prevention and demand management working together – to develop the way forward cllr heather smith
TRANSCRIPT
![Page 1: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/1.jpg)
Prevention and Demand Management
Working Together – to develop the way forward
Cllr Heather Smith
![Page 2: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/2.jpg)
Prevention Strategy
The story so far
Janet DoranAssistant Director Community Services
![Page 3: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/3.jpg)
Journey to date –
• Consultation and engagement• Customer Forum• Stakeholder events• Strategy developed and agreed• Fair and Equitable Funding Formula• Decision to halt work in the Summer
![Page 4: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/4.jpg)
Customer Forum
![Page 5: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/5.jpg)
‘‘An important job had to be done and Everybody was sure that Somebody would
do it. Anybody could have done it, but Nobody did it. Somebody got angry about
that because it was Everybody’s job. Everybody thought that Anybody could do it,
but Nobody realised that Everybody wouldn’t do it. It ended up that Everybody blamed Somebody when Nobody did what
Anybody could have done’.
![Page 6: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/6.jpg)
Prevention Customer Forum
Where Next?
![Page 7: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/7.jpg)
Prevention
HousingHealthy schools
Welfare Benefits
Under Twos money
Clinical Commissioning Group
Health & Wellbeing Board.
Health watch
Troubled Families Money
![Page 8: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/8.jpg)
Why Healthwatch
• Health watch are likely to be involved with locality groups and health and wellbeing fora
• They will have access to other organisations and customer / user groups
• This will enable us to access specialist groups of customers fast, to support the forum knowledge
• Access to research and models of good practice
![Page 9: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/9.jpg)
What we give back in return
• A group of customers who have expertise in prevention services
• A voice within the prevention agenda • A sharing of information • Work together to make sure the customer is
heard with in localities
![Page 10: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/10.jpg)
The Big Idea
![Page 11: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/11.jpg)
Our Idea May Deliver
Local focused services
No duplication
Cost Efficient
![Page 12: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/12.jpg)
How It Works
Prevention MoneyIn Locality
£
Local And District Council
Health And Wellbeing Fora
GPCommissioning
Schools and Education
![Page 13: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/13.jpg)
Customers
Voluntary sector
County council
• Local people • Customer forum• Health watch
• Infrastructure organisations • Local and county wide
providers
• commissioners• Councillors • Legal rep• Scrutiny committee member
Assessing and Monitoring
![Page 14: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/14.jpg)
Out Come
• Save money. • Less duplication.• Services delivered in a targeted way.• Less layers of hierarchy.• Local focus. • Customers get joined up working and
organisations work together .• Services are appropriate to local need.
![Page 15: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/15.jpg)
Finance Update
Jon LeeLGSS
Strategic Finance Manager
![Page 16: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/16.jpg)
A Year in the Life of the Medium Term Financial
Plan
![Page 17: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/17.jpg)
2012-13 to 2015-16 Balanced Medium Term Financial Plan
• Council Approved Budget February 2012• First ever fully balanced four year MTFP• Backed up by robust, detailed proposals
![Page 18: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/18.jpg)
Problems Not Going Away
Eurozone Crisis
Banking/Credit Crises
Double-Dip Recession
Continuing Austerity
![Page 19: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/19.jpg)
Economic Indicators
GDP – slow recovery
Inflation – return to 2% target
Deficit – continued austerity
Debt – continues to increase!
![Page 20: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/20.jpg)
National Funding Outlook
2010
/11
2011
/12
2012
/13
2013
/14
2014
/15
2015
/16
2016
/17
2017
/18
2018
/19
2019
/20£0
£50
£100
£150
£200
£250
£300
£350
£400
£450
£500
Social Care - Children Social Care - Adults Environment (inc Waste)Money available for all other services
£ (m
illio
n)Graph of Doom?• Innovation• Strategic Partnerships• New Ways of Working• Opportunities
Greater DemandReducing IncomeIncreasing Gap
![Page 21: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/21.jpg)
Clouds on the Horizon....
Balanced 2012-13 to 2015-16 MTFP
REVISED SERVICE ASSUMPTIONS
E.G. DEMOGRAPHY & DEMAND
FURTHER AUSTERITY MEASURESCOUNCIL TAX
ASSUMPTIONS
CONITNUING UNCERTAINTY IN
ECONOMY
LOCAL IN YEAR PRESSURES
LONG TERM FORECAST FOR
LOCAL AUTHORITY EXPENDITURE
RESERVES AND RISK
BUSINESS RATES
RETENTION
LOCALISATION OF COUNCIL
TAX SUPPORT
![Page 22: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/22.jpg)
Light at the end of the tunnel?
Sunshine or train headlights?!
• Ongoing austerity – 2018?
• High levels of national debt
• Stagnant economy
• Uncertain direction of global economy
• Impact of funding changes unclear
• Spending review Autumn 2013
• General Election 2015
![Page 23: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/23.jpg)
The Way Forward
Janet Doran and Andrew Jepps
![Page 24: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/24.jpg)
Budget Proposals 2013-14
Total Budget Reduction - £2.531 Million • 10% Reduction Children’s Centres • 10% Reduction Housing Support Services• 25% Reduction Third Sector Infrastructure
Support • 12.5% Reduction Small Grant Provision • 15% Reduction Older People Services• 10% Reduction Carers• 10% Reduction Youth Provision
![Page 25: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/25.jpg)
What Is Still Relevant in the Current Strategy
• We remain accountable for services to the most vulnerable, but must explore with our partners the most effective and efficient ways to deliver that support (Page 3)
![Page 26: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/26.jpg)
We still :
• Want to work with local communities• Have to make considerable savings• Want to make an impact on preventing
children, families and older people from needing high cost services (Page 4)
![Page 27: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/27.jpg)
•There is reduced spending for social care and health services •The population of the County is growing and changing which means there are more people that will need help•There is evidence that prevention services can help people with less resource and give better outcomes. (Page 9)
Still Relevant...
![Page 28: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/28.jpg)
•People want much easier access to local support with just one place to go with better information sharing to avoid multiple assessments•Access to specialist knowledge and skills when they are needed is important•There are opportunities from working in collaboration•There is support for local decision making and the idea of a funding methodology (Page 9)
What People Said...
![Page 29: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/29.jpg)
Families and individuals are helped to avoid a crisis that could lead to needing specialist services;Target spending more effectively towards the needs of those on the edge of care; Provide strong evidence of the impact that they have in reducing the needs for specialist services. Helping families and individuals to “step down” into universal or low level targeted support services (Page 10)
The County Council and partners will concentrate on commissioning prevention and demand management services which achieve the following:
![Page 30: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/30.jpg)
Targeted prevention support
Information sharing
No identified additional
needs
Additional needs
Complex needs
ThresholdsPathwaysNeeds met
Children and Families Continuum
![Page 31: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/31.jpg)
Adults and Older People Continuum
Information sharing
Additional needs
ThresholdsPathwaysNeeds met
![Page 32: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/32.jpg)
Lead Professional
from statutory specialist service
Lead Professional Practitioner
from relevant discipline
Lead Professional not required
Lead Professional not required
Helping you to help yourself
![Page 33: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/33.jpg)
Specialist
Targeted Prevention
Early Help
Universal
![Page 34: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/34.jpg)
‘Working Together’
PDM Commissioned Services
Vol & Community Sector
Targeted Prevention
Team
Troubled Families
Health
Borough & District Councils
![Page 35: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/35.jpg)
Contracted Services
Data Performance Information
Business Systems
Vulnerable individuals/families/communities
CCL Staff
Social Care Staff
Other Statutory Services
![Page 36: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/36.jpg)
•Recommissioning is likely to produced a Significant Change•More Skilled Generalists•Being Clear about what additional support will be needed•Working closely with health to commission together
Thinking So Far...
![Page 37: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/37.jpg)
Commissioning Proposals
Three Strands
• Children and Families• Vulnerable Adults• Frail Elderly
![Page 38: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/38.jpg)
Intended timelines for Commissioning
Continued Provider and
Customer Developmen
t, Engagement
and Consultation
Action Dates
Contract extensions/variations Dec – Apr 2013
Open Event Feb/March 2013
Strategy Refresh March-April 2013
Potential cabinet decision June 2013
Procurement June 2013
New service in place April 2014
![Page 39: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/39.jpg)
Reflection and questions
• Please note any queries on post it notes and place on boards
• Responses to questions will be published on Prevention Website
![Page 40: Prevention and Demand Management Working Together – to develop the way forward Cllr Heather Smith](https://reader035.vdocument.in/reader035/viewer/2022062417/551bc835550346b4588b4f09/html5/thumbnails/40.jpg)
Working Together
• Group Discussion – based on focussed commissioned areas
• Identifying outcomes – making a difference
• Next steps for working together