Department of Health LAA National Workshop

1
The new Local Area Agreement Agreeing Adult
Social Care Priorities Ben Morrin Programme
Director Regional and Local Partnerships, DH
2
Opening Remarks

• LAAs rely on each of our contributions coming
  together
• National Indicator Set offers founding framework
• But opportunities of new LAA extend beyond the
  set
• DHs new business model will change to reflect
  the demands of this new agenda
• Key opportunities follow for each of us in each
  element of the Local Government and NHS
  performance frameworks ensuring they join
  effectively in each locality

3
The new LAA Framework

• 198 national indicator set out in new National
  Indicator Set
• up to 35 priorities selected by partners (with
  GOs)
• 17 DCSF additional statutories
• Things that matter to partners
• LAAs negotiated by GOs by June 2008
• CAA thereafter

4
Local Government and Public Involvement in Health
Bill (2007)

• Key supporting framework
• Named partners in Bill (inc PCTs, FTs, NHS
  Trusts)
• Duty to co-operate
• Duty to have regard to targets
• Creating shared priorities for places
• New LINKs initiated
• New duty of joint strategic needs assessment

5
The new DNA of Government

• Local Government is proving itself.
• Significant growth in trust of LAs to deliver.
• Fewer targets. Local choices of indicators will
  reign supreme.
• Given the context of challenge in delivering
  improved adult social care LAs rightly expecting
  improved quality of negotiation through LAA
  process.
• New opportunities for Local Government and its
  partners to inform policy and development at
  local and regional level.

6
LAA indicators

• Carl has clarified the key indicators of the NIS
  across adult social care
• Hilary has clarified the relevance of the
  National technical consultation to confirm the
  final set
• DH intends to work closely with Brighton Group
  and further interested partners to enhance its
  contribution to the NIS with our partners
• New dedicated post in DH to take forward this
  agenda

7
How each LAA will be negotiated

• DH will continue to support GOs in their
  negotiating responsibilities for each LAA
• DH is currently strengthening its regional
  presence
• From next year DH will include enhanced capacity
  and capability across its adult social care
  business
• Regional protocols for each English region now
  clarify the process and supporting contribution
  for negotiation upto June 2008

8
DH steps to strengthen its regional presence

• CSIP and CSCI are currently making essential and
  welcome contributions to LAA process
• From 2008/9, DH is strengthening its capacity in
  each GO to include new regional leadership
  function across adult social care business
• Improved regional capacity and capability vital
  to new social care transformation programme
• Ministers keen to outline key next steps on
  social care transformation by the end of this
  year

9
Issues that may concern you?

• Pace and complexity
• Getting your indicators in / what the NIS offers
• Your GOs expectations
• Balance between health and social care
• Quality of evidence

10
Things that could help?

• Your LSP
• Thinking about outcomes rather than indicators
• Considering the new JSNA guidance/support
  websites
• Clarifying the negotiation intention of your GO
• Opening up debate on vulnerable adults
• Getting DH involved if it could help you

11
Concluding CommentsWhy this all matters

• Once in a generation chance
• Real appetite in localities to go for it
• Outcomes and change so far across healthier
  communities and older people block extremely good
• Way to get your agenda delivered through others
  and with pooled resources
• LAAs about service transformation
• Let it play to your strengths