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Anne Hagan Head of Commissioning & Contracts Brighton & Hove City Council. Council Budget. Adult Social Care Budget. ASC Current Gross Budget £105.3 million (Savings delivered: £16m over 5 years) Savings target 15/16: £7.14m over next 4 years: £22m
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Anne HaganHead of Commissioning & ContractsBrighton & Hove City Council
Adult Social Care Budget • ASC Current Gross Budget £105.3 million (Savings delivered: £16m over 5 years) • Savings target 15/16: £7.14m • over next 4 years: £22m • 90% of services purchased in the independent sector
Current Spend in the City Spend on health and social care services: approximately £420m CCG - just under 50% of budget is spent on acute services (£316 million per year) Adult Social Care - 50% of budget is spent on care homes ( £105 m per year)
Changing Demand Ageing population More people with complex needs Resource intensive
Local Care Market People have increasingly complex needs Costs are rising Providers exiting the market New Providers: LA can’t place Home Care providers: volatility in the market The Living Wage
Care Market - A plan Demand Capacity Fees
Influencing the Direction…… • Better Care: Integration with health • The Care Act • Value for Money – Opportunities for smarter commissioning
The Vision • Prevention: Keeping people well • Personalisation • Core Business: Safeguarding/ Helping people maximise their independence • Joined up services - maintain quality
Doing things Differently Build on existing partnerships: Integration with Health • Prevention • Emphasis on reabling care • Coordinated care – less duplication • 24/7
Priority for Brighton & Hove: Frailty • Frailty- not just about age • Reflects Brighton and Hove demographics& complexity of need – mental health & substance misuse, homeless, more people with multiple health conditions • Test out in one GP Cluster
Support for providers • Involved in MDTs • Involvement in decision making • 7 day working • Level of need: support required
Improving health and wellbeing: the new architecture………. Sometimes it feels like .......
Health and Wellbeing Boards Nice, see you in three months • Key leaders work together to improve H&WB • The public should experience more joined-up services • The Board will encourage commissioners to work in a more joined up way
Partnerships: Why Bother? • Better outcomes for people • Better use of resources • We are in this together - transparency • Work with providers/ community & voluntary sector • Build relationships, agreed ways of working • Challenge current processes • Engagement with wider partners/ co-production