1. ADASS Spring Seminar 2015 The future of health and care: perspectives from the different organisations
David Pearson
Immediate Past President of the Association of the Directors of Adult Social Services
Corporate Director, Adult Social Care, Health and Public Protection
Nottinghamshire County Council

3. The Current Picture
Better Care Fund, Integration Pioneers, Integrated Personal Commissioning, Vanguards
Evolutionary approach
Incentivising change
Greatest focus on keeping older people out of hospital
Money to integrate and to support social care
Political and policy debate often seen through the NHS lens

4. Future Thinking From political parties
Common call for further integration
Increasing integration of budgets
Some local determination of the focus, organisational form
A hope that it will save money
Debate about the right models quickly moves to organisational form

5. Distinctive, Valued & Personal
Advocates elements of model, funding, governance and levers
Social care can deliver joined up person centred care
“Two leaky buckets” – we need to fund £8bn in health and £4.3bn in social care
Four key elements of design in any local system
Focus on quality and workforce
Local accountability and Health and Wellbeing Boards

6. Success Coalesce around a vision for the benefit of local people
Be clear about outcomes and for whom
Align funding, structures and levers
Geography matters
Co-producing change with local people
National role to be clear about national performance, outcomes and incentives

7. Success (cont’d)
How do we ensure a balanced local offer in an integrated environment?
Advice and information
Supportive relationships and resilient communities
Prevention
Personalised approaches including personal budgets
Other Care Act responsibilities

8. The Money Plan in the round It doesn’t save the money required
Social care transparency
Protected and aligned money
Following the activity
Transformation costs
Better Care Fund?

9. Commissioning and Governance
Single commissioner or single oversight?
CCGs with others
Developing Health and Wellbeing Boards
Provider involvement
Shared outcomes framework

10. Summary Clear momentum to integration
Purpose and form still to be finalised
Local application
National clarity re funding and must do’s
Collecting the evidence – supporting the joint work, e.g. Vanguards, Pioneers
How else can we contribute to the national debate?

12. Local Government House Twitter: @ADASSdavidp
ADASS Business Unit
Local Government House
Smith Square
London SW1P 3HZ
WEB: