The future role of VCSE organisations in health and

care Alex Fox, CEO of Shared Lives Plus & Chair of VCSE Review Advisory Group

NHS designed for shorter lives, fixable illnesses and injuries.

Population living longer with long term support needs.

The big challenges facing the NHS do not have a medical solution.

Money and power remains glued to acute & crisis response.

The National Illness Service?

Personalisation has made better progress in empowering individuals

than empowering communities.

•Choice and control don’t always result in new forms of community

support.

•A good / new service doesn’t guarantee a good life.

Community is often mistaken for a location: it’s our connections.

Social care isn’t always social and caring

The Care Act: social care’s primary purpose is wellbeing.

NHS England 5 Year Forward View: ‘renewable energy’.

Achieving wellbeing is not in services’ gift.

It needs interventions which build capabilities and resilience.

So for system change we need:

•A new ‘front end’ which is built around community capacity

•Acute & crisis interventions built around individuals & their networks

Beyond better services

Health and care feel needs-based, short term & medicalised:

•Crisis-only: “Are things bad enough yet?”

•Means-testing: “Are you poor enough?”

•Complex: “We have labelled you & decided your care pathway.”

•Maintained dependence: “We can help if you stay ‘critical’.”

A new ‘front end’

Move away from ‘pipelines’ and ‘pathways’:•Informed•Connected•Confident

e.g.•Local Area Coordination•Care banks and time banks•ABCD•Co-production

A new ‘front end’

DanceSyndrome

(Re-)arranging interventions in support of informal networks:

•Shared Lives •Homeshare•Community enterprise•Peer support•Circles of Support•KeyRing networks

Community capacity built into individual support

A National Health and Well being Service

Rethink JSNAs: look for assets not just needs

Rethink prevention: instead think future-focused

Rethink integration: collaboration test

Rethink leadership: look for all the local leaders

The role of the VCSE sector?

Co-designing holistic local systems focused on long term goals

Strengthening families; communities: building resilience

Engaging the whole of the community

Building social action, volunteering and local leadership

Addressing the social determinants

The challenge for the VCSE sector

Getting a seat at the table

Changing the conversation during austerity

Sharing the resources, risks and responsibilities

Remaining close to communities

Demonstrating the impacts we claim

To reach and engage communities the statutory sector needs to collaborate effectively with people, community groups, charities and social enterprises.

The Joint VCSE review

Initiated by NHS England, Dept Health and Public Health England

1. Investment and partnerships between health and care agencies and the VCSE sector across England.

2. A review of the Voluntary Sector Investment Programme. Managed by the Department of Health comprising three funds:

The Strategic Partner Programme; The Innovation, Excellence and Strategic Development Fund; The Health and Social Care Volunteering Fund

The review is led by an advisory group of members from the statutory health and care system, VCSE sector and funders.

The Joint VCSE review

Early 2015 - a series of focus groups and roundtables with the VCSE sector March 2015 - an interim report republished August - November 2015 – second phase of engagement stakeholders

Share your views in today’s event Complete either or both of the online surveys on the discussion papers: Share your views by post if you cannot respond online Online webinars and live chats Comment on or contribute a blog on the VCSE Review website

Early 2016 – final recommendations published

The Joint VCSE review

The Joint VCSE review

The strengths and USP of the sector

What we heard in phase one. The sector at its best is:

The strengths and USP of the sector

We heard the challenges include:

The strengths and USP of the sector

We heard the challenges include:

The strengths and USP of the sector

We heard the challenges include:

The strengths and USP of the sector

We heard the challenges include:

Gathering views and evidence

Feedback from today’s discussion groups will be fed in vcsereview.org.uk - comment on blogs or contribute your own Contribute your own response via the two online surveys:

Voluntary Sector Investment Programme:

https://www.engage.england.nhs.uk/consultation/vcse-review-vsipChallenges and solutions to better investment and partnerships:

https://www.engage.england.nhs.uk/consultation/vcse-review Consultations close on 6 November 2015

Alex Fox, CEO,

Shared Lives Plus,

alex@SharedLivesPlus.org.uk

www.SharedLivesPlus.org.uk

07738641897

http://alexfoxblog.wordpress.com

Twitter: @alexsharedlives• Can we have a People Powered NHS? RSA: http://bit.ly/1psacBe• The new social care, RSA: http://goo.gl/6NPnP• The State of Shared Lives in England: www.SharedLivesPlus.org.uk

My contact details West Wales Adult

Placement