1. Future shape of older people’s service in Norfolk
- VCSE perspective and role

2. What does the future look like?
first state pension
Much of the 20th Century rise of the public services
Prior to this all ‘welfare’ delivered by VCSE
Not to advocate a return but….
…a different balance?

3. Your Local Sector

4. Your Local Sector

5. Your Local Sector

8. Why these services particularly matter
Demand Push
Pathway commissioners services
Public/private/VCSE
Pulled Middle VCSE
No-pathway acute/wrap around/prevention
Community led services/community resilience
Long-term/primary prevention
Resource Levels

9. Local Government dis-invested more?

10. Why these services particularly matter
A prevention focused approach is the right strategy given
Needs & preferences of people
Financial climate
But it puts pressure on the most vulnerable in the sector to do more

11. What is in it for us? Pragmatic Practical
The VCSE is there to deliver its own goals not those of the public sector
The VCSE needs to be aware of being dumped on
No cross-subsidization without co-investment
Practical
The VCSE is there to support people
People are best supported by a co-ordinated, holistic approach
We have a set of problems which includes the financial climate and we are better off solving them together

12. Pulled Middle – Strategy
Swim-up – Be commissioned, shrinking pot and lower capacity to succeed
Diversify – Huge capacity and pipeline implication
Swim-down – Transition to community level approach challenging in terms of operational model
Collaborate – Be bigger…. together

13. Merger
Programme project funding
Consortium Contract
Integrated teams
Operational Integration
Co-location
Common referral system
Resource Integration
Silo working
Weak partnership working
Strong partnership working

14. Operationally Collaboration models that deliver
Co-ordinated & Integrated approach
Improved service awareness and consent based signposting
Clear step-up and step-down
Locally tailored but with consistency of service

15. Strategically Strategic shift
Prevention and community led solutions
Public Sector as a non-commissioner or co-commissioner
Collective (within sector & between sectors)
Co-produced
“no decision about me without me”
Voice of community orgs (not interested in engaging often) & pulled middle (capacity and coherence challenge)

16. What are we doing? Sector Led Plan Systems Leadership Group
Evidence & Actions
Systems Leadership Group
Upstream Dialogue /Re-imagining Norfolk
Supporting operational collaboration