personalisation update birmingham’s story steve wise service director (business change) september...
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Personalisation update Birmingham’s Story
Steve WiseService Director (Business Change)
September 2012
Birmingham’s Costs
The options for the Council:
Maintain current budget? Fund the demographic projections? Transformation?
LSE projection
Budget projection
10 years
Co
sts
Transformation projection
BCC projection
Benefits model
Cost
avoidance
Cost
reduction
Year 10Year 6
£250k
£300k
£340k
What has changed?
• Was more service for more people with the same money (transformation)
• Now more for more with less (austerity)
• Transformation - £229m of savings over 10 years to fund demographic growth.
• Austerity – now £419m of savings over 10 years – but still not enough.
Funding Picture
NHS
Public funded social care
via local government
Personal contribution
Transformed Funding
Personal care and contributions
Gate keeping
Gate keeping
Gat
e k
eep
ing
Gate k
eepin
g
IBs Market shaping
Informed choice
Prediction and
prevention
Income maximisation Enablement
Benefit dependencies
USERSUSERS
More funds diverted to enablement
Fewer users require an
IB
Where do you fit in?
• In the prevent space around £9m.
• There is some penetration into care packages (£2m out of a total of £180m).
• From my perspective the voluntary sector could exist across all elements of the personalisation journey.
• Younger adult care needs a change of approach!
Conclusions
• We were already on a massive change journey with transformation.
• Austerity has tested the system to the limit!
• Integration with Health essential?
• If the voluntary sector is not to be squeezed, look at personalised services – Birmingham circa £180m!