Sarah Pickup - Presentation to CIPFA Conference - Tackling Budget Pressures

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Presentation by Sarah Pickup, Deputy Chief Executive of Hertfordshire County Council, to CIPFA's Social Care & Health Conference on tackling budget pressures.

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Sarah Pickup - Presentation to CIPFA Conference - Tackling Budget Pressures

  1. 1. 12/09/2013 1 www.hertsdirect.org Tackling Budget Pressures An Update from Hertfordshire Sarah Pickup Deputy Chief Executive Hertfordshire County Council www.hertsdirect.org Content • Practical measures to tackle budget pressures • Improving efficiency • Working with others • Learning from others
  2. 2. 12/09/2013 2 www.hertsdirect.org Hertfordshire’s financial position • Savings made 2010/11-2013/14 £165m £94m to fund demographic and inflationary pressures • Savings required 2014/15-2017/18 £145m £116m to fund demographic and inflationary pressures www.hertsdirect.org Social Care Budget and Savings • 2013/14 Budget £326m • 40% of council’s total budget • £8-10m pa demographic pressure • 1% on indep sector fees is £3m • Savings 4 years to 2013/14 £54m+ £11m • Savings required to 201718 £65m
  3. 3. 12/09/2013 3 www.hertsdirect.org Service Plan for Health and Community Services THE WHAT • Prevention • Recovery/re-ablement • Choice and control in meeting ongoing needs THE HOW • Efficiency • Partnership • Contribution http://www.hertsdirect.org/docs/pdf/ h/HCS_plan_2012-15.pdf www.hertsdirect.org Achieving Value for Money • Negotiated reduction in voluntary sector funding Reduced Cost Added Value • Application of costing models External and then internal Reduced cost, service continuity • Business Process Review Reduced staff and therefore cost Better use of technology/channel shift Cont9inuity of access/service
  4. 4. 12/09/2013 4 www.hertsdirect.org Tackling Pressures • Inflation - provider engagement/report • Alternative support to providers • Demand Management • Prevention • Personalisation • Cost control Reducing impact of demographic change www.hertsdirect.org Prevention • Herts Help • Community Infrastructure incl soc enterprise • Paying for care • Falls prevention • Home First • Telecare • Housing related support
  5. 5. 12/09/2013 5 www.hertsdirect.org Demand Management/Recovery • Enablement Homecare • Intermediate Care • Enablement beds • Telecare • Equipment • Falls recovery vehicle/service • One off solutions www.hertsdirect.org Ongoing Support • Personalisation – tailor to save and improve outcomes e.g. Learning disability • Flexicare Housing • Reshaping services e.g. mental health day care • New services e.g. adults with complex needs • Carer support – carer friendly community business case
  6. 6. 12/09/2013 6 www.hertsdirect.org Working with Partners • NHS – e.g. case finding, falls recovery, intermediate care • Voluntary sector e.g. Hertshelp, MH day services • Commercial Partners –e.g. SERCO/Goldsborough/Tunstall • Provider association e.g targeted training, apprentices/care cadets, price negs. • Creating new players e.g. herts community meals www.hertsdirect.org Key criteria for success • Clarity of objectives • Clarity about givens and negotiables • Engagement • Joint ownership • Flexibility • Creative problem solving • Leadership
  7. 7. 12/09/2013 7 www.hertsdirect.org thank you

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