1. Better Services for Less Sheffield Executive Board: Service Reform context 11 March 2015 Peter Wilding Public Service Transformation Network

2. Why change is needed Less money Increasing demand Entrenched cost and dependency New technologyChanging Expectations

3. Fiscal context is challenging

4. Demand for services in increasing 4

5. Roadmap to transformation “This level of collaborative reform will be crucial to meeting the fiscal challenges of the next parliament in a fair way, that maintains high quality services. The Panel’s report makes the case brilliantly and I look forward to leading this agenda in the coming months” Chief Secretary to the Treasury Danny Alexander “This level of collaborative reform will be crucial to meeting the fiscal challenges of the next parliament in a fair way, that maintains high quality services. The Panel’s report makes the case brilliantly and I look forward to leading this agenda in the coming months” Chief Secretary to the Treasury Danny Alexander “This report now provides us with a blueprint to how we can take [Troubled Families Approach] forward into other areas such as jobs, skills and early years, and as we are already doing with health and social care through the Better Care Fund.” Communities and Local Government Secretary Eric Pickles “This report now provides us with a blueprint to how we can take [Troubled Families Approach] forward into other areas such as jobs, skills and early years, and as we are already doing with health and social care through the Better Care Fund.” Communities and Local Government Secretary Eric Pickles

6. Future of local service integration Better services which save money Managing demand Adult Social Care and Children’s Services Impact on ability to provide other services Productivity Genuine integration Working across organisations More than just pooled budgets High cost, high demand cohorts Role of other service providers Devolution What, how and when? Moving risk from central to local Accountability Incentivise service reform and growth