key elements in drawing up an effective budget for a local homeless strategy
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29/05/2009 1
Key elements in drawing up an effectivebudget for a local homelessness strategy
Dick Reinking,Municipal Health Centre Utrecht
Brussels, May 28th. 2009
229-5-2009
An effective budget for a strategy or an effective strategy to
get a budget?
What I will not address:
• Effective budgetting, contracting and
accounting
• Costs and cost effectiveness
• Budgetairy constraints, cuts and complaints
WhatWhatWhatWhat is the is the is the is the problemproblemproblemproblem????
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What will be addressed here
• An analysis of financial requirements
• Vital financial coalitions
• What happened financially
• NB The city council took initiative with a Hfl 25 million
investment plan, starting in 1998
ProblemProblemProblemProblem analysisanalysisanalysisanalysis
• Integral budgets for integral policies: Homelessness as
a challenge for public health, welfare housing ànd
safety issues. Differentiate between output and
outcomes, use two track policy
• Not only local budgets: Homelessness exceeds local
tasks,responsibilities: f.i. with regard to psychiatry,
addiction care, privatized services and products
• The municipality ‘owns’ a problem that requires shared
financial commitment at the local, regional and national
level
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WantingWantingWantingWanting partnerspartnerspartnerspartners
• Envisaged financial partners:
• Internal
• DebtDebtDebtDebt guidanceguidanceguidanceguidance
• SocialSocialSocialSocial securitysecuritysecuritysecurity and and and and vocationalvocationalvocationalvocational rehabilitationrehabilitationrehabilitationrehabilitation
• Public Public Public Public nuisancenuisancenuisancenuisance
• External
• PrivatizedPrivatizedPrivatizedPrivatized housinghousinghousinghousing companiescompaniescompaniescompanies
• The The The The regionalregionalregionalregional office office office office forforforfor exceptionalexceptionalexceptionalexceptional medicalmedicalmedicalmedical expensesexpensesexpensesexpenses (AWBZ: (AWBZ: (AWBZ: (AWBZ:
long term care)long term care)long term care)long term care)
• Health care Health care Health care Health care insurersinsurersinsurersinsurers
• Goals / ambition:
• Vital financial coalitions
• Shared financial direction on homelessness dossier
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VitalVitalVitalVital financialfinancialfinancialfinancial coalitionscoalitionscoalitionscoalitions
• Sense of urgency (action is needed)
• A shared vision, mission and action plans (what makes you
run, tasks, responsibilities, business cases / CE-analyses)
• Shared financial commitment (invest in relations, knowledge,
mind sets and collaboration strategies)
• Short lines of communication and decision making
(programming, budgetting, contracting, mutual facilitation)
• Unconventional approaches (dare to invest and take risks)
• Political commitment and back up
2002–2006 Integral policy outline
• A financial covenant with the Regional AWBZ-office
• A 10 point city wide shared service provision plan
• Municipal investments in (financial) access to care
• Substitution of services from local to external budgets,
maintaining the municipal budget in the system and
allowing for friction costs
• An investment plan with privatized housing companies for
hostel development
• Care provision as contribution to public safety
• Start of shared financial direction on co-financed services
729-5-2009
Results 2002 – 2006
Extra services planned and realized, a.o.
• 3 care centres for addicted homeless
• 8 hostels with 24 hours guidance for addicted
homeless (both planned and realized)
• Financial reallocation for other long term housing
projects from municipal to national budgets
• 500 homeless elegible for care entitlements
according to the AWBZ (outreach, ACT and other)
829-5-2009
2006: Plan 2006: Plan 2006: Plan 2006: Plan forforforfor socialsocialsocialsocial reliefreliefreliefrelief
• G4 and Gouvernment, targets a.o.
• For 10.000 homelessness in the G4 there are integral personal
trajectories
• A reduction of evictions with 30% in three years,
• A reduction of public nuisance to 75% of 2005
• 12 instruments for local action plans identified
Budget: + € 180 million from AWBZ and added
municipal budgets
929-5-2009
Results
• Local action plans, covenant between municipalities and
health care offices
• Shared contracting and shared financial direction
• Reallocation national budgets homelessness
• Results 2008 (G4):
• > 6437 homeless in personal trajectory
• Rough sleepers in G4 nearly disappeared
• Housing evictions decreased with 20 – 45%
• 40% decrease in public nuisance (Utrecht)
1029-5-2009
Conclusion
• LackLackLackLack of money is of money is of money is of money is alwaysalwaysalwaysalways a a a a problemproblemproblemproblem
• Combine long term (Combine long term (Combine long term (Combine long term (actionactionactionaction) plans / ) plans / ) plans / ) plans / covenantscovenantscovenantscovenants in short in short in short in short
term term term term orientedorientedorientedoriented conflict conflict conflict conflict drivendrivendrivendriven environmentsenvironmentsenvironmentsenvironments
• Have a Have a Have a Have a financialfinancialfinancialfinancial strategystrategystrategystrategy thatthatthatthat exceedsexceedsexceedsexceeds the the the the locallocallocallocal level level level level
and and and and locallocallocallocal budgetsbudgetsbudgetsbudgets
• Be Be Be Be accountableaccountableaccountableaccountable: show : show : show : show successessuccessessuccessessuccesses onononon output and output and output and output and
outcomeoutcomeoutcomeoutcome levellevellevellevel
• InvestInvestInvestInvest in partners, in partners, in partners, in partners, externalexternalexternalexternal financialfinancialfinancialfinancial coalitionscoalitionscoalitionscoalitions
1129-5-2009
Challenges
• New New New New healthhealthhealthhealth care care care care insuranceinsuranceinsuranceinsurance actactactact
• ShiftingShiftingShiftingShifting focus focus focus focus fromfromfromfrom care and shelter care and shelter care and shelter care and shelter totototo preventionpreventionpreventionprevention and and and and
rehabilitationrehabilitationrehabilitationrehabilitation: : : : causingcausingcausingcausing shiftsshiftsshiftsshifts and links and links and links and links totototo newnewnewnew partners, partners, partners, partners,
newnewnewnew budgets budgets budgets budgets ––––oftenoftenoftenoften frozenfrozenfrozenfrozen duedueduedue totototo the the the the economiceconomiceconomiceconomic crisescrisescrisescrises----
• RedefinitionRedefinitionRedefinitionRedefinition financialfinancialfinancialfinancial strategiesstrategiesstrategiesstrategies requiredrequiredrequiredrequired: : : : newnewnewnew partners, partners, partners, partners,
newnewnewnew plans, plans, plans, plans, scarcity.scarcity.scarcity.scarcity.
1229-5-2009
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