Transcript Cabinet Office 2011 09 15 Kingston LIS presentation

Making Sense
- Local Integrated Services
UNCLASSIFIED
What is the Big Society?
neighbourhoods are
in charge of their
own destiny, feel able
to shape the world
around them, and
choose to do so
UNCLASSIFIED
2
CONTEXT FOR REFORM
EXPERIENCE
GOING FORWARD
•LAA’s
•Pressure to deliver better for less
•Central burdens inhibit
innovation
•High expectations of services, less
money to deliver
•Total Place
•Citizen led decision making
•New financial freedoms and
flexibilities
•Rapid implementation
Community
Budgets
UNCLASSIFIED
The Problem
DfE
HO
LA
MoJ
YJB
Police
VCS
Young carer Police
support worker officer
Parent support
advisers/Schools
DH
CLG
DWP
PCT
Housing
authorities
JCP
Prisons
YOS worker
CAMHS/
Drug and Housing
Mental
Family support
alcohol link worker
Health
workers
team
Worker
Surestart
Intensive family
intervention
worker/
parenting
practitioner
UNCLASSIFIED
Employment
Personal
advisers
How did this happen?
1801
1834
1912
1944
2004 1986
Birmingham = Bourton-on-the-water
Pop 1 million vs Pop 4 000
VS
UNCLASSIFIED
Community Budgets: The challenge around
families with multiple problems
All of these
families
access
universal
services…
Universal Services1
£727m universal
spend/yr
Education - £583m
Child benefits - £113m
GP/NHS costs - £31m
…and
specialist
services,
(often
repeatedly
for many
years)
Targeted Services2
but family
breakdown
and crises
still leads to
very poor
and costly
outcomes
Reactive spend3
Children going into care, hoax fire
calls, nuisance behaviour costs,
juvenile criminality costs, truancy
costs, alternative education costs,
vandalism, evictions due to ASB
Welfare benefits - £753m
Mental health treatment - £21m
Parenting support - £53m
Drug treatment - £10m
£837m
targeted spend/yr
46,000
families
£2.5bn reactive
spend/yr
NOTE: BROAD ESTIMATES ONLY - does not include costs of criminal
justice services.
1
DfE 2010-11 planned pupil funding. HMRC website. NHS costs taken from NHS expenditure in England 2009, entitlement benefits HMRC, education costs taken from DfE planned educational spend 2010/11
costs taken from the following sources Dept of Health supplied figures (drugs, alcohol & mental health, Home Office (Dynamic Benefits report – Welfare) all other unit costs from published research Steve
Parrott and Christine Godfrey, Family Intervention Projects: Assessing potential cost-effectiveness University of York, 2008 (unpublished).
3 Unit costs from published research Steve Parrott and Christine Godfrey, Family Intervention Projects: Assessing potential cost-effectiveness University of York, 2008 (unpublished). Distribution of costs to
families based on a sample of 40 families selected by 17 authorities using a standardised methodology (DfE internal analysis)
2 Unit
UNCLASSIFIED
LIS – A Step Further
Public services
Community
assets – day
care centre
Volunteers
Charity staff
Public sector
buildings
Private sector
staff
Pubs
Clubs + Social
activities
Business
premises
UNCLASSIFIED
Principles
Local Authorities commission services in liaison
with local community and frontline staff
UNCLASSIFIED
What can others offer?
UNCLASSIFIED
In practice
Community as a commissioner
UNCLASSIFIED
Ricky
Community
Researcher
Basildon, Essex
UNCLASSIFIED
Responsibility and Activity
• Holocaust Centre – approach at a community
level. Helping people understand why they
need to take responsibility
• Community Organisers – Cabinet Office
supporting recruitment of 5000 people to
galvanise social action
UNCLASSIFIED
What does this mean for local
authorities?
UNCLASSIFIED
The Challenge
UNCLASSIFIED