personalisation update - birmingham's story
DESCRIPTION
Presentation by Steve Wise, Service Director (Business Change) at Birmingham City Council, given at BVSC Third Sector Assembly event in Birmingham, 21st September 2012.TRANSCRIPT
Personalisation update Birmingham’s Story
Steve WiseService Director (Business Change)
September 2012
Birmingham’s Costs
The options for the Council:
Maintain current budget? Fund the demographic projections? Transformation?
LSE projection
Budget projection
10 years
Co
sts
Transformation projection
BCC projection
Benefits model
Cost
avoidance
Cost
reduction
Year 10Year 6
£250k
£300k
£340k
What has changed?
• Was more service for more people with the same money (transformation)
• Now more for more with less (austerity)
• Transformation - £229m of savings over 10 years to fund demographic growth.
• Austerity – now £419m of savings over 10 years – but still not enough.
Funding Picture
NHS
Public funded social care
via local government
Personal contribution
Transformed Funding
Personal care and contributions
Gate keeping
Gate keeping
Gat
e k
eep
ing
Gate k
eepin
g
IBs Market shaping
Informed choice
Prediction and
prevention
Income maximisation Enablement
Benefit dependencies
USERSUSERS
More funds diverted to enablement
Fewer users require an
IB
Where do you fit in?
• In the prevent space around £9m.
• There is some penetration into care packages (£2m out of a total of £180m).
• From my perspective the voluntary sector could exist across all elements of the personalisation journey.
• Younger adult care needs a change of approach!
Conclusions
• We were already on a massive change journey with transformation.
• Austerity has tested the system to the limit!
• Integration with Health essential?
• If the voluntary sector is not to be squeezed, look at personalised services – Birmingham circa £180m!