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LESS OF THE SAME, OR DOING IT DIFFERENTLY Martin Farran Executive Director of Adults & Communities

Local Government Yorkshire & Humberside SHAPING HEALTH AND WELL BEING IN YORKSHIRE & HUMBERSIDE Wednesday, 1 st February, 2012. LESS OF THE SAME, OR DOING IT DIFFERENTLY Martin Farran Executive Director of Adults & Communities Barnsley Metropolitan Borough Council

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LESS OF THE SAME, OR DOING IT DIFFERENTLY Martin Farran Executive Director of Adults & Communities

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  1. Local Government Yorkshire & HumbersideSHAPING HEALTH AND WELL BEING IN YORKSHIRE & HUMBERSIDEWednesday, 1st February, 2012 LESS OF THE SAME, OR DOING IT DIFFERENTLY Martin Farran Executive Director of Adults & Communities Barnsley Metropolitan Borough Council Chair of Yorkshire & Humberside ADASS

  2. MAY 2010: A NEW GOVERNMENT • NHS reorganisation • Chaotic education policies • Abolition of regional tier • Loss/reduction of grants especially WNF, EMA, EIG • Benefits reform • Localism, with interference at will • Small State, Big Society AND major Local Authority budget reductions (particularly in the north/most deprived areas)

  3. CHALLENGE OPPORTUNITIES • Financial - LA up to 30% - NHS £20bn – 25%+ - other statutory agencies 25% • Demographic • Growing population • Ageing population • Structural Change • Will incremental change get us there? • Are we just moving the deck chairs or changing the model of delivery

  4. A BRIEF LESSON FROM OUR PAST • 1980 Institutional care / limited home based support • 1990 NHS Institution closed – shift to care in the community • 1993 Assessment & Care Management - residential care - support at home • But still doing to • Output focussed

  5. PRIORITIES • Safeguarding – Across sector • WFD – Across sector • Strategic Commissioning – Across sector • Prevention / early intervention • Use of technology • Service users purchasing / managing own support • Partnership • Independent Sector – Biggest provider • Communities as assets

  6. DESIGN OF THE NHS COMMISSIONING BOARD • One National Commissioning Board- based in Leeds/London – 860 staff • 4 Sectors (as current SHA) – 200 staff • To Local Offices (as current clusters) – 2,500 staff • 8 Commissioning Support Units • Clinical Commissioning Group (CCG) to drive local commissioning linked to LA’s/Health & Well Being Boards

  7. DEVELOPMENT OF PERSONALISATION- Independence, Choice, Control • 2005/6 13 Individual Budget Pilot Sites • 2009/11 Putting People First (LA’s/Social Care) • 2011 Think Local, Act Personal (across sector) • Making It Real

  8. OPPORTUNITIES • Alternative Trading Models eg. eMarketplace, Market Development / Social Enterprise • Common Services eg. Front Office / Back Office / Buildings • Volunteer Strategy / Carers Strategy • Community Budgets • Personal Budgets • Universal Information and Advice

  9. OPPORTUNITIES • Co-production / Self reliance • Personal Budgets – 2013 – 100% - personal health budgets • HWB Boards - Joint Strategic Commissioning - Pooled Resources • Change to the future delivery model - Independence, Choice, Control • Yorkshire & Humberside- Health and Well Being Collaborative- Think Local Act Pers…… TLAP Conference – 30.03.12- LGYH Proposition

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