Alcohol treatment services – the future for the voluntary & community sector?

Sally Scriminger, CEO

29 November 2010

sector’s contribution to addiction services

psychosocial counselling

group work

mutual aid

profile of the sector

140k general charities

55k social enterprises

4500 co-ops

1800 housing associations

11 million members

est. 500k active local groups (unregistered)

94% have turnover < £500k p.a.

c. 600 alcohol treatment providers

profile of the sector

In London:

c.50,000 voluntary & community sector organisations

250k employees (7% of London’s working population)

Contributes est. £18bn to London’s GDP

providers of public services

37% charities receive income from stat sources

(£13.5 bn p.a.)

public sector major source of income for many

delivering 7% public sector services

estimated rise to 12.5% by 2015

many smaller providers unable/unwilling to compete for

contracts.

what the sector brings:

value-led for public benefit.

independent voice

local community networks & partnerships

authentic & distinctive voice for service users

engagement of volunteers

freedom to experiment

responsiveness to change.

skills & expertise of voluntary trustees

charitable funds

2nd tier organisations

the evidence base

Organisation

Therapist

serviceuser

what is it about an agency which can support enhanced outcomes?

managerial style

organisational culture

values

passion

size

“…..organisational growth may well erode the ability of large organisations to offer the added value which made them attractive service providers in the first place”

Billis & Glenister, “Human Services and the Voluntary Sector: Towards a Theory of Comparative Advantage” 1998

“like the supermarkets who have driven many small traders to the wall, big charities are crowding out small, innovative community-based bodies whose thinking and practice is often more closely in touch with public opinion”

“According to NCVO there now seems to be an established trend towards the concentration of income in the very richest charities. The voluntary sector appears to be undergoing “Tescoisation” with a small minority of larger charities becoming ever more dominant”

challenges for the sector

impact of competition

core focus & priorities

pressure on costs

growth of large national providers

growing complexity of financial management

increased levels of financial risk

managing constant change

staff retention & morale

who is the “customer”?

philanthropy

challenges for the sector

increase in service opportunities

government expectations of “Big Society”

£890bn public sector debt

payment by results

Audit Commission recommendations

“Local Public Bodies should:….. develop their financial management information systems to enable them to assess the value for money they secure from different providers and to assess the impact of their commissioning practice on the voluntary sector”.

“Assess the impact of their commissioning practice on the size and diversity of their local supplier base, and the consequent prospects of securing improved value for money”

2007 Audit Commission “Hearts & Minds – Commissioning from

the Voluntary Sector”

the future for the voluntary & community sector?

major transition

contribution of voluntary sector:– service provider– partner– agent for change

impact of growth?

economic & political context

Big Society?

shape of the sector in 10 years time?