1. The role of the voluntary and community sector in improving health and well- being and reducing health inequalities in the capital Lin Gillians Interim Chief Executive London Voluntary Service Council ling@lvsc.org.uk

2. The wider context New commissioning arrangements (GPs, LAs) A new health premium incentive to reduce health inequalities A new duty for commissioners to regard Joint Strategic Needs Assessments Existing and new involvement duties Outcome-based payments Targets around % of small and medium-sized independent providers

3. Why VCS providers? Local services with local knowledge Look at people as a whole and are flexible Greater trust Specialism User involvement Innovation Additional social and environmental outcomes But currently little evidence

4. When it works well... GP practice in a charity Tackles wider social determinants e.g advice, employment, horticultural services Set up 27 social enterprises Monitoring SROI, difference made, benchmarking

5. How it could work well... Basing new public sector mutuals in existing VCS organisations Addresses medical / health needs but also - provides social interaction - advice - income maximisation - physical activity

6. What the government wants.. “ The Department [of Health] will work to ensure that voluntary, community and social enterprise sector organisations are supported to play a full part in providing health and well- being services. …..As part of building capable and confident communities, areas may wish to consider using grant funding in local communities to support community-focussed activities such as volunteering peer support, befriending and social networks”

7. So what’s the problem? <2% of public spending goes to third sector organisations Barriers Short-term contracts Disproportionate monitoring Lack of evidence of impact Lack of capacity Recommend “intelligent commissioning”

8. Developing providers Market intelligence Market structuring Market intervention

9. LVSC public health database VCS providers Based on model developed by GMCVO in Manchester Commissioned by NHS London and Regional Public Health Group Web-based database of VCS public health providers in London An opportunity to engage with commissioners in the new structures An opportunity to develop evidence of impact

10. Why not get involved? How can the sectors work together to improve health and well-being in London? How can we make sure health and care services are accessible to the most disadvantaged? How can we raise awareness of VCS services?