Greg Burke Government Office for the North West

1. Greg Burke Government Office for the North West

2. Local Integrated Services (LIS) – the problem • Too many people and places left behind despite major investment • Economic marginalisation of entire communities • Generational, cultural, emotional, physical and economic deprivation and dependency • Too many targets, too much top-down diktat, too much muddle and waste, too much stifling of local ideas • Lack of private sector investment (or interest) • Failure costs money – chaotic families can cost £300k per year

3. Glossary CLG Communities & Local Government CTB Council Tax Benefit DfE Department for Education DCMS Department for Culture, Media & Sport DH Department of Health DWP Department for Work & Pensions Key GP General Practitioner HB Housing Benefit VCS HCA Homes & Communities Agency HMRC Her Majesty’s Revenue & Customs LA Local Authority Direct Delivery MOJ Ministry of Justice NOMS National Offender Management Service PCT Primary Care Trust Intermediary PDCS Pension, Disability & Carers Service SHA Strategic Health Authority Govt Dept VCS Voluntary & community sector (includes co-operatives and charities Public Services Now – the problem A complex network of public service providers and intermediaries engaging with people, families and neighbourhoods, often with VCS organisations helping people navigate or access the system (or filling service gaps). Crime & Safety MOJ Prison Courts NOMS Home Office PCT Probation SHA GP Police Health Fire Hospital Health Visitor Neighbourhood Team DH LA Drug Treatment HB/ CTB Library CLG Social Landlord School HCA Social Services Jobcentre Children’s Services PDCS HMRC DCMS DWP Welfare DfE

4. Local Integrated Services – the solution Key Voluntary & Community Sector, including mutuals and co-operatives People, families and neighbourhoods access support from a local budget holder. The local budget holder commissions integrated services from the range of public sector funders designed around the needs of the communities in which they operate. The VCS organisations are still active in this implementation model. They may, in the case of Social Enterprises and mutuals, be – or be a part of – the local budget holder. There may be a need for some individuals to get additional support simply to be able to access the local budget holder in the first place. And there will still be a need for VCS organisations to fill niche provision gaps or to provide the connections at the boundaries between types of services. MOJ Courts Prison Probation Local Budget Holder NOMS Home Office Police Fire Neighbourhood Team HB/ CTB LA Jobcentre PDCS HMRC CLG GP Social Services Health Visitor School Social Landlord HCA Drug Treatment Children’s Services PCT DWP The direction of control shifts, from the service providers to the person, family or neighbourhood, through the local budget holder commissioning on their behalves and to meet their needs. The connections between providers and suppliers are not visible to the person/people in need. Hospital Library SHA DfE DH DCMS

5. Local Integrated Services – where are we? • A number of places are exploring the idea • Government interested – builds on Total Place • Could be ready to roll-out April 2011 • Seen as a practical way of implementing the Big Society concept • Needs increased flexibility and removal of barriers particularly around pooling of budgets and data sharing • Generates increased community engagement and VCS involvement • Requires Ministerial and official buy-in across Whitehall – some promising signs • Awaiting Spending Review!