Greg Burke

Government Office for the North West

• Too many people and places left behind despite major investment

• Economic marginalisation of entire communities

• Generational, cultural, emotional, physical and economic deprivation and dependency

• Too many targets, too much top-down diktat, too much muddle and waste, too much stifling of local ideas

• Lack of private sector investment (or interest)

• Failure costs money – chaotic families can cost £300k per year

Local Integrated Services (LIS) – the problem

Public Services Now – the problem

Department for Culture, Media & Sport

DCMS

Voluntary & community sector (includes co-operatives and charities

VCS

Department for Education

DfE

Department for Work & Pensions

DWP

Pension, Disability & Carers Service

PDCS

Her Majesty’s Revenue & Customs

HMRC

Homes & Communities Agency

HCA

Housing BenefitHB

Council Tax BenefitCTB

Local AuthorityLA

National Offender Management Service

NOMS

Ministry of JusticeMOJ

Strategic Health Authority

SHA

Primary Care TrustPCT

General PractitionerGP

Department of HealthDH

Communities & Local Government

CLG

GlossaryA complex network of public service providers and intermediaries engaging with people, families and neighbourhoods, often with VCS organisations helping people navigate or access the system (or filling service gaps).

Direct Delivery

Intermediary

Govt Dept

Library

GPPolice

Jobcentre

Fire

SocialLandlord

SocialServices

Probation

NeighbourhoodTeam

Children’sServices

Hospital

DrugTreatment

CourtsNOMS

MOJ

HomeOffice

CLG

DfEDWP

PDCS

HCA

LA

PCT

SHA

DH

School

HMRC

Prison

HB/CTB

DCMS

HealthVisitor

VCS

Key

The directionof controlshifts, from theservice providersto the person, family or neighbourhood,through the localbudget holder commissioning on their behalvesand to meet their needs. The connections betweenproviders and suppliers are not visible to the person/people in need.

People, families and neighbourhoods access support from a local budget holder. The local budget holder commissions integrated services from the range of public sector funders designed around the needs of the communities in which they operate.

Local Integrated Services – the solution

The VCS organisations are still active in this implementation

model. They may, in the case of Social Enterprises and mutuals, be

– or be a part of – the local budget holder. There may be a need for some individuals

to get additional support simply to be able to access

the local budget holder in the first place.

And there will still be a need for VCS organisations to fill niche provision

gaps or to provide the connections at

the boundaries between types of services.

Key

Voluntary & Community Sector, including mutuals and co-operatives

Library

GP

Police

Jobcentre

Fire

SocialLandlord

SocialServices

Probation

NeighbourhoodTeam

Children’sServices

Hospital

DrugTreatment

Courts

NOMS

MOJ

HomeOffice

CLG

DfE

DWP

PDCS

HCA

LA

PCT

SHA

DH

School

HMRC

Prison

HB/CTB

DCMS

HealthVisitor

• A number of places are exploring the idea

• Government interested – builds on Total Place

• Could be ready to roll-out April 2011

• Seen as a practical way of implementing the Big Society concept

• Needs increased flexibility and removal of barriers particularly around pooling of budgets and data sharing

• Generates increased community engagement and VCS involvement

• Requires Ministerial and official buy-in across Whitehall – some promising signs

• Awaiting Spending Review!

Local Integrated Services – where are we?