Comprehensive Spending Review 2007The challenge ahead

Corin Thomson

Outline

• What is it all about?• What can we expect?• What are we going to do?• What does it mean for CWB?

CSR07What is it all about?

• What has the govt achieved?• Has the money been well spent?• How do we meet the challenges of the

future?– Demographic change– Global economic integration– Technological innovation– Global uncertainty– Climate change & sustainability

CSR07 What can we expect?

CSR07 What can we expect?

CSR07 What can we expect?

• Scarce resources allocated to key priorities– Education, health, aid

• A real terms funding freeze– End of good old days? (39%

increase to date)• Increased efficiency target

– “at least” 2.5% with “far greater” cashable savings

CSR07Key messages

• CSR07 is going to be tight• We must prove that the best solutions

are local• Prioritisation and mitigation

CSR07What does it mean for CWB?

Opportunities• Meeting the ageing challenge

– A key priority• Govt recognise the pressure

– Additional resources in recent years• Implementing the vision

– DH commitment to changing system

CSR07 What does it mean for CWB?

Risks• Real terms freeze• Could lose out against NHS• Most potential for efficiency• Pressure on other areas could impact

– Supporting people, disabled facilities

CSR07Lobbying

• Autumn statement – an important first shot

• Keep up momentum– Fair care campaign, budget survey

• Submission to DH– Increased funding for demographic and

service change– Shift in funding from acute

• Cross public sector savings– National dialogue