis /
engagement
Route to market
analysis /
purchasing plan
2.
Plan
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Practical Example – Sport
• Reduction in resources following the end of LAA2
• New model developed with shift from universal to
targeted approach
• Focus on families rather than individuals
• Focus on the physically inactive rather than getting
those who already exercise to do more
• Broader range of activities – not just organised sport
• Money allocated on a needs (evidence based) basis by
locality – some districts lost out e.g. because there are
higher numbers of inactive people in Charnwood and NW
Leicestershire
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The opportunities for Local Councils
Think about the role of Local Councils in delivering the
Leicestershire priorities…
• Troubled Families – youth activities/facilities, play areas, play
groups, family support e.g. befriending schemes
• Older People – good neighbour schemes (e.g. help with
gardening, shopping, small jobs around the house), luncheon
clubs, community transport
• Economic – Broadband Leicestershire project, supporting local
businesses, encourage local social enterprises, job clubs,
volunteering opportunities for workless
• Health – Parish walks, ‘trim trails’ and outdoor gyms, gardening
projects, farmers markets, shop and cook projects, sports facilities
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The opportunities for Local Councils
• Establish the key needs within your communities – through
Parish Plans, Neighbourhood Plans, topic specific surveys
• Take advantage of Big Society Grant Fund/Community Forum
Budgets to develop projects to meet identified local needs
• Work with us to help your community to plan for service changes
– what support do you need from us to do this?
• Maximise use of local assets – community post offices in village
halls, shops in pubs, different uses of church buildings etc.
• Use your new Rights…to Challenge, Bid and Build
• Don’t be afraid to experiment and try new things…and talk to us
about your ideas – we want to help!
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