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Cllr Graham Jones MRPharmS. Leader, West Berkshire Council Vice Chairman, Berkshire LPC. Pharmacy and local government.
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Cllr Graham Jones MRPharmS Leader, West Berkshire Council Vice Chairman, Berkshire LPC
“The system will focus on personalised care that reflects individuals’ health and care needs, supports carers and encourages strong joint arrangements and local partnerships”e
“To strengthen democratic legitimacy at local level, local authorities will promote the joining up of local NHS services, social care and health improvement.” p
Health and Wellbeing Boards • “Promote the joining up of local NHS services, social care and health improvement” • Joint strategic needs assessments
“We will strengthen the collective voice of patients and the public through arrangements led by local authorities, and at a national level, through a powerful new champion, Health Watch England, located in the care quality commission” f
“We will ring- fence public health, allocated to reflect relative population health outcomes, with a new health premium to promote action to reduce health inequalities”.u
Challenges facing Local Authorities • Demographic Time bomb – Community Care budgets • Cuts in government support • Less prescriptive working • Total Place
Changing budgets • Adult Community care • 2000 - 25% of budget • 2010 - 33% of budget • 2020 - 50% of budget ? • Rest – roads, children’s services, libraries, waste collection, recycling, countryside, housing, planning, leisure, culture, economic development etc etc
How does local government operate ? • Executive • Senior officers • Scrutiny
Local Government Structure • County and district councils • Unitary councils • Joint services
Who’s who • Director of Community Care • Portfolio holder for Community Care • Scrutiny leads / Health Scrutiny • Young people’s services • Health and Wellbeing Boards • Director of Public Health • MPs