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Barchester palmerone 200510 presentation


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Mr. David Duncan, CFO and …

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

Published in: Health & Medicine

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  • 1. Meeting 20th May David Duncan ( Steph Palmerone (
  • 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
  • 10. 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