Grand Designs? Location Location? Tim Hind Adviser LGA

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Grand Designs?Location Location?Tim
HindAdviser LGA
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Architects Architecture
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• National Priority Outcomes (c. 20 efficiency)
• National Indicators (c 200)
• Improvement Targets (c. 35 DfES)
• Local Priority Targets

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Housekeeping

• DH The NHS Social care balance
• Process imperatives V Outcomes
• 18 week wait
• Better health
• Tackling inequalities
• Financial balance and NHS/LG cost issues
• Challenges to partnership arrangements

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Project management putting it together

• ECM outcomes X 5
• Adult soc care X 7 2
• Other?
• Housing income
• Employment, education, training
• Transport

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Health and Wellbeing

• What is it an whos responsible?
• Delivery of health and wellbeing NHS LG not
  NHS Social Care
• The importance of people and places
• The LG Bill
• Focus on LAA key local delivery vehicle

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PSA targets and CSR07

• To Deliver
• Personalised services for adults (saving NHS
  money)
• ECM
• Changes to meet environmental challenges strong
  prosperous communities
• Efficiency savings
• Council Tax in line with inflation
• Continued performance improvement

• Councils need
• A share in real terms growth available in public
  spending
• 1 pa to maintain services
• 4 pa to deliver new burdens and ambitions
• Redirection of resources acute to community
• Funding for new burdens
• Power for councils to drive economic growth/
  manage cost pressures
• Capital funding for transport / housing
  infrastructures

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Budget March 07 Key points for CSR

• Headlines
• Overall public spending growth at 1.9
• Annual real increase in education spend of 2.5
• 3 p.a cash releasing efficiency savings across
  central / local govt (26bn)
• Targets to reduce specific grants / ring fenced
  funding
• Continued use of capping powers
• CSR in the autumn

• Response
• Councils need a share in real terms growth
  available in public spending
• 2.5 for education must cover full funding for
  new burdens in children services
• Cashable target of 5bn (of a total 26bn) by
  2010/11increases LG efficiency target from 14 to
  nearly 20 - a subsidy for the rest of public
  sector

What do PSA targets mean in this context?
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Commissioning for outcomes

• Clarity of definition and purpose
• Commissioning for health and wellbeing
• Commissioning for LTC
• Commissioning health services
• Whole system commissioning
• individual, locality and authority
• PBC, locality, PCT, sub regional, regional and
  national

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Which means - location

• Developing capacity for personalisation choice
• New markets / micro providers
• New partners partnerships
• Workforce development implications