Item No. 4
Reform in Salford
Salford’s Helping Families Proposition
22nd January 2014
Nick Page,
Strategic Director for
Children’s Services
Strategic Overview
•Public Service Reform is about how we support people to be
more self-reliant, reducing demand and cost on all public
services in Greater Manchester
• Creating jobs and growth will not, on their own, fundamentally
change places or reduce the cost of dependency that fall to
public services.
• Growth and reform are two sides of the same coin - core to the
GM Strategy
Ambition is to be
financially selfsufficient
22bn
17bn
• GM spends around £5bn more than our
total tax contribution
• Total tax take estimated at £17bn.
Significant investment in growth. GM
economy more resilient than most
• Total spend has actually increased since
2009, despite the cuts
• Proportions have changed – more on
welfare benefits: costs of failure
3.1
20
2.9
15
4.4
5
10
6.5
6.1
7.1
8
2008/09
2011/12
£bn
• Need to sustainably reduce £22bn public
spending
25
5
0
Benefits & tax credits
Local authorities
Health
Other
GM - Big ticket proposals
-Consolidating and scaling up solutions to complex dependency
across multiple cohorts within place
•Broader : troubled families, work programme leavers, offenders/
organised crime
•Sharper a focus on employability
•Deeper at risk troubled families, low–pay-no-pay cohorts
- Develop and implement out of hospital care models at the scale
needed to close the funding gap faced by local authority’s and
health partners
- Shifting gear to deliver an approach that brings together growth,
reform and place
PSR in Salford
Ageing Population
Work and Skills
Reducing demand for
generations
Reducing demand today
Transforming
Justice
Reducing demand today and
tomorrow
Helping Families
Health & Social
Care
Early Years
Work Programme
Leavers
X
Better outcomes,
lower cost
SAVINGS
Early intervention helps
reduce long term and
high cost needs
ENABLERS OF PUBLIC
SERVICE REFORM
Better outcomes, lower
cost
Reinvest resources across partners
Data, evaluation, evidence and systems
Commissioning and decommissioning
Cost benefit analysis, financial modelling, investment agreements
Public service workforces
Emerging Evidence shows .....
• That applying the principles of – integrated and sequenced
delivery of bespoke packages of support around whole families –
improves a whole range of outcomes for the family
• Direct benefits for Health partners will include, fewer non-elective
admissions to hospital, reduced length of stay, reduced drug and
alcohol dependency, improved mental health
• Other benefits will come from more people in work, reduced ASB,
youth crime and domestic violence, improvements in school
attendance and school readiness.
A new public service offer in Salford
• Budget reductions in Public Service will continue to 2018 and
beyond - for all of us
• Set against a high level of deprivation, increasing demand –
particularly in the number of vulnerable people we have
responsibilities for
• We must question ourselves – ‘are our structures and culture
fit for the financial and delivery challenges we all face ’
• We need new ways of doing things – ‘together’
• We all serve the same people in our City
Comments / reflections so far.......
Salford’s Helping Families Proposition
Create a consolidated service model in Salford from the council’s family
focused resources, and similar partnership resource across the city, in order
to maximise their collective impact on delivery of a shared set of outcomes
to improve the lives of Salford’s residents (and reduce delivery costs).
Delivered in 3 fluid phases:
Phase 1 - bring together Children’s Services family focused resources
Phase 2a - integrate other Council wide services – potential Adult Social
Care and Community Safety
Phase 2b – build on existing collaboration with partners e.g. The MASH’
Salford Learning Partnership, Salford Trust, our joint work with CCG’s and
Public Health – joint health visitors, midwifery, obesity and sexual health
and work with our Housing Providers around welfare reforms and ASB.
Phase 3 - city wide / industrial scale – partners to input resources to
achieve shared outcomes
Salford’s Helping Families Proposition
Building on the ‘Lessons Learnt’ from Salford’s Reform work to date :-
-
-
identify a clear cohort - with a defined set of outcomes to meet
local need
work with the whole family – to resolve issues in their
entirety / avoid wasted effort and unintended consequences
identify a key worker – to coordinate support and stop any
disconnected contact
pool resources – economies of scale
importance of good data - to ensure we identify and
address the need correctly / using evidence based interventions
Making it happen
• Establish clear governance and leadership
• Commitment to joint design group - ‘task and finish’ - important we have
the right people. Tasks/deliverables include:
 Agree joint outcomes
 Prepare business case / options for change
 Scope / phases of development – need to work at pace
 Agree supporting programmes of work / organisation best placed to
take the lead – learning from the best , for example
• CBA / Investment Agreement
• A Salford Workforce - a flexible workforce
• Intelligent Decision making – Enabling Hub
Issues for Consideration by City Partners
•
•
•
•
•
Does what you have heard today feel right ?
Have you got what you need from today ?
Is this something you want to be part of ?
Can your services contribute to delivery ?
Do you want to be part of the Salford Design Group ?
Reflect, have the discussions you need in your organisation, speak with
the team.
Let us have your initial comments / reflections / suggestions by 5th February
Key points of contact are in the slide pack if you would like further discussion with
the team or thematic leads.
Comments / reflections
Key points of contacts
Nick Page, DCS – Reform Lead, nick.page@salford.gov.uk 0161 778 0130
Mat Ainsworth, Troubled Families/Work Programme Leavers Lead –
Matthew.ainsworth@salford.gov.uk 0161 778 2546
Becky Bibby, Early Years Lead – Rebecca.bibby@salford.gov.uk 0161 909 6508
Jennifer McGovern - Integration of Health and Social Care (Older People) Lead
jennifer.mcgovern@salford.gov.uk 0161 793 2234
Don Brown - Transforming Justice and Rehabilitation Lead –
Don.brown@salford.gov.uk
Programme Management /Co-ordination – Seamus Lynch 0161 793 2562
seamus.lynch@salford.gov.uk; Charlotte Cooper 0161 793 2530
charlotte.cooper@salford.gov.uk ; Katie Kelleher 0161 793 2361
katie.kelleher@salford.gov.uk
Comments / feedback to:Charlotte Cooper
0161 793 2530
Charlotte.cooper@salford.gov.uk
Seamus Lynch
0161 793 2562
Seamus.lynch@salford.gov.uk
Initial thoughts and comments by 5th February
2014