Healthier Together Conference

John Gillespie

Impact of Health Changes

Health Service Changes

• Why this ought to be an opportunity? • What is the VCS offer?• What is the default situation / so what

happens if nothing or not that much is done?

Hospital Centric NHS

And difficult to turn around

The Scale of Need

2 Challenges

• 1. Shift from grants to more formal arrangements– Impact– Quality– Finances– Governance etc.

2. Claim a larger proportion of the NHS budget

• Support for older people• Long-term conditions• Keeping People out of hospital• Mental health

‘Joined up’ impact

• Ease of Commissioning

• Payment by Success (ie. selling outcomes) & social investment

• Linked to disinvestment

Collaborative/Consortium arrangements

Examples

• Desta - West London• Knowsley - co-investment with Local Authority

• For more information please contact – John.gillespie@acevo.org.uk– 0207 0144 629