Total place - a whole area approach to public services.pdf

Total place - a whole area approach to public services.pdf - page 1/86 - Total place:

Total place - a whole area approach to public services.pdf - page 2/86 - Total place:

Total place - a whole area approach to public services.pdf - page 3/86 - Official versions of this document are p…

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Total place - a whole area approach to public services.pdf - page 4/86 - Contents

Total place - a whole area approach to public services.pdf - page 5/86 - Foreword

Total place - a whole area approach to public services.pdf - page 6/86 - The reforms outlined here present huge o…

The reforms outlined here present huge opportunities to deliver true transformation in all areas of the country. This collaborative way of working, in conjunction with the Budget measures implementing the commitments from Putting the frontline first: Smarter Government, is now clearly not just a direction of travel, but the future. Our task now is to develop smarter government that works in partnership with individuals and communities, using real evidence and customer insight, to identify the services that their citizens base need. What this means in practice is letting local areas decide what to spend their money on in order to meet specific local priorities.

Total place - a whole area approach to public services.pdf - page 7/86 - Executive summary

Total place - a whole area approach to public services.pdf - page 8/86 - Further support for all areas

Total place - a whole area approach to public services.pdf - page 9/86 - Thematic devolved responsibility � the I…

Thematic devolved responsibility � the Innovative Policy Offer

Total place - a whole area approach to public services.pdf - page 10/86 - commitment to devolve and delegate power…

commitment to devolve and delegate powers and responsibilities to strong cityregions; and

Total place - a whole area approach to public services.pdf - page 11/86 - Increasing the effectiveness of investme…

Increasing the effectiveness of investment across local partners, including in prevention

Total place - a whole area approach to public services.pdf - page 12/86 - � run five Invest to Save pathfinders, i…

� run five Invest to Save pathfinders, in which DWP will contract with local providers to increase the numbers of long-term incapacity benefits claimants finding work, paying providers on the basis of reduced spending on benefits. Government will ensure that local authorities will be actively involved. Budget 2010 announced that investment in the Young Persons Guarantee of a job, training, or work experience, underpinned by the Future Jobs Fund, will be extended into 2011-12.

Total place - a whole area approach to public services.pdf - page 13/86 - The initiatives outlined above will prov…

The initiatives outlined above will provide freedoms now, which we are looking to local authorities and their local and regional partners to embrace in order to deliver the best possible outcomes for their citizens in this time of fiscal constraint. They will also enable us to co-design with places key elements of the new relationship between Government and places, which will enable us to build on, and expand, these freedoms going forward.

Total place - a whole area approach to public services.pdf - page 14/86 - 1 Introduction

Total place - a whole area approach to public services.pdf - page 15/86 - 1.6 Strong Multi Area Agreements (MAAs) …

1.6 Strong Multi Area Agreements (MAAs) and cross-service partnerships have also been developing. For example, partnerships between local government and PCTs support joint working on health issues. This has been reinforced by local authorities and PCTs conducting Joint Strategic Needs Assessments, making joint appointments of Directors of Public Health, and strengthened relationships with Directors of Adult Social Care. Many partnerships have also used powers to pool budgets, with more than �3.4 billion pooled by local authorities and PCTs in 2007-08.

Total place - a whole area approach to public services.pdf - page 16/86 - Chart 1.A: Total Place pilot areas

Total place - a whole area approach to public services.pdf - page 17/86 - 1.15 The current fiscal constraints mean…

1.15 The current fiscal constraints mean it is more important than ever for public service partners in all areas to consider how they can use their collective resources to deliver more for less. The solutions being developed by the pilots apply at a range of spatial levels from subregions to neighbourhoods, starting from detailed understandings of the issues and opportunities of each local area. The Government recognises that the varying needs in different places can require tailored and targeted approaches to ensure delivery of strong outcomes for society and to enable the economy to reach its full growth potential.

Total place - a whole area approach to public services.pdf - page 18/86 - 2 The case for change

Total place - a whole area approach to public services.pdf - page 19/86 - Chart 2.A: Total `whole area public sect…

Chart 2.A: Total `whole area public sector spend identified by Total Place pilots

Total place - a whole area approach to public services.pdf - page 20/86 - 2.5 There will also be differences betwe…

2.5 There will also be differences between the levels of ringfencing for individual local authorities. For example, the non-ringfenced Working Neighbourhoods Fund (�508 million in 2010-11), which is paid within Area-Based Grant, is targeted at those areas with high rates of worklessness.

Total place - a whole area approach to public services.pdf - page 21/86 - "By looking at service provision through…

"By looking at service provision through the eyes of the service user rather than our own individual organisations we have recognised the tremendous potential to simplify, streamline, make a more relevant and focused impact and hugely influence direct and indirect costs over the long term... by adopting the culture of people and place rather than organisation and/or department at a central and local level we can significantly change the way public services are accessed and delivered." � Bradford

Total place - a whole area approach to public services.pdf - page 22/86 - � accountability to the residents of the…

� accountability to the residents of their areas � both for Councils as democratically mandated bodies and for their partners, from whom citizens have expectations, entitlements and rights of redress.

Total place - a whole area approach to public services.pdf - page 23/86 - The volume of reporting requirements is …

The volume of reporting requirements is significant � and only value for money if designed and managed effectively

Total place - a whole area approach to public services.pdf - page 24/86 - variation may be due to different organi…

variation may be due to different organisational approaches to collecting and reporting data, and to preparing for inspections and assessments. In a recent report, the Local Government Association suggested data burdens had reduced by 25 per cent from 2006 to 20095. Government has taken steps to streamline data demands, for example, through the DCSF Star Chamber.

Total place - a whole area approach to public services.pdf - page 25/86 - at potential preventative work in older …

at potential preventative work in older peoples services, support for ex-offenders and drugs and alcohol services. The third sector can play a key role in developing preventative services and releasing the full benefits of early intervention.

Total place - a whole area approach to public services.pdf - page 26/86 - 2.30 The diagram below summarises the sh…

2.30 The diagram below summarises the shift that the pilots have identified as key to delivering better outcomes at lower cost.

Total place - a whole area approach to public services.pdf - page 27/86 - 3 Making the savings

Total place - a whole area approach to public services.pdf - page 28/86 - savings include a single visiting team (…

savings include a single visiting team (possible savings of �120,000 per annum) and a single fraud and compliance team (savings of �90,000 per annum). The scale of savings, and the implementation of these recommendations, will be investigated further in extended pilots between the places and departments.

Total place - a whole area approach to public services.pdf - page 29/86 - � Lewisham Strategic Partnership have de…

� Lewisham Strategic Partnership have developed an integrated joint commissioning model for the PCT and council for �200 million of pooled adult health and social care budgets and �40 million of childrens budgets; the NHS and council are sharing the same performance management system and have introduced a rolling programme of priority needs assessments.

Total place - a whole area approach to public services.pdf - page 30/86 - Re-investing in services through flexibl…

Re-investing in services through flexible use of funding

Total place - a whole area approach to public services.pdf - page 31/86 - 3.13 The relationship between Total Plac…

3.13 The relationship between Total Place savings and other pressures and savings will be examined in the next spending review, including Smarter Government and other savings announced in the 2009 Pre-Budget Report and Budget 2010. We will also look at how we can put in place the right structures and incentives to support the delivery of savings across the public sector, ensuring that the challenges and benefits are shared fairly across all partners in an area.

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Total place - a whole area approach to public services.pdf - page 33/86 - services that reflect local needs, incre…

services that reflect local needs, increase customer satisfaction, increased confidence in public services, and lead to value for money and cashable savings;

Total place - a whole area approach to public services.pdf - page 34/86 - Multi-agency teams

Total place - a whole area approach to public services.pdf - page 35/86 - 4.7 Comprehensive and integrated early a…

4.7 Comprehensive and integrated early assessment of individuals allows agencies to discover and understand the full range of issues an individual might have which impact on the whole public service in that area. Through a number of approaches, for example stretching professional boundaries and greater use of generalists to act as single points of contact, issues can be identified earlier and appropriate support provided quickly:

Total place - a whole area approach to public services.pdf - page 36/86 - identified ways to mitigate this using d…

identified ways to mitigate this using data sharing protocols and taskforces, e.g. using the `Cardiff Model:3

Total place - a whole area approach to public services.pdf - page 37/86 - Freedoms for regions to drive growth

Total place - a whole area approach to public services.pdf - page 38/86 - consistently high performance. In partic…

consistently high performance. In particular the scheme will inform Government thinking on the case for introducing Tax Increment Financing.

Total place - a whole area approach to public services.pdf - page 39/86 - � the data on actual costs and benefits …

� the data on actual costs and benefits from the piloting and scaling up could also provide the basis for a productivity fund. Sub-regional, regional and national agencies could be invited to route investment through the fund on the basis of evidence that their objectives and interests would be served; and

Total place - a whole area approach to public services.pdf - page 40/86 - Box 4.A: Actions going forward

Total place - a whole area approach to public services.pdf - page 41/86 - � Government will undertake detailed fur…

� Government will undertake detailed further work to develop new approaches to using cost-benefit analysis tools and test proposals for local `productivity funds, to support identification and investment in preventative actions with proven costeffectiveness, including with Manchester city-region and Birmingham. Initial findings will be reported at PBR 2010.

Total place - a whole area approach to public services.pdf - page 42/86 - Chart 4.B: Local government intermediate…

Chart 4.B: Local government intermediate consumption expenditure as a proportion of total output, UK 2000-078 Local government procurement makes up 2.6 per cent of total output (intermediate consumption plus GDP).

Total place - a whole area approach to public services.pdf - page 43/86 - Chart 4.C: Commissioning and Procurement…

Chart 4.C: Commissioning and Procurement around citizen needs

Total place - a whole area approach to public services.pdf - page 44/86 - Box 4.B: What could a successful outcome…

Box 4.B: What could a successful outcome-focused procurement system look like?

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Total place - a whole area approach to public services.pdf - page 46/86 - � support strategic spending decisions;

Total place - a whole area approach to public services.pdf - page 47/86 - � Birmingham estimate the social costs o…

� Birmingham estimate the social costs of the citys 11,300 persistent drug misusers to be �500 million per annum, and alcohol misuse costs over �700 million per annum.

Total place - a whole area approach to public services.pdf - page 48/86 - Box 5.A: Actions going forward

Total place - a whole area approach to public services.pdf - page 49/86 - sometimes used where aligned budgets are…

sometimes used where aligned budgets are more effective, or pooled budget arrangements are not implemented effectively.

Total place - a whole area approach to public services.pdf - page 50/86 - inspection can free up the frontline, al…

inspection can free up the frontline, allowing the freedom to innovate and reduce costs, resulting in better service for customers/citizens.

Total place - a whole area approach to public services.pdf - page 51/86 - Box 5.C: Actions going forward

Total place - a whole area approach to public services.pdf - page 52/86 - Total Capital and Assets� a whole area a…

Total Capital and Assets� a whole area approach to local property and new capital investment

Total place - a whole area approach to public services.pdf - page 53/86 - across the region over a ten-year period…

across the region over a ten-year period, with a return on investment of 7:1 over ten years.

Total place - a whole area approach to public services.pdf - page 54/86 - � financial � freeing up money to create…

� financial � freeing up money to create headroom for investment in upfront expenditure, particularly where revenue and capital costs fall differently; and

Total place - a whole area approach to public services.pdf - page 55/86 - Box 5.D: Actions going forward

Total place - a whole area approach to public services.pdf - page 56/86 - 6

Total place - a whole area approach to public services.pdf - page 57/86 - � the importance of starting from the cu…

� the importance of starting from the customers perspective, not the organisations;

Total place - a whole area approach to public services.pdf - page 58/86 - issues. Gateshead, South Tyneside and Su…

issues. Gateshead, South Tyneside and Sunderland would like to address this through:

Total place - a whole area approach to public services.pdf - page 59/86 - meet outcomes, monitoring performance, a…

meet outcomes, monitoring performance, and political and financial accountability for the devolved funding.

Total place - a whole area approach to public services.pdf - page 60/86 - and local public and private sector part…

and local public and private sector partner bodies both before and after the event � creating and supporting the imperative for aligned activity towards shared outcomes. This would build directly on councillors existing representative responsibilities, and would be another avenue by which to involve local people more actively in service delivery. Work done in Herefordshire has shown success in using councillors to connect with hard-to-reach citizens and work with service providers to better represent local need, and Leicester and Leicestershire emphasise the point that the local councillor should be at the heart of it and feel he/she is able to make a difference with every agency, not just report a problem, with Total Place showing how the agencies are working together.

Total place - a whole area approach to public services.pdf - page 61/86 - supported in this change, both individua…

supported in this change, both individually to help them cope with systemic change, and together to build a culture with shared values, aims and behaviours.

Total place - a whole area approach to public services.pdf - page 62/86 - Box 6.A: Actions going forward

Total place - a whole area approach to public services.pdf - page 63/86 - 7 Next steps

Total place - a whole area approach to public services.pdf - page 64/86 - Ensuring all partners are delivering for…

Ensuring all partners are delivering for local people

Total place - a whole area approach to public services.pdf - page 65/86 - Government will use the Total Place appr…

Government will use the Total Place approach to test these ideas, evolving new services and new funding and accountability arrangements, working with places that demonstrate sustained high performance and strong partnerships. This builds on the `concordat suggested by Coventry, Solihull and Warwickshire.

Total place - a whole area approach to public services.pdf - page 66/86 - Thematic devolved responsibility � the I…

Total place - a whole area approach to public services.pdf - page 67/86 - Freedoms and incentives for Neighbourhoo…

Freedoms and incentives for Neighbourhoods

Total place - a whole area approach to public services.pdf - page 68/86 - powers, as well as trialling new approac…

powers, as well as trialling new approaches to asset and capital management. We will look to devolve further powers to strong city-regions that bring forward a robust case for change.

Total place - a whole area approach to public services.pdf - page 69/86 - � investigating the coherence of the sup…

� investigating the coherence of the support available to young people not in education, employment or training and exploring how the local areas can provide a more structured approach that can be better tailored to the young peoples particular needs and circumstances, with Coventry, Solihull and Warwickshire, Worcestershire and others;

Total place - a whole area approach to public services.pdf - page 70/86 - � undertaking detailed further work to d…

� undertaking detailed further work to develop new approaches to using cost-benefit analysis tools and test proposals for local `productivity funds, to support identification and investment in preventative actions with proven cost-effectiveness, including with Manchester city-region and Birmingham; and

Total place - a whole area approach to public services.pdf - page 71/86 - worth over �900 million, and the Governm…

worth over �900 million, and the Government has given initial approval for further schemes worth over �550 million;

Total place - a whole area approach to public services.pdf - page 72/86 - Opportunities and challenges for all pla…

Opportunities and challenges for all places

Total place - a whole area approach to public services.pdf - page 73/86 - A List of abbreviations

Total place - a whole area approach to public services.pdf - page 74/86 - NICE NIS NOMS NPV NTA OEP OFSTED OGC OGD…

NICE NIS NOMS NPV NTA OEP OFSTED OGC OGD PBR PCT PFI RDA RIEPs RSG SME SROI

Total place - a whole area approach to public services.pdf - page 75/86 - B For further information

Total place - a whole area approach to public services.pdf - page 76/86 - Manchester city-region and Warrington Be…

Manchester city-region and Warrington Better life outcomes for our young people (0-5 years) www.agma.gov.uk/mcr_total_place/index.html

Total place - a whole area approach to public services.pdf - page 77/86 - HMTreasury contacts

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