Mr. David Duncan, CFO and Mr. Steph Palmerone, Barchester Healthcare Group

1. Meeting 20th May
David Duncan
(David.Duncan@barchester.com)
Steph Palmerone
(Steph.Palmerone@grove-investments.com)

2. Barchester Healthcare delivers
National Quality
with
Local Flexibility
in
Partnership with local communities and the people we support
always
Respecting the individual and the way they want to live their life

3. We support people through individual packages of care and support.
For example:
• Expert and accredited services for older people with a dementia; as well as high
quality nursing care in communities designed to promote independence, dignity
and choice
• Services for people with an acquired brain injury; people with a physical disability
and for people with a neurological disability across a care pathway
• Registered independent hospitals which support people with long-term mental
health needs and early onset /organic mental health needs in people under 65
• Care villages – purpose-built retirement villages for independent/assisted living
• Services for people with a learning disability (and accompanying complex needs)
and services for people with autism through accommodation and support services
and supported living pathways.

4. H.M.TREASURY
Department of Community Department of Health
& Local Government
Similar process to health but Dept of Majority of funding gets allocated directly to
Community & Local Government PSA PCT’s on the basis of a:
focused on issues linked to housing,
regeneration, transport etc. Some - Waited capitation formula (linked
linked to inclusion/public health. to size & deprivation)
-Distance from targets within
DOH Public Service Agreement.
- Mostly revenue (but see later*)
Reg. Gov. Office
Strategic Health Authority
‘Oversees special
allocations’ Have monitoring role
E.g. DAAT Funding for PCT performance
Local Authorities
PCT
Local Area
Agreement
Revenue for social care
combination of: Revenue for Healthcare
combination of:
-local member %
agreement of council -special
tax allocations
-DOH allocation to social
care -ring-fenced
-Dept. of Comm & local resource
government
-year on year
allocations

5. Regional/Specialist as per Carter
Collaborative as per Re:source
Local but maybe 2 PCT/LA
Include Ind. Budgets
Community based
Prevention and develop..
SS & Local Authority
PCT

6. Designated regional centres
Acute/assessment and treatment
Packages of support and care
Promotion and prevention
Well being
Illness

7. Background information
3 types of commissioner for Barchester
1. The person themselves (self funders or
through personal budgets)
2. Local Authorities (LA)
3. Primary Care Trusts (PCT)

8. Different Regional and Local
Approaches
 Scotland, Wales, Ireland and England all
have different approaches linked to choice if
people need public funding
 Across England , different pace of change in
each local authority/primary care trust

9. Reform Agenda
3 key drivers
 rising public expectation
 public service reform (drive innovation and
reduce poor performance)
 intractable inequality : service response does
not work
Plus the economic reality of next 30 years

11. Personal Budgets and Personal
Health Budgets
 Personal budgets : LA linked to the ‘universal
offer’ everyone has access to lots of
information provided by the LA including self
funders
 Personal Health budgets : piloting for people
with long term conditions