Download - Making Sense - Local Integrated Services
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Making Sense- Local Integrated Services
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What is the Big Society?
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Taking an active role in
our communities,
engaging in positive
social action, and
helping others out
neighbourhoods are in charge of their own destiny, feel able to shape the
world around them, and choose to do so
Government becomes a
better buyer from a
range of providers in
order to achieve more
innovative, diverse and
responsive services
which give real value £
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•LAA’s
•Central burdens inhibit innovation
•Total Place
•Pressure to deliver better for less
•High expectations of services, less money to deliver
•Citizen led decision making
•New financial freedoms and flexibilities
•Rapid implementation
EXPERIENCE GOING FORWARD
Community Budgets
CONTEXT FOR REFORM
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DfE
The Problem
Intensive family intervention
worker/ parenting
practitioner
DH
LA YJB PCTPolice
Surestart
Parent support advisers/Schools
Police officer
YOS workerCAMHS/ Mental Health Worker
Drug and alcohol team
DWP
JCP
Employment Personal advisers
VCS
Young carer support worker
Prisons
Family support workers
CLG
Housingauthorities
Housing link worker
MoJHO
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How did this happen?
1801183419121944 19862004
Birmingham = Bourton-on-the-waterPop 1 million vs Pop 4 000
VS
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Community Budgets: The challenge around families with multiple problemsUniversal Services1
Education - £583m
Child benefits - £113m
GP/NHS costs - £31m
Targeted Services2
Welfare benefits - £753m
Mental health treatment - £21m
Parenting support - £53m
Drug treatment - £10m
£727m universal spend/yr
£837mtargeted spend/yr
Reactive spend3
Children going into care, hoax fire calls, nuisance behaviour costs, juvenile criminality costs, truancy costs, alternative education costs, vandalism, evictions due to ASB
£2.5bn reactive spend/yr
1 DfE 2010-11 planned pupil funding. HMRC website. NHS costs taken from NHS expenditure in England 2009, entitlement benefits HMRC, education costs taken from DfE planned educational spend 2010/112 Unit costs taken from the following sources Dept of Health supplied figures (drugs, alcohol & mental health, Home Office (Dynamic Benefits report – Welfare) all other unit costs from published research Steve
Parrott and Christine Godfrey, Family Intervention Projects: Assessing potential cost-effectiveness University of York, 2008 (unpublished).3 Unit costs from published research Steve Parrott and Christine Godfrey, Family Intervention Projects: Assessing potential cost-effectiveness University of York, 2008 (unpublished). Distribution of costs to families
based on a sample of 40 families selected by 17 authorities using a standardised methodology (DfE internal analysis)
46,000families
All of these families access universal services…
…and specialist services, (often repeatedly for many years)
but family breakdown and crises still leads to very poor and costly outcomes
NOTE: BROAD ESTIMATES ONLY - does not include costs of criminal justice services.
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LIS – A Step Further
Public services
Public sector buildings
Community assets – day care centre
Pubs
Business premises
Volunteers
Charity staff
Private sector staff
Clubs + Social activities
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Principles
Local Authorities commission services in liaison with local community and frontline staff
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What can others offer?
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In practice
Community as a commissioner
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Ricky Community Researcher
Basildon, Essex
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Responsibility and Activity
• Holocaust Centre – approach at a community level. Helping people understand why they need to take responsibility
• Community Organisers – Cabinet Office supporting recruitment of 5000 people to galvanise social action
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What does this mean for local authorities?
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The Challenge
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