1. Voluntary Sector Consultation Briefing 21 st January 2013

5. Local Financial Context Stuart McKellar

6. What is SBC’s share of the Council Tax Bill spent on? Page 6 Adult Social Care£352.7731% Safeguarding & Integrated Services£150.1913% Debt Charges£83.227% Other Services to Children£112.0710% Refuse Collection & Disposal£97.959% Planning and Strategic Transport£63.316% Leisure, Recreation, Libraries and Culture£61.565% Housing Services (non-Council Housing)£47.154% Highways and Grounds Maintenance£34.863% Other£34.683% Street Cleaning & Street Lighting£33.353% Law & Democratic Services£23.692% Community & Commercial Safety£19.412% Revenues, Benefits & Customer Services£18.012% Community Facilities & Grants£13.891% £1,146.11 Over 50% of our budget is spent on caring for vulnerable people and servicing debt

7. Page 7 We have delivered £273m of cumulative efficiency savings in the last 7 years in the LA £ millions

8. Population Forecast - Swindon Age Group 20102015 Projection2022 Projection People aged 0 to 4 years 14,80514,926 +0.8% from 2010 15,437 + 4.3% from 2010 People aged 65+ years 28,85732,944 +14.2% 38,721 +34.2% People aged 75+ years 13,89215,556 +12% 19,391 +40% People aged 85+ years 3,8654,681 +21.1% 6,161 +59.4% Total Population 201,053211,102 +5% 231,867 +15.3%

9. Funding and contracts Total adult social care net budget is £38.5m NHS Swindon budget for health is £317m of which £15m is funding community health services in SEQOL, £5m for children’s community health services, £15m mental health £2.4m is spend by SBC and NHS Swindon in the voluntary sector but contracts have developed over time, are fragmented, with lack of outcome based specifications £4m spend by SBC on Supported Housing with contracts which are not always linked to adult social care and mental health contracts

10. Financial challenge The funding gap for Swindon Borough Council for 2013/14 is approximately £20m. In addition to proposed savings announced in December 2012, there are further challenges and the budget is not yet balanced. In January 2013the government removed £1.7m from the early Intervention Grant and allocated this to the dedicated Schools Grant to fund child care for vulnerable 2 year olds. Swindon CCG received a very challenging allocation to deliver good health outcomes for people in Swindon The future position is very different and likely to be more challenging than what we have faced before There is a need to get the most value from every £ we spend and challenge everything we do Our key partners represent a significant part of our net budget so we need to work closely with them to align and maximise value from our collective resources We can’t do everything and what we do must count !

11. How do we manage the increasing demand for services? Consultation with voluntary sector on priorities and shape of services Demand inquiry – how can we collectively manage the demand for adult social care

12. Consultation Swindon Borough Council and NHS Swindon are planning to consult on changes to the way voluntary sector contracts are commissioned Swindon CCG has agreed to receive the results of the consultation at the Clinical Commissioning Group Board in due course We are planning a 12 week consultation starting 1 st February 2013

13. Consultation A series of focus groups and meetings to be held with representative of voluntary agencies providing mental health services, adult support and children’s services Invitation to all agencies to submit their views in writing A report collating the findings of the consultation to go to the Joint Commissioning Board, Clinical Commissioning Group Board and Elected Members with final recommendations

14. Purpose of the consultation To gain the views of voluntary and community organisations and service users about the proposals to achieve: Maximise independence; Avoid long term care and hospital/specialist services admissions; Encourage self-help, self care and behaviour change; Grow social networks to support service users and carers; Make better use of resources; Safeguard against abuse and discrimination; Improve access to local services through advice and information Address inequality and the social exclusion of key groups

15. Building on previous consultation and themes from demand work Advice and information about services needs co- ordination and a complete reshape Managing expectations with communities and individuals with a starting point of ‘what people can do for themselves’, ‘how to keep/build skills to remain independent and what do they need help with Learning disability/mental health services need to be community focused rather than placing people in residential/specialist care There is much the voluntary and community sector can offer to develop solutions that commissioners are not using

16. Building on previous consultation Provide increased support for carers; Align Community contracts more closely to the Adult Demand Inquiry Programme aims; Establish an Advice and Information Hub, offering services and opportunities to enable people to live more independently; Continue to fund services that provide preventative and befriending support ; Reshape employment projects to encourage throughput, value for money and greater opportunity of employment experience;

17. Building on previous consultation Reshape community based support for people with mental ill health and promoting well-being Continue to support people with a learning disability to encourage greater independence, and targeted services for those who will always require support; Provide support to those who are receiving a Direct Payment; Maintain advocacy services, both statutory and for specific service users. Ensure the implementation of a common assessment process and single point of contact for people receiving services across the voluntary and third sector

18. What have we done already ? Adult care Strategy Draft Strategy for Care – CCG January 2013 Carers support services summer 2012 Health watch (autumn 2012) Voluntary sector infra structure and volunteering January 2013 Investment for advice and information web based system

19. The proposals Current ProvisionNext StepsTimescale for Tendering Support for users of Direct Payments Re-tender with new specification March 2013 Advice and Information Hub & Welfare Benefit and Advice Retender as a single tender, addressing Adult Demand Enquiry Programme aims May 2013 Service User FeedbackDe-commission existing contracts By September 2013 Supported employment for people with mental health problems Reshape provision, tender as a single integrated contract By September 2013 Support for people with mental health problems Reshape provision and retenderBy September 2013 Support of people with a learning disability On-going reshape addressing Adult Demand Enquiry Programme aims From January 2014 Befriending/ and preventative services Re-shape and award in proportion to their value - addressing Adult Demand Enquiry Programme aims commencing in January 2014

20. How we want to work? Develop our strategies in partnership and recognise the added value of the voluntary and community sector Clearer about the outcomes Consistent in our approach (performance management) Open and transparent engagement Enabling innovation and new ideas Built on qualitative feedback and evidence Having a strong market of voluntary and community organisations Working with service users, communities and organisations throughout commissioning process

21. Questions? Written contributions lmcdermott@swindon.gov.uk Weblink http://www.swindon.nhs.uk/Library/ Publications/Board_papers/2013/Swi ndon_CCG_Shadow_Board_Papers_ January_2013.pdf