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Total Place delivering more for less in the Public Sector Jayne Bench Head of City Finance Be Birmingham
Birmingham’s Total Place ambition ,[object Object],[object Object],[object Object],[object Object]
Its about … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What we did ,[object Object],[object Object],[object Object],[object Object],[object Object]
Top Funding sources across the City
Organisations funding ‘mapped onto’ partnerships Spend by Partnerships (£m) 114 267 323 825 1,083 1,674 2,136 0 500 1,000 1,500 2,000 2,500 3,000 Environmental Partnership Culture Partnership Safer Birmingham Partnership City Housing Partnership Economic Prospectus Children and Young People Partnership Birmingham Health and Well-being
Where might savings come from ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A move towards Outcome Based budgeting ? ,[object Object],[object Object],[object Object],[object Object]
Continued ,[object Object],[object Object],[object Object]
Financial planning ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presenting the data…
Early intervention With thanks to Aperia and CACI
Early intervention - principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case Example Incredible Years ,[object Object],[object Object],[object Object],[object Object],[object Object]
Steve Aos Economic modelling ,[object Object],[object Object],[object Object]
Transforming early years
Drugs & Alcohol With thanks to Aperia and CACI
Health Substance Services Public Services Emergency Services Justice Police BCC Drug & Alcohol Service Providers NHS Business Services Hospitals PCTs GPs Probation Prison DIP Arrest DAAT Crime Arrest Out of Hours Calls Fire Incidents DIP Referrals Opinion Survey Children  (CareFirst) Housing  (SX3) WMPHO BHWP Needle Exchange Commissioning Service Provider Commissioning Case Management  Case Files  Prescribing Data Aggregate Hospital Episodes Monitoring NDTMS Hospital Records Case Files for Patients A+E Admissions flagged for Substance Offender Assessment  (OASys) Accredited Programmes  (IAPS) Prison Records SPOC Call Centre Revs / Bens  (Northgate) Adults  (CareFirst) Public Health Mortality Files Courts Sentencing Records Mental Health Trust Drugs and Alcohol Data Map
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Consolidated Cost Index arising from Alcohol Misuse.  1)  Birmingham Opinion Suvey - Proportion who say that people being drunk or rowdy in the local area is a big problem 2)  Police Data - Instances of ARV crime (Alcohol Related Violence) 3)  HES Data - Inpatient Admissions for Alcohol Attributable Reasons
Drug Offenders – by Birmingham Segments Produced by Customer Knowledge, BCC 24/02/10 Copyright © Experian Ltd 2010.  Copyright © NAVTEQ 200 7.  Based on Crown Copyright material
Segment Group profiles Group F Group i
The True Cost of Drugs in Birmingham – Per Annum Benefits Hospital Admissions Criminal Justice System Other Spend DAAT £27.8m £33m £15m £2.3m £??m
Drug Treatment Provision £3.7m £1.08m £3.4m £15.6m £1.4m ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tier 1 Tier 2 Tier 3 Tier 4 Professional Self referral Advisory Pooled Treatment £13.1m Drug Intervention Programme £5.3m Birmingham City Council £1.3m PCTs £5.6m Other £357k DoH Tier 4 Grant £1.3m
Service Journey
 
Customer Journeys Ups and downs of the customer experience Key journey steps Agency Touch-points 1991 2000 2008 2010 Suicide Attempt, A+E Admission Relapsed upon release from hospital Suicide Attempt, A+E Admission Relapsed upon release from hospital Suicide Attempt, A+E Admission; detoxed Relapsed upon release from hospital Medication treatment from GP Off sick with depression Started drinking JD with current partner who's alcohol dependant Arrest and sent to hospital due to sickness and shakes Forced 9 day Detox Social Services Intervention around child 1st session; Search for activities (dance) 2nd session Book appointment at GP for depression Argument with Neighbours Relapsed over weekend Controlled drinking; Abuse from neighbours ongoing; Seeking help from Housing Seek additional support for son Arrange transfer meeting Child in Need meeting with Social Worker Depression Unsure if employer support her Depression – drink to cope with life Depression Humiliated Motivated to sort life out Worried about son’s care Hospital Hospital Hospital GP Police Hospital Alcohol Services Social Services Social Services Alcohol Services Alcohol Services Social Services Education Housing 38 yrs old. Female Lives with 7yr son  Older 18yr son who’s left home  2005 Drank with friends at home; family drink dependent Caught in Abusive Relationship Argument with rowdy neighbours who stop her sleeping after night shifts
Customer Journeys Ups and downs of the customer experience Key journey steps Agency Touch-points Apr 2008 Sept 2009 Oct 2009 Nov 2009 Breakup of relationship and lost contact with children Starts Drinking Starts sick leave from job as Fork Lift truck driver GP referral to Alcohol Services Applies for Disability Living Allowance 1 st  Session with RAPt DNA 2 nd  Session 2 nd  Session; Referral to Aquarius for detox Lost job due to drinking DLA Claim rejected Paul fails to start detox with Aquarius Appeals decision over DLA Several DNAs so RAPt case file closed 3 rd  RAPt session 4 th  RAPt session;  GP Alcohol Services Alcohol Services Alcohol Services 36 yrs old Male Lives with Mum and Dad after partner left him and took two sons away Depressed Stressed and of very low mood Motivated to engage services to keep benefits Felt ‘rushed’ into detox Alcohol Services Social Security Social Security Feb 2010
Gangs
Offence Type Cost in Anticipation of Crime £ Cost as a Consequence Of Crime £ CJ Costs £ Total Cost £ Homicide 374 1,314,362 144,239 1,478,975 Att Murder/Serious Wounding 1256 481,478 78,243 560,977 Criminal Use of Firearm 798 120,198 48,724 169,720 Robbery 348 4698 3298 8344
Details of criminal activities and offences has been mapped Gang Member’s familial networks and criminal histories have been mapped Obligate and Dynastic Families Criminal Justice Costs £2.7m

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Birmingham Total Place Summit Master Class

  • 1. Total Place delivering more for less in the Public Sector Jayne Bench Head of City Finance Be Birmingham
  • 2.
  • 3.
  • 4.
  • 5. Top Funding sources across the City
  • 6. Organisations funding ‘mapped onto’ partnerships Spend by Partnerships (£m) 114 267 323 825 1,083 1,674 2,136 0 500 1,000 1,500 2,000 2,500 3,000 Environmental Partnership Culture Partnership Safer Birmingham Partnership City Housing Partnership Economic Prospectus Children and Young People Partnership Birmingham Health and Well-being
  • 7.
  • 8.
  • 9.
  • 10.
  • 12. Early intervention With thanks to Aperia and CACI
  • 13.
  • 14.
  • 15.
  • 17. Drugs & Alcohol With thanks to Aperia and CACI
  • 18. Health Substance Services Public Services Emergency Services Justice Police BCC Drug & Alcohol Service Providers NHS Business Services Hospitals PCTs GPs Probation Prison DIP Arrest DAAT Crime Arrest Out of Hours Calls Fire Incidents DIP Referrals Opinion Survey Children (CareFirst) Housing (SX3) WMPHO BHWP Needle Exchange Commissioning Service Provider Commissioning Case Management Case Files Prescribing Data Aggregate Hospital Episodes Monitoring NDTMS Hospital Records Case Files for Patients A+E Admissions flagged for Substance Offender Assessment (OASys) Accredited Programmes (IAPS) Prison Records SPOC Call Centre Revs / Bens (Northgate) Adults (CareFirst) Public Health Mortality Files Courts Sentencing Records Mental Health Trust Drugs and Alcohol Data Map
  • 19.
  • 20. The Consolidated Cost Index arising from Alcohol Misuse. 1) Birmingham Opinion Suvey - Proportion who say that people being drunk or rowdy in the local area is a big problem 2) Police Data - Instances of ARV crime (Alcohol Related Violence) 3) HES Data - Inpatient Admissions for Alcohol Attributable Reasons
  • 21. Drug Offenders – by Birmingham Segments Produced by Customer Knowledge, BCC 24/02/10 Copyright © Experian Ltd 2010. Copyright © NAVTEQ 200 7. Based on Crown Copyright material
  • 22. Segment Group profiles Group F Group i
  • 23. The True Cost of Drugs in Birmingham – Per Annum Benefits Hospital Admissions Criminal Justice System Other Spend DAAT £27.8m £33m £15m £2.3m £??m
  • 24.
  • 26.  
  • 27. Customer Journeys Ups and downs of the customer experience Key journey steps Agency Touch-points 1991 2000 2008 2010 Suicide Attempt, A+E Admission Relapsed upon release from hospital Suicide Attempt, A+E Admission Relapsed upon release from hospital Suicide Attempt, A+E Admission; detoxed Relapsed upon release from hospital Medication treatment from GP Off sick with depression Started drinking JD with current partner who's alcohol dependant Arrest and sent to hospital due to sickness and shakes Forced 9 day Detox Social Services Intervention around child 1st session; Search for activities (dance) 2nd session Book appointment at GP for depression Argument with Neighbours Relapsed over weekend Controlled drinking; Abuse from neighbours ongoing; Seeking help from Housing Seek additional support for son Arrange transfer meeting Child in Need meeting with Social Worker Depression Unsure if employer support her Depression – drink to cope with life Depression Humiliated Motivated to sort life out Worried about son’s care Hospital Hospital Hospital GP Police Hospital Alcohol Services Social Services Social Services Alcohol Services Alcohol Services Social Services Education Housing 38 yrs old. Female Lives with 7yr son Older 18yr son who’s left home 2005 Drank with friends at home; family drink dependent Caught in Abusive Relationship Argument with rowdy neighbours who stop her sleeping after night shifts
  • 28. Customer Journeys Ups and downs of the customer experience Key journey steps Agency Touch-points Apr 2008 Sept 2009 Oct 2009 Nov 2009 Breakup of relationship and lost contact with children Starts Drinking Starts sick leave from job as Fork Lift truck driver GP referral to Alcohol Services Applies for Disability Living Allowance 1 st Session with RAPt DNA 2 nd Session 2 nd Session; Referral to Aquarius for detox Lost job due to drinking DLA Claim rejected Paul fails to start detox with Aquarius Appeals decision over DLA Several DNAs so RAPt case file closed 3 rd RAPt session 4 th RAPt session; GP Alcohol Services Alcohol Services Alcohol Services 36 yrs old Male Lives with Mum and Dad after partner left him and took two sons away Depressed Stressed and of very low mood Motivated to engage services to keep benefits Felt ‘rushed’ into detox Alcohol Services Social Security Social Security Feb 2010
  • 29. Gangs
  • 30. Offence Type Cost in Anticipation of Crime £ Cost as a Consequence Of Crime £ CJ Costs £ Total Cost £ Homicide 374 1,314,362 144,239 1,478,975 Att Murder/Serious Wounding 1256 481,478 78,243 560,977 Criminal Use of Firearm 798 120,198 48,724 169,720 Robbery 348 4698 3298 8344
  • 31. Details of criminal activities and offences has been mapped Gang Member’s familial networks and criminal histories have been mapped Obligate and Dynastic Families Criminal Justice Costs £2.7m

Editor's Notes

  1. Using Advocate as a gateway to long-term recovery planning and broader into public-service More flexibility in service consumption – allowing users to design recovery pathway One size doesn’t fit all More aggressive reduction from methadone (drug-free wings in prisons?) Encouraging more service user leadership and self support (alcohol) Time / target interventions around life events such as bereavement, child-birth and family break-up “ Use my fear / pain” Earlier referral into the system – by GPs, Adult Social Care, Housing Use initial contacts to build relationship with client, rather than “fast-track” into treatment services Evidence base for controlled drinking