future funding & commissioning arrangements michael patterson: support solutions 23 rd november...
TRANSCRIPT
Future Funding & Commissioning Arrangements
Michael Patterson:
Support Solutions
23rd November 2011
Key Questions
FundingThe Roles of ProvidersThe Roles of CommissionersDevolution
The Big PicturePublic expenditure crisisPublic sector reform/retrenchment:
different within devolved administrationsThe Big Society/Localism: and enhanced
role for non-statutory playersChanging commissioning arrangements
The Big PicturePublic sector reform, especially in EnglandGreater emphasis on prevention & social
return on investment (SROI)Need for providers to collaborate & diversifyPayment by results being emphasisedPublic funding shrinking, social investment
developing
FundingPublic expenditure crisisPublic funding shrinkingSocial investment developingHousing Benefit:
DWP Review: still waiting…….Universal Credit: “vulnerable” people?
Supporting People:Different significance in different placesOn the wane in most areas (but not in Wales)
Funding
Public money will form a smaller percentage of total revenue for the Sector
Providers should look for a more diverse range of revenue sources
Some revenue will still be paid through competitive tenders
Funding
ScotlandSection 10 Adult Community Care Grant S
chemeThe Change Fund: Elders service redesig
n, £70m during 2011-12
FundingSocial Investment Scotland
Social Investment Scotland Loan Fund (£10-£250k over 10 years)
Scottish Investment Fund (£30m in total: £100-£500k)
Social Entrepreneurs Fund (£1m)Third Sector Enterprise Fund (£12m in
total: £25-£100k grants)
Funding
Supporting People to fund collaboration, co-production & co-design of services across housing, homelessness, health and social care and community safety
Child & Families Organisation Grant (CFOG)
Welsh Social Enterprise Coalition
Funding
Health Challenge Wales (health, wellbeing & prevention)
Local Mental Health Grant Scheme (LMHGS)
Support for People with Disabilities Grant Scheme (SPD)
Funding
Clinical Commissioning Money£80bn: some must be for prevention
£2bn more for social care by 2014 Part of removing the barriers between health
and social care funding & commissioning
Public Health Grant: “Healthy Lives, Healthy People” 2011
Funding
The Social Investment Business (England)£5k-£7m in funding allocations
SEIF (Social Enterprise Investment Fund)Social Action FundCommunitybuilders FundThe Adventure Capital FundFuturebuilders England FundModernisation Fund
Funding availability update
FundingSocial Finance
Social Investment Bonds
The Volunteering Fund: national & local grants for health outcomes using volunteers
Funding
Supporting PeopleHousing BenefitSocial Investment Fund Northern Ireland
FundingBig Issue Invest: Loans of £50-£500kTriodos BankBig Society Capital Group (Big Society
Bank)Social ISACharity BankBig Lottery Fund
Commissioning
Focus on value, not on costSocial Return on InvestmentWhat are the cost benefits of prevention?
Calculate your cost benefit!Cap Gemini Report
Strategic policy directionCommissionersProviders
Commissioning
Strategic positioning for providers:Influence commissioning arrangements
Health & Wellbeing Boards (England)Clinical Commissioning Groups (England)Supporting People & Health & Social Care
CollaborateConsortia: share costs & specialisms“Hub & Spoke” arrangements
Commissioning
The role of the Sector is meant to be widening
There is a need for diversification of services
A wider set of commissioning relationships
What is strategically relevant?Look at local prioritiesPrevention, diversion, inclusion, community
benefit
Increasing interest in “Payment by Results”But who defines the outcomes?
Joint Commissioning still the Holy Grail
Commissioning
Commissioning
Ironically, public sector reform as a consequence of financial retrenchment may lead to this
A state of flux exists whilst the Statutory Sector adjusts to the Government agendaProblems for Providers in being heardBut “bottom-up” solutions are required
Where Do We Need To Be?
Remodelling & diversifying servicesCollaborating where necessary & desirableInfluencing commissioning structures and
thinkingReallocating costsWatching out for the DWP announcement on
HB for supported & sheltered housingDiversifying funding streams
Where Do We Need To Be?
Adjusting Business PlansPromoting preventative service modelsDeveloping cost benefit, social benefit &
SROI argumentsLobbying, campaigning & networking
Our Contact Details
Fairgate House
205 Kings Road
Birmingham B11 2AA
0121 707 7766/8881
www.supportsolutions.co.uk
[email protected] @suppsolutions www.facebook.com/SupportSolutionsLtd?sk=wall
23