Jon Clemo's presentation from the West Norfolk Conference.

1. Headlines and Local
Intelligence Update

2. • Don’t share this but….we are struggling
• Volunteers and demand (quantity and
complexity) bigger issue than cash
• Nationally:
– Rates of volunteering unchanged but rates of
irregular informal volunteering showed a five per
cent drop.
– Income up (a bit) but unevenly distributed with
less from public sector (with main gov spending
going to the super-charities (£100million +))
• Demand increasing from public sector service
failure and impacts of welfare changes
Our sector

3. • Area of most concern from last budget
round – harm that it would a do and
strategically incoherent
• £10m to £4.5m & £1.7m to £1.5m
• Some better efforts to engage
Supporting people & Information and Advice
• Direct Access Hostels
• Single homeless
accommodation
• Young people
accommodation
• Outreach support
• Specialist Advice
• disabilities, long term
conditions, dementia,
deaf, mental health &
leaning disabilities

4. The links to the Public Consultation are
below.
https://norfolk.citizenspace.com/consultation
/buildingresilientlives/
https://norfolk.citizenspace.com/consultation
/informationandadvice/
Consultation closure date: 9th Dec 2016

5. • STP for Health and Social Care Services in
Norfolk and Waveney has been submitted to NHS
England.
• All local NHS are required by NHS England to
produce a Sustainability and Transformation Plan
(STP) outlining how they working to ensure that
they are able to provide safe, sustainable local
services.
• http://www.communityactionnorfolk.org.uk/sites/content/s
ustainability-and-transformation-plan-norfolk-and-
waveney-health-and-social-care-submitted
Sustainability and transformation Plan

6. • The process should involve local communities and
voluntary, community and social enterprise sector
organisations, building on the six principles from the
Five Year Forward Plan:
– Care and support is person-centred, personalised,
coordinated and empowering
– Services are created in partnership with citizens and
communities
– Focus is on equality and narrowing inequalities
– Carers are identified, supported and involved
– Voluntary, community and social enterprise and housing
sectors are involved as key partners and enablers
– Volunteering and social action are recognised as key
enablers
• No meaningful engagement in the STP to date

7. • PREVENTING ILLNESS AND PROMOTING WELL-
BEING
The population of Norfolk and Waveney will be enabled to
live healthy lives for as long as possible, through a spectrum
of support: from targeting lifestyle risk factors (e.g. alcohol,
obesity) to secondary prevention preventing unnecessary
escalation to higher acuity care settings. Strong
community services aligned with local authorities and
the third sector support independence and increase
resilience.
• CARE CLOSER TO HOME
People are supported to live with maximum independence,
with improved access to primary and secondary care, and
supported by the third sector. Enhanced community care
delivers the right care at the right time in the right place,
reducing demand on acute and residential services. End of
Life care is structured to allow patients to die in their place of
choice. A system-wide children’s strategy will improve
Norfolk & Waveney’s STP: Five Guiding
Principles

8. • INTEGRATED WORKING ACROSS PHYSICAL, SOCIAL
AND MENTAL HEALTH
Integrated working across the system delivers holistic care with
reduced duplication and gaps, and improved patient experience
and outcomes. Services recognise the importance of social care
and mental health parity of esteem.
• SUSTAINABLE ACUTE SECTOR
Acute services will be configured to be sustainable under future
demand pressures through increased provider collaboration. Out
of hospital services will reduce demand at the front door, and
assist discharge to maintain capacity within the acute
system.
• COST-EFFECTIVE SERVICES
Delivered within the finances available – providers and
commissioners will work together to realise CIP and QIPP
savings, release organisational efficiencies, and remove
perverse incentives.
Norfolk & Waveney’s STP: Five Guiding
Principles

9. • The three acute trusts have agreed to
establish the Norfolk Hospitals Group to
accelerate the scale and pace of
collaboration.
• “We have a comprehensive and
coordinated plan to further engage local
people and organisations in developing
our proposals.”
• Key workstream around social prescribing
at scale
STP

10. • The Care Act 2014 creates a general duty for local
authorities to promote diversity and quality in the
market of care and support providers for people in
their local area (not just what they fund).
• Seeing a more comprehensive effort to do this
• Still at a the talking stage need to look carefully at
the ability to turn words into action
• Reconfirmed think local act personal co-production
principles
• http://www.communityactionnorfolk.org.uk/sites/co
ntent/market-shaping-and-norfolk-county-councils-
market-position-statement
Market Shaping Activity

11. • Lot of promises made
• Good people & some ‘get it’ but…
• Strategically no demonstrable progress on
a new type of equal partnership
• On the ground - “we got told we have to
ring you first because you are free…”
– Not free
– Implication of choice of last resort
Overall relationship

12. • Cultural shift
– The VCSE & Public Sector roles in the
delivery of services and benefit?
– All sectors need to be working together as its
about aligning reducing resources but the
relationship has to be of value to all partners
and their different objectives
– Charities obligation to use resources is best
way to meet their objectives

13. • Part elected & part appointed
• Help provide strategic level voice and
leadership in a co-ordinated way
• Frustration with a lack of responsiveness
from NCC and other partners
• Likely shift in focus on the sustainability of
the sector directly
VCSE Sector Leadership Group

14. • We need to collaborate and consolidate
more as a sector
• This will take many forms
• Focus needs to be on service and
beneficiaries not organisations
• Lots of connections not as much
collaboration
– Working together that either improves things
for your beneficiaries of strengthens your
organisation
A more sustainable sector

15. Questions