Transcript Shared priority: Improving the lives of older people

Grand Designs?
Location Location?
Tim Hind
Adviser LGA
Architects & Architecture
• National Priority
Outcomes (c. 20 +
efficiency)
• National Indicators (c
200)
• Improvement Targets
(c. 35 + DfES)
• Local Priority Targets
Housekeeping
• DH – The NHS & Social care “balance”
• Process imperatives V “Outcomes”
– 18 week wait
– Better health
– Tackling inequalities
• Financial balance and NHS/LG cost issues
– Challenges to partnership arrangements
Project management – putting it
together
• ECM – outcomes X 5
• Adult soc care – X 7 + 2
• Other?
– Housing & income
– Employment, education, training
– Transport
Health and Wellbeing
• What is it an who’s responsible?
• Delivery of health and wellbeing = NHS &
LG – not NHS & “Social Care”
• The importance of people and places
• The LG Bill
• Focus on LAA – key local delivery vehicle
PSA targets & and CSR07
To Deliver
• Personalised services for
adults (saving NHS money)
• ECM
• Changes to meet
environmental challenges &
strong prosperous
communities
• Efficiency savings
• Council Tax in line with
inflation
• Continued performance
improvement
Councils need
• A share in real terms growth
available in public spending
– 1% pa to maintain services
– 4% pa to deliver new
burdens and ambitions
• Redirection of resources acute
to community
• Funding for new burdens
• Power for councils to drive
economic growth/ manage
cost pressures
• Capital funding for transport /
housing infrastructures
Budget March 07: Key points for
CSR
Headlines
• Overall public spending
growth at 1.9%
• Annual real increase in
education spend of 2.5%
• 3% p.a cash releasing
efficiency savings across
central / local govt (£26bn)
• Targets to reduce specific
grants / ring fenced funding
• Continued use of capping
powers
• CSR in the autumn
Response
• Councils need a share in
real terms growth available
in public spending
• 2.5% for education must
cover full funding for new
burdens in children services
• Cashable target of £5bn (of
a total £26bn) by
2010/11increases LG
efficiency target from 14%
to nearly 20% - a subsidy
for the rest of public sector
What do PSA targets mean in this context?
Commissioning for outcomes
• Clarity of definition and purpose
– Commissioning for health and wellbeing
– Commissioning for LTC
– Commissioning health services
• Whole system commissioning
individual, locality and authority
– PBC, locality, PCT, sub regional, regional
and national
Which means - location
• Developing capacity for personalisation &
choice
• New markets / micro providers
• New partners & partnerships
• Workforce development implications