Transcript Document
Greg Burke Government Office for the North West Local Integrated Services (LIS) – the problem • Too many people and places left behind despite major investment • Economic marginalisation of entire communities • Generational, cultural, emotional, physical and economic deprivation and dependency • Too many targets, too much top-down diktat, too much muddle and waste, too much stifling of local ideas • Lack of private sector investment (or interest) • Failure costs money – chaotic families can cost £300k per year Public Services Now – the problem A complex network of public service providers and intermediaries engaging with people, families and neighbourhoods, often with VCS organisations helping people navigate or access the system (or filling service gaps). Glossary MOJ Courts Prison NOMS PCT Home Office Probation SHA GP Police Key CLG Communities & Local Government CTB Council Tax Benefit DfE Department for Education DCMS Department for Culture, Media & Sport DH Department of Health DWP Department for Work & Pensions GP General Practitioner HB Housing Benefit HCA Homes & Communities Agency HMRC Her Majesty’s Revenue & Customs LA Local Authority MOJ Ministry of Justice NOMS National Offender Management Service PCT Primary Care Trust PDCS Pension, Disability & Carers Service SHA Strategic Health Authority VCS Voluntary & community sector (includes cooperatives and charities Fire Hospital Health Visitor VCS Neighbourhood Team DH LA Drug Treatment HB/ CTB Social Landlord Library Direct Delivery School Social Services Children’s Jobcentre PDCS Services CLG HCA HMRC Intermediary DCMS DfE Govt Dept DWP Local Integrated Services – the solution People, families and neighbourhoods access support from a local budget holder. The local budget holder commissions integrated services from the range of public sector funders designed around the needs of the communities in which they operate. The VCS organisations are still active in this implementation model. They may, in the case of Social Enterprises and mutuals, be – or be a part of – the local budget holder. There may Home be a need for some individuals to get additional support Office simply to be able to access the local budget holder in the first place. MOJ Courts Prison Probation NOMS Police Fire Neighbourhood Team HB/ CTB Jobcentre Social Services GP Health Visitor School Drug PDCS LA HMRC Social Landlord Children’s Treatment Services The direction PCT Hospital Library of control shifts, from the SHA service providers to the person, family or DfE DH DCMS neighbourhood, through the local budget holder commissioning on their behalves and to meet their needs. The connections between providers and suppliers are not visible to the person/people in need. And there will still be a need for VCS organisations to fill niche provision gaps or to provide CLG the connections at the boundaries between types of services. HCA DWP Key Voluntary & Community Sector, including mutuals and co-operatives Local Integrated Services – where are we? • A number of places are exploring the idea • Government interested – builds on Total Place • Could be ready to roll-out April 2011 • Seen as a practical way of implementing the Big Society concept • Needs increased flexibility and removal of barriers particularly around pooling of budgets and data sharing • Generates increased community engagement and VCS involvement • Requires Ministerial and official buy-in across Whitehall – some promising signs • Awaiting Spending Review!