Developing Kents Local Area Agreement

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Developing KentsLocal Area Agreement

• Mike Daly Assistant Director Kent and Medway
  Strategic Health Authority

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What exactly is an LAA?
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20 Government Departments
100 Next Step Agencies
9 Regional Officers
9 RDAs
9 RAs
150 Counties Unitaries
SHA
40 LSCs
43 CPS
43 Police Authorities
240 Districts
303 PCTs
BCUs
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20 Government Departments
National Integration
The Deal
Local Area Agreements
Kent Partnership
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Kents Local Area Agreement
Mainstream funding, National PSA and Floor
Targets
Government Freedoms and Flexibilities
Area Based Funds
1. Children and Young People
Constituent Bodies
2. Safer and Stronger Communities
Local Area Agreement
LPSA 2
Outcomes for People
Vision for Kent/ Community Strategies
KENT PARTNERSHIP
3. Healthier Communities and Older People
Other Shared Priorities
Overseen by the Government Office and signed off
by Ministers
Area Based Funds
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What will an LAA achieve?

• Genuine partnership working
• Enable local authorities , PCTs and other
  partners to deliver national outcomes reflecting
  local priorities
• Freedom and flexibility to find local solutions
  to local problems
• Prioritise spending to achieve the outcomes

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What will the LAA achieve?

• Joining up delivery of local public services
• Rationalising funding streams
• Reducing regulatory burdens
• Encouraging creative approaches to service and to
  policy delivery. For example Choosing Health
• LSPs that can deliver

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How will this happen?

• Community Strategy key local priorities
• Local PSA to set challenging stretch for reward
• Based on 3 key themes
• Children and Young People
• Safer and Stronger Communities
• Healthier Communities and Older People
• Agreement on funding streams in LAA

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Focus on outcomes

• Built up from national PSAs and floor targets
  (For example (Reducing the risk factors
  associated with obesity)
• Under each block, a series of outcomes,
  indicators and targets have been identified . For
  example PCT LDP targets reflecting Choosing
  Health
• Limited number of high level outcomes (national
  PSA Targets or Floor Standards)
• Menu of indicators and locally derived indicators

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How does this work in Kent?
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Treasury
Cabinet
DTLR
DWP
DCMS
Home
DEFRA
DfES
DTI
DoH
Kent Partnership Public Service Board
Joined up Co-ordinated Targeted
Measurable Accountable
OUTCOMES
DELIVERY OF
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Local Authorities
Public Service Board
Vice- Chancellor, U of K 0.4bn
Leader, KCC 1.8bn
Higher Education
Director, Job Centre Plus 2.9bn
Payment of Benefits
The NHS
Chief Executives of SHA PCTs 1.6bn
Chairman
Chief Constable, Kent Police 0.3bn
Further Education
Chairman, LSC 0.3bn
Community Safety
7.0bn
Chief Fire Officer 50m
Central Government
District Council Chief Executives 500m
Director, GOSE LPSA2
SEEDA 200m
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Public Service Board

• To join together the totality of public
  expenditure in Kent in order to create added
  value through better co-ordination, innovation
  and joint working across public services in Kent,
  and with Government.

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The role of Government Office

• Working closely and openly with pilot areas
• Regional Director taking the overview
• Area directors leading in their patch
• High corporate priority some internal
• reorganisation

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Negotiating the Kent LAA
John Scott Director Home Office Dick
Oldfield Regional Manager Crime Reduction Leading
Kent SSCF Negotiations
Vicki Harrington Judith Higgins Carol
Valentine Philip Charles Jan Stephens Peter Gilroy
Regional Director
Chief Executive
Mark Bilsborough Area Director
Trevor Minter Director, Kent Partnership
Judy Doherty Angels Graham Chris Carter Oliver
Mills Ian Craig
Bernice OReilly Team Leader Housing and
Communities Maureen Pullen Team Leader Planning
Colin McLean Graham Brown
Hilary Omissi Deputy Director DfES
Graeme Phillips Mark Lemon Michael Thomas
San Mike Daly Director of Public health
Mike Gill Director DH David Sheehan
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The role of PCTs
PCT Role

• PCTs are being asked to provide the operational
  lead in the
• development and delivery of the health elements
  across 3
• blocks
• PCTs are expected to work closely with their LAs
  and other
• LSP partners to
• Develop the LAA
• Co-ordinate the contribution of other NHS bodies
  to the LAA
• Support the negotiation process
• Implement the agreed LAA.
• Need to ensure the LAA process and other LDP
  processes
• are consistent with each other

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The role of SHAs
SHA Role The

• SHA perform a critical role
• Enabling delivery through performance management
• Facilitate partnership with RDPH and wider
  regional team

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The role of Dept of Health
Dept Health Role The role of

• Regional Director of Public Health
• To provide DH presence to advise on health
  elements of LAAs
• Support the negotiation process across all
  functional blocks
• Report progress to DH

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Current success to date

• Local Area Agreement completed by 12 District
  Councils , 8 PCTS , Kent County Council , Kent
  and Medway Strategic Health Authority, Kent
  Police, other partners with Government
• 16 Strategic Outcomes Agreed.
• Including Outcome 16 - Improving the Health of
  the population and reducing health inequalities.

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The LAA Delivering for Health

• Health Improvement is a core theme in all 3
  blocks
• Reduction in the number of people who smoke
• Reduce the risk factors associated with obesity
  levels across the county
• Improve sexual health and reduce teenage
  pregnancy
• Reduce substance abuse (including drugs and
  alcohol)
• Improve the mental health and emotional well
  being of the people of Kent

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Progress and next steps for Kent

• Public Service Board in place
• Project Plan in place
• Each Outcome has a dedicated lead
• Partnership Team developing
• Strengthening the link with Compact/VCS

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Emerging issues

• The leadership role of LSPs - in particular
  around Public Health
• Tensions for PCTs and Districts between county
  and local delivery
• Motivating all partners. seeing whats in it for
  me
• Alignment with LDPs and Choosing Health Delivery
• The corporate public sector approach