1. 1 A Vision for Adult Social Care in Birmingham Consultation Proposals Universal Resource Allocation System 2011/12 Budget 1

2. 1 Resource Allocation System Impact of spending review Meeting the financial challenge Your views 2

3. 1 The Universal Resource Allocation System 3

4. 1 Universal Resource Allocation System 8 November 2010 Cabinet agreed to consult Subject to outcome of consultation, we plan to introduce it for all service users from 1 April 2011 4

5. 1 Universal Resource Allocation System Allocation of individual budgets for all Self-assessment questionnaire = points Each point = set amount of money Total value of points = individual budget Universal system - all service users are treated the same, regardless of client group 5

6. 1 6 Different because… The money goes to citizen Citizens will decide how to spend the money for their care We will help people make choices, not make choices for them Universal Resource Allocation System

7. 1 Impact of the Spending Review 7 Protecting health and education spending will mean much less money for local government, especially in the next year £300m less budget = Birmingham has to find savings from social care

8. 1 2011/12By 2014/15 Budget£294,217m TOTAL SAVINGS TO BE MADE £42,866m£113,211m % Total Reduction-15%-38% The Budget challenge 8

9. 1 Care services for individual citizens £197m = 67% of budget Support services, capital charges and fixed central costs £33m = 11% of budget 20% BCC 80% Independent Sector Social workers and Commissioning £37m = 13% of budget Universal services for citizens £27m = 9% of budget Current spending 2010/11 9 11% + 13% + 9% = 33% Savings

10. 1 EFFICIENCY Out of residential care Outsource Homecare Reduce Management and admin PERSONALISATION Individual budgets Prediction and prevention Income maximisation Enablement Market shaping Substantial savings made already to fund demographic growth – We can do more here but it won’t be enough A NEW OFFER Invest in new capacity Divert through enablement Use people's own resources Information and Advice PRIORITISATION Raise eligibility criteria to critical May still have to.. NEED TO CHOOSE Options for making savings 10

11. 1 Overview Of every £4 of ‘controllable’ money spent by the Council (not including schools) £1 is spent on Adults and Communities New Government funding for care, but we think we need a different approach to health and care 11

12. 1 Our best guess on the new investment for Birmingham 2011/122012/132013/14 onwards Share of new funding coming to Local Government Nil ? Share of Enablement funding (NHS money) £6.0m ? Funding from NHS to support social care services for the benefit of health £15.4m£14.7m? TOTAL£21.4m£20.6m? 12

13. 1 13 We propose a new service offer that is… efficient good quality builds on the Dept. of Health ‘Vision for Adult Social Care’ We think that most people can use their own resources and skills to care for themselves and the community.

14. 1 The new service offer Information, advice and signposting for everyone Prevent people needing care in the first place Individual Budgets - people with low incomes/savings and ‘critical’ needs Closer working with Health to keep people out of care and stay independent in own home 14

15. 1 We propose using new funding to develop new model of care We want to give communities and people more control We are protecting the new investment in care, but using it to deliver change 15

16. 1 16 The new Government money will… Develop capacity of third sector groups and organisations to provide more support for vulnerable people in their own communities Result in savings for health and care by doing things differently

17. 1 Two outcomes… 1.Quality of Life: To ensure the quality of life of all citizens - today, tomorrow and always. This is a new offer for an existing outcome. 2. Health: To assure the health of our citizens through a single approach to health and care and to meet the strategic ambitions of a world class city. 17

18. 1 Budget Proposals 18

19. 1 Savings proposals (1) The new offer Savings 2011/12 Savings by 2014/15 A universal service providing information, advice and signposting that prevents people needing care in the first place and is more joined up with Health. An Individual Budget for people with low incomes/savings whose personal care needs are defined as critical under the revised eligibility guidance. £33.2m£69.1m 19

20. 1 Savings proposals (2) Personalisation Savings 2011/12 Savings by 2014/15 Services outside the Universal Resource Allocation System such as mobile night care, the care centres and subsidies on extra care schemes. £1.1m£2.9m Bring forward benefits in the Revised Full Business Case for Personalisation, Individual Budgets and Enablement £1.0m£23.0m 20

21. 1 Savings proposals (3) Modernisation Savings 2011/12 Savings by 2014/15 Full year effect of directorate restructuring / reduction in costs £5.2m£5.4m More use of independent / Third sector organisations for Enablement 0.0£1.7m Creating a community enterprise by 2013/14 for assessment and support planning 0.0£4.8m Reduction in grants rolled into overall allocation £2.4m£6.3m TOTAL SAVINGS£42.9m£113.2m 21

22. 1 Future spending 22 Care services for individual citizens £79m = 44% of budget (down from 67%) Support services, capital charges and fixed central costs £25m = 14% of budget Social workers and Commissioning £31m = 17% of budget Universal services for citizens £46m = 25% of budget (up from 9%)

23. 1 Consultation Information 23

24. 1 From Thursday 2 December 2010 to Wednesday 2 March 2011 Your views through questionnaires, emails and consultation events Information and time to talk to us We will feedback your recommendations Website: www.birmingham.gov/socialcarevision Consultation 24

25. 1