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Understanding Localism: The Future of Our Sector

This report by Dr. Marcus Roberts from DrugScope explores the implications of localism within health and social care. It presents key findings from a comprehensive survey involving 163 services across the UK, highlighting challenges such as funding reductions, re-commissioning processes, and the evolving role of volunteers. Notably, it discusses the sector's adaptation to welfare changes and the pressing need for improved local provisions in housing, employment support, and complex needs partnerships. The interim report emphasizes the importance of vigilance and strategic reconfiguration to secure the future of local services.

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Understanding Localism: The Future of Our Sector

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  1. Setting the scene – What does localism mean for our sector? Dr Marcus Roberts Director of Policy, DrugScope

  2. For example + + +

  3. ‘Not quite the conflagration I'd been banking on’? State of the Sector 2013 • Online survey plus interviews (other work) • Participants ‘noticed and opted in’ (and motivated) • Overall, 163 services participated spread across the PHE regions • Adult treatment - community(70%), residential (17%)and both (13%) • VCSE (57%), NHS (26%), private sector (6%)

  4. State of the Sector – interim report: Some key findings • 36% reported a decrease in funding in the past 12 months (including 10% who said they had lost services through re-commissioning) • 41% had been through a re-tendering, re-commissioning or contract negotiation process in the last 12 months and 64% expected to do so in the next 12 months • 44% reported a decrease in front line staff and 63% an increase in use of volunteers • 43% said they were not engaged with their HWB • 1 in 11 were formally engaged, 1 in 6 fed in via a JSNA consultation and 1 in 10 through Health Watch.

  5. Some more key findings • Around 4 in 10 were involved with their PCC either directly or a past of broader VCSE – only 1 in 10 via Police and Crime Plan • 88% said changes to welfare benefits had a negative impact on their service users (42% a strongly negative impact) • Most respondents identified funding and re-commissioning at the number one challenge for their service • The most significant gaps in local provision identified were housing, partnership/support for complex needs and education, training and employment support.

  6. Some concluding thoughts … • Stay vigilant – prima facie risk of disinvestment (positives: national commitment, diversification, capacity to work across public health) • Successful adaption might require further rethinking and reconfiguration of ‘the sector’ • Balancing diversification with securing lines, particularly support for the most marginalised • ‘Same time next week’ (or financial year) • What are realistic goals and expectations? • DrugScope’s commitment to support and inform

  7. Contact Details E-mail: marcusr@drugscope.org.uk www.drugscope.org.uk

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