Headlines and Local Intelligence Update

• Don’t share this but….we are struggling• Volunteers and demand (quantity and

complexity) bigger issue than cash • Nationally:– Rates of volunteering unchanged but rates of

irregular informal volunteering showed a five per cent drop.

– Income up (a bit) but unevenly distributed with less from public sector (with main gov spending going to the super-charities (£100million +))

• Demand increasing from public sector service failure and impacts of welfare changes

Our sector

• Area of most concern from last budget round – harm that it would a do and strategically incoherent

• £10m to £4.5m & £1.7m to £1.5m• Some better efforts to engage

Supporting people & Information and Advice

• Direct Access Hostels• Single homeless

accommodation• Young people

accommodation• Outreach support

• Specialist Advice • disabilities, long term

conditions, dementia, deaf, mental health & leaning disabilities

The links to the Public Consultation are below.https://norfolk.citizenspace.com/consultation/buildingresilientlives/ https://norfolk.citizenspace.com/consultation/informationandadvice/ Consultation closure date: 9th Dec 2016

• STP for Health and Social Care Services in Norfolk and Waveney has been submitted to NHS England.  

• All local NHS are required by NHS England to produce a Sustainability and Transformation Plan (STP) outlining how they  working to ensure that they are able to provide safe, sustainable local services.

• http://www.communityactionnorfolk.org.uk/sites/content/sustainability-and-transformation-plan-norfolk-and-waveney-health-and-social-care-submitted

Sustainability and transformation Plan

• The process should involve local communities and voluntary, community and social enterprise sector organisations, building on the six principles from the Five Year Forward Plan:– Care and support is person-centred, personalised, coordinated

and empowering– Services are created in partnership with citizens and

communities– Focus is on equality and narrowing inequalities– Carers are identified, supported and involved– Voluntary, community and social enterprise and housing

sectors are involved as key partners and enablers– Volunteering and social action are recognised as key enablers

• No meaningful engagement in the STP to date

• PREVENTING ILLNESS AND PROMOTING WELL-BEING The population of Norfolk and Waveney will be enabled to live healthy lives for as long as possible, through a spectrum of support: from targeting lifestyle risk factors (e.g. alcohol, obesity) to secondary prevention preventing unnecessary escalation to higher acuity care settings. Strong community services aligned with local authorities and the third sector support independence and increase resilience. • CARE CLOSER TO HOME People are supported to live with maximum independence, with improved access to primary and secondary care, and supported by the third sector. Enhanced community care delivers the right care at the right time in the right place, reducing demand on acute and residential services. End of Life care is structured to allow patients to die in their place of choice. A system-wide children’s strategy will improve service provision for children and young people.

Norfolk & Waveney’s STP: Five Guiding Principles

• INTEGRATED WORKING ACROSS PHYSICAL, SOCIAL AND MENTAL HEALTH

Integrated working across the system delivers holistic care with reduced duplication and gaps, and improved patient experience and outcomes. Services recognise the importance of social care and mental health parity of esteem. • SUSTAINABLE ACUTE SECTOR Acute services will be configured to be sustainable under future demand pressures through increased provider collaboration. Out of hospital services will reduce demand at the front door, and assist discharge to maintain capacity within the acute system. • COST-EFFECTIVE SERVICES Delivered within the finances available – providers and commissioners will work together to realise CIP and QIPP savings, release organisational efficiencies, and remove perverse incentives.

Norfolk & Waveney’s STP: Five Guiding Principles

• The three acute trusts have agreed to establish the Norfolk Hospitals Group to accelerate the scale and pace of collaboration.

• “We have a comprehensive and coordinated plan to further engage local people and organisations in developing our proposals.”

• Key workstream around social prescribing at scale

STP

• The Care Act 2014 creates a general duty for local authorities to promote diversity and quality in the market of care and support providers for people in their local area (not just what they fund).

• Seeing a more comprehensive effort to do this• Still at a the talking stage need to look carefully at

the ability to turn words into action • Reconfirmed think local act personal co-production

principles • http://

www.communityactionnorfolk.org.uk/sites/content/market-shaping-and-norfolk-county-councils-market-position-statement

Market Shaping Activity

• Lot of promises made• Good people & some ‘get it’ but…• Strategically no demonstrable

progress on a new type of equal partnership

• On the ground - “we got told we have to ring you first because you are free…”– Not free – Implication of choice of last resort

Overall relationship

• Cultural shift – The VCSE & Public Sector roles in the

delivery of services and benefit?– All sectors need to be working together

as its about aligning reducing resources but the relationship has to be of value to all partners and their different objectives

– Charities obligation to use resources is best way to meet their objectives

• Part elected & part appointed • Help provide strategic level voice and

leadership in a co-ordinated way• Frustration with a lack of

responsiveness from NCC and other partners

• Likely shift in focus on the sustainability of the sector directly

VCSE Sector Leadership Group

• We need to collaborate and consolidate more as a sector

• This will take many forms• Focus needs to be on service and

beneficiaries not organisations• Lots of connections not as much

collaboration–Working together that either improves

things for your beneficiaries of strengthens your organisation

A more sustainable sector

Questions