John Gillespie ACEVO
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Transcript of John Gillespie ACEVO
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Healthier Together Conference
John Gillespie
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Impact of Health Changes
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Health Service Changes
• Why this ought to be an opportunity? • What is the VCS offer?• What is the default situation / so what
happens if nothing or not that much is done?
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Hospital Centric NHS
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And difficult to turn around
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The Scale of Need
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2 Challenges
• 1. Shift from grants to more formal arrangements– Impact– Quality– Finances– Governance etc.
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2. Claim a larger proportion of the NHS budget
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• Support for older people• Long-term conditions• Keeping People out of hospital• Mental health
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‘Joined up’ impact
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• Ease of Commissioning
• Payment by Success (ie. selling outcomes) & social investment
• Linked to disinvestment
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Collaborative/Consortium arrangements
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Examples
• Desta - West London• Knowsley - co-investment with Local Authority