WelcomeJonathan Reuvid

Chair of Community First Oxfordshire

Introducing Community First Oxfordshire

Jon BrightCEO, Community First Oxfordshire

Looking Back - 2014 / 15 A Year of Delivery and Innovation

Theme Communities SupportedCommunity-Led Planning 63 Communities

Neighbourhood Planning 14 Communities

Village Halls & Shops 64 VH Committees and Community Shops

Community Transport 20 Community Transport Groups

Health & Ageing • Red Arrow Driver Team set up • Dementia Friendly Communities Report • Village Companies Model Developed

Supported Transport Consultation Independent facilitator for County Council

New Housing & Communities Provision Study for Cherwell District Council

Satisfaction with ORCC services Survey results: 3.5 / 4

Community First Oxfordshire Looking Ahead

Housing and Community Planning:• Neighbourhood Planning• Community-Led Planning• New Housing Development

Community Enterprise:• Community Buildings (1): Village Halls and Community Centres• Community Buildings (2) Shops, Post Offices, Pubs• Supporting Business and Community Enterprise

Health, Ageing and Transport:• Dementia-friendly Communities• Community Transport Support & Red Arrow Team• Strengthening Community Support and Improving Care

AND:• Community Oil Buying Scheme

New Housing Developments – Role of the Voluntary &

Community Sector

Cllr Barry Wood Leader of Cherwell District Council

Challenges (and Opportunities?)

Maggie ScottChief Policy Officer

The Challenge• Deficit reduction is part of it• But fundamentally it is not

about money…• …a philosophy seeking a

smaller state• Where government does less

and people do more for themselves

• So what does that mean?

The budget squeeze

• Reduced government funding• Growing demand for care• New responsibilities eg

concessionary bus passes• Inflation• Council tax rises are restricted

Rising Demand for Services

Spending on the vulnerable

£88m to be saved by 2017/18

£204m saved since 2010/11

Savings made or planned

2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18

£35m

£90m

£127m

£170m£204m

£247m£268m

£292m

£50m*on top of £292m already saved or planned

*worst case scenario

Currently consulting on saving a further

Changing Role of the Council

• Enable and facilitate• Meet statutory requirements• Some things will have to stop

Implications for the voluntary and community sector

• We will – Still commission many services– Provide support in kind– Support infrastructure for the sector– Wherever possible want to work with communities to help

themselves• We need you to

– Develop local and innovative solutions– Work in partnership with us to try and fill the space as we

and others in the public sector reduce – Work with others to provide the voice of the sector

New models

• Financial pressure is leading to creation of new models within the public sector – locally and nationally

• Eg Devolution from national government to Oxfordshire (with District Councils, Local Enterprise Partnership, Clinical Commissioning Group & others)

• Eg Oxfordshire Together….

Oxfordshire Together• Currently working with Town and Parish councils Alternative ways to

deliver services across a range of areas;• Enable local communities shape, design and tailor local services;• Build on previous work with communities (grass cutting, youth

provision and libraries);• One size does not fit all;• Flexible approach & open to suggestions from communities.

A New Strategic Role for Communities

A typical community in Oxfordshire

NOW FUTURE

Grass cutting

Community libraries

Community transport

Youth centres

Community care

Furniture cleaning

Salt bin management

Winter clearingChildren’s centres

School Crossing Patrol

Questions?

Localities team contact:localities@oxfordshire.gov.uk

Oxfordshire Together:www.oxfordshire.gov.uk/oxfordshiretogether

Working together to improve the quality of care. How can

communities help?

Rachel ConeyCEO, Healthwatch Oxfordshire

Working together to improve the quality of care. How can

communities help?

About us

Healthwatch Oxfordshire exists to be the independent watchdog and champion for people who use health* and social care services in Oxfordshire.

Healthwatch Oxfordshire’s vision is that people are actively involved in shaping the health and social care services they use in Oxfordshire.

* “health” includes public health throughout

To do this we:• Gather information about people’s experiences of using

health and social care services in Oxfordshire and make it available to the public.

• Use this information to make recommendations to relevant local and national organisations about how local services, policies and strategies need to change and improve and, where possible, secure their agreement to make improvements.

• Help hold those in charge of local health and social care services to account for putting our recommendations into practice – and do this in a way that is visible to the public.

• Provide advice and information to help individuals access health and social care services in Oxfordshire.

Our unique role in the system

• If we write to commissioners and providers with recommendations they have to respond.

• We have the opportunity of a standing agenda item at Health and Wellbeing Board and Health Overview and Scrutiny to hold people to account for the responses they make.

• We work closely with the Care Quality Commission.

Project with ORCC - Sustaining dementia friendly communities• Grant from HWO to ORCC

• ORCC designed project methodology, with expert advice from HWO

• ORCC carried out the research and drafted the report

• HWO provided advice on editing report and drafting recommendations

• HWO published report and sent it to the people who could make the changes recommended

• We did media interviews together and involved community groups who had contributed a case study

What report concluded

Local community organisations are vital in ensuring local communities are dementia friendly

They can only fulfil this role if:• They have access to ongoing training and development support

from the public sector

• GPs know what they do and how they can help

• GPs can and will use “social prescribing” to signpost people with dementia and their families to the local organisations who can support them.

This needs local government , the NHS and neighbourhood organisations to work together.

Dignity in Care – partnership with AGE UK Oxfordshire

• HWO undertook research into how well Dignity in Care standards are delivered in Oxfordshire .

• This required partnerships with NHS, social care, private providers, the public and other voluntary organisations.

• Volunteers were vital

• AGE UK ran a Dignity in Care Awards scheme

• A report combining HWO findings and examples of great care Age UK had identified was published

• Age UK’s influence and HWO statutory powers were used to secure commitments to action.

What the report concluded

• There is some great care being delivered in Oxfordshire, but not everything is perfect.

• Staff do not always communicate with patients /service users and their families appropriately, particularly when they have complex communication needs.

• People are still afraid to complain about poor care.

• There are instances of abuse in Oxfordshire.

• People are still not always properly involved in decision making about their care.

Working together to get change• Much more influence by working together

• Project needed the content produced by communities – individuals and organisations.

• The messages would not have been listened to by the statutory sector without Healthwatch’ statutory powers.

• The statutory sector has to lead the way in making the improvements.

• BUT - they need partnerships with organisations like AGE UK to make that change.

• We can only monitor whether things improve if communities keep bringing us information about the quality of care.

Working together in the future

• Can you keep telling us about the things local patients and social care users are most worried about?

• Do you know a site we should Enter and View?

• Do you know an organisation that would like to work with us?

• Can you help us with our outreach programme?

Contact us on:•01865 520520•hello@Healthwatch.co.uk

Questions & Answers Session

Revd Canon Glyn EvansRural Officer for Diocese of Oxford &

President of Community First Oxfordshire

Networking / Information Stalls

• Housing & Community Planning - Fiona Mullins & Tom McCulloch• Health Transport & Ageing – Emily Lewis-Edwards• Community Enterprise – Lynne Newin• Community First Oil & Membership – Sue Hunt

Thank You!Don’t forget to visit our new website:

www.communityfirstoxon.org