IEWM Annual Conference

Shaping demand and

integrating services:

Are you using what you know

already?

5 December 2014

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Recent iNetwork learn and share sessions:

• Nov 2014: Delivering Whole Systems Change

• Nov 2014: iNetwork Innovation Awards

• Nov 2014: Transforming your service: process automation and integration

• Oct 2014: Delivering key public service outcomes: the role of digital, social media and tech

• Oct 2014: Sharing demand by understanding and influencing behaviours

• Sept 2014: Cross sector forum on information standards in the public sector

• Sept 2014: Building your organisations information asset registers

• Sept 2014: Challenging transformation – how the families agenda is shaping our thinking and delivery

www.i-network.org.uk

2

3

Perseverance and persuasion is

everything

4 ©iNetwork 2014

2008 2010 2011 2012 2013

Initial

discussion with

Sefton Council

2009 2014

Initial

discussion

with DWP

locally &

nationally

Local no go

Successful

funding

from NWIEP

Central DWP

support

(CFM)

Business

case

complete

Support

from Sir

Leigh

Lewis

Tameside

pilot

Stockport /

Rochdale

+

Warrington

pension

centre pilot

Welfare

Reform

Act

passed

Proposed

approach

no viable

nationally

Proposed

approach

not

preferred

nationally

Further NW

IEP funding

Support

from

Robert

Devereux Series of

positive

steps within

DWP

Care Act

opportunity

CIS pilot

DWP

governance

issues.

DWP

lead

and

sponsor

• This is a conversation

• Scene setting – future local public

services

• Discussions and examples – how well are

we using our information

5

Service specific efficiency

Financially driven process to

reduce budgets

e.g. service / supply focussed

service redesign work, channel shift

Relational state

Different relationship with

communities and VCOs cutting

demand across multiple agencies.

High levels of transparency, trust and

organisational innovation e.g.

“Wigan’s Deal” programme,

Monmouthshire “Your County, Your

Way”, Oldham Cooperative council,

Calderdale Council

Organisation /

service centric

People /

community

centric

Supply focus Demand focus

Service specific demand

management

Addressing demand within specific

services

e.g. initiatives to increase recycling

Joining up supply

Community insight work driving

multi-agency supply side efficiencies

e.g. multi-agency adult support

programmes

Future local public services

©iNetwork 2014

CHANGE ORIENTATION

EFFICIENCY FOCUS

Based on discussions with iNetwork member councils, Local reThink sessions and iNetwork research

Future local public services

©iNetwork 2014 TIME

Based on discussions with iNetwork member councils, Local reThink sessions and iNetwork research

2013 2014 2015 2016 2017

Joining up supply

Relational state

Service specific efficiency

PERCEIVED IMPORTANCE OF APPROACH

Service specific demand mgmt

With diminishing returns from service specific

efficiencies important to transition to new ways of

working

8

Barry Quirk’s 3 Challenges

RSA Bicentenary Medal award speech:

1. Design kindness into the public realm

2. Design contribution into public services

3. Design participation into democracy

http://www.thersa.org/events/audio-and-past-events/2013/bicentenary-medal

Roundtable

• 5 minutes

• Quick introductions

• Pick one of Barry’s challenges

• Share 1-2 ideas on how you could use

information better to enable this

9

DELIVERING DIFFERENTLY

Example - kindness

10

Reforming Public Services in Wigan: the Deal for adult social care and wellbeing

Stuart Cowley: Director Adult Social Care & Health

Confident Place, Confident People.

A familiar picture Overspending

adult social care budget Too much

bureaucracy

Multiple assessments

Care management

focus

Limited service options

Lack of time

Adult Social Care

The Problem

Confident Place, Confident People.

Making it happen: it’s simple but complicated

Overarching shift from dependence on traditional health and social care services to enabling independence and self reliance

• ‘Different conversations’ with residents to better understand individual assets, recognising strengths, gifts and talents.

• Connecting to and building community capacity to respond to needs:

- Mapping and utilisation of community assets

- Community hubs and micro enterprises

- Use of new technology and value exchange

- Step change in volunteering

•Developing new ways of working to deliver the above

Adult Social Care & Wellbeing

Confident Place, Confident People.

• Ella is under care of a psychiatric consultant and community

psychiatric nurse

• In Jan 2014, re-ablement team focused on confidence building but

were concerned about low mood and impact on psychological

wellbeing

• Referral for social care assessment and day care was identified

• Frequent flyer at GP surgery and regular attendance at out patient

appointments triggered referral to the Integrated Neighbourhood

Team (INT) . Visits from Community Matron

Total cost £4,256

Ella is a 82 year old lady, lives

alone in sheltered

accommodation

Diagnosis of depression

Confident Place, Confident People.

Reduced visits to GP surgery

No longer needs mental health social worker Actively involved in community hub – no day centre needed

New package £1,301 Cost avoidance – Total saving £3,735

Confident Place, Confident People.

Roundtable

5 mins

How do your communities and staff

navigate the system in your area?

How do you make this easier for people?

17

GETTING UPSTREAM OF

DEMAND

Example - kindness

18

19

20

21

22

2000-07: a blanket approach Pre-2000 ad-hoc prevention activity 8 deaths

121 injuries 2000 Striking the Balance published

By 2004 20,000 home safety assessments (HSAs) in total

2004/05 47,000 HSAs in one year

2005 National smoke alarm grant

2006 Non-uniformed advocates appointed

2 deaths 64 injuries

Ward-based risk

High Medium Low

2007 onwards: targeted activity

2007 NHS Exeter data sharing

2008 Joint advocacy

2010 Springboard partnership

4 deaths 36 injuries

2011 HSA annual target reduced to 20,000, plus referrals and Home Safety Direct

2012 Specialist dementia adviser

Age Gender Smoking

Alcohol Drugs Mobility

Mental health

Living alone

Response time

Personal

MOSAIC

Response time

Living alone

180,000+ GP-registered over 65s

Address, age and gender processed in strict accordance with Data Protection Act

Roundtable

5 mins

How could your organisation be

leveraging its information assets better?

31

FINAL THOUGHTS

32

No one will want to share with you if your information isn’t up to scratch!

Who’s job is this? Where is your Senior Information

Exploitation Officer?

Where does information exploitation sit in your organisation’s

service reform approach?

Develop the soft skills of your data people – dialogue,

negotiation, mediation.

Learn from others – “boundary spanners”

34

Helping the sector to help

itself

phil@i-network.org.uk

www.i-network.org.uk

Twitter: @theinetwork

0161 3425383

This work is licensed under a Creative Commons Attribution-

NonCommercial-ShareAlike 4.0 International License.