Making Sense - Local Integrated Services

1. Making Sense- Local Integrated Services UNCLASSIFIED

2. What is the Big Society? Taking an active role in our communities, engaging in positive social action, and helping others out • Government becomes a better buyer from a range of providers in order to achieve more innovative, diverse and responsive services which give real value £ neighbourhoods are in charge of their own destiny, feel able to shape the world around them, and choose to do so UNCLASSIFIED

3. CONTEXT FOR REFORM EXPERIENCE GOING FORWARD • LAA’s • Central burdens inhibit innovation • Total Place • Pressure to deliver better for less • High expectations of services, less money to deliver • Citizen led decision making • New financial freedoms and flexibilities • Rapid implementation Community Budgets UNCLASSIFIED

4. The Problem DfE HO MoJ DH CLG DWP Police PCT YJB LA Housing authorities JCP Prisons VCS YOS worker Young carer support worker Police officer CAMHS/ Mental Health Worker Drug and alcohol team Housing link worker Employment Personal advisers Family support workers Parent support advisers/Schools Surestart Intensive family intervention worker/ parenting practitioner UNCLASSIFIED

5. How did this happen? 1801 1834 1912 1944 1986 2004 Birmingham = Bourton-on-the-water Pop 1 million vs Pop 4 000 VS UNCLASSIFIED

6. 46,000 families Community Budgets: The challenge around families with multiple problems All of these families access universal services… Universal Services1 Education - £583m Child benefits - £113m GP/NHS costs - £31m £727m universal spend/yr …and specialist services, (often repeatedly for many years)  Targeted Services2 Welfare benefits - £753m Mental health treatment - £21m Parenting support - £53m Drug treatment - £10m £837m targeted spend/yr but family breakdown and crises still leads to very poor and costly outcomes Reactive spend3 Children going into care, hoax fire calls, nuisance behaviour costs, juvenile criminality costs, truancy costs, alternative education costs, vandalism, evictions due to ASB £2.5bn reactive spend/yr NOTE: BROAD ESTIMATES ONLY - does not include costs of criminal justice services. 1 DfE 2010-11 planned pupil funding. HMRC website. NHS costs taken from NHS expenditure in England 2009, entitlement benefits HMRC, education costs taken from DfE planned educational spend 2010/11 2 Unit costs taken from the following sources Dept of Health supplied figures (drugs, alcohol & mental health, Home Office (Dynamic Benefits report – Welfare) all other unit costs from published research Steve Parrott and Christine Godfrey, Family Intervention Projects: Assessing potential cost-effectiveness University of York, 2008 (unpublished). 3 Unit costs from published research Steve Parrott and Christine Godfrey, Family Intervention Projects: Assessing potential cost-effectiveness University of York, 2008 (unpublished). Distribution of costs to families based on a sample of 40 families selected by 17 authorities using a standardised methodology (DfE internal analysis) UNCLASSIFIED

7. LIS – A Step Further Volunteers Community assets – day care centre Public services Charity staff Public sector buildings Private sector staff Pubs Clubs + Social activities Business premises UNCLASSIFIED

8. Principles Local Authorities commission services in liaison with local community and frontline staff UNCLASSIFIED

9. What can others offer? UNCLASSIFIED

10. In practice Community as a commissioner UNCLASSIFIED

11. Ricky Community Researcher Basildon, Essex UNCLASSIFIED

12. Responsibility and Activity • Holocaust Centre – approach at a community level. Helping people understand why they need to take responsibility • Community Organisers – Cabinet Office supporting recruitment of 5000 people to galvanise social action UNCLASSIFIED

13. What does this mean for local authorities? UNCLASSIFIED

14. The Challenge UNCLASSIFIED