Tavistock Square

DebatesTowards a new era of partnership in health

and care

#TSQDebates

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CAN THE VOLUNTARY SECTOR HELP US TOWARDS A

NEW ERA IN HEALTH AND SOCIAL CARE?AGE UK Tavistock Square Debate February 24 2015

DAN CORRY

Chief Executive

NPC

TRANSFORMING THE UK CHARITY SECTOR

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NPC works at the nexus between charities and

funders

Charity

SectorFunder

Increasing the impact of charities

eg, impact-focused theories of change

Strengthening the partnership

Eg, collaboration towards shared

goals

Increasing the impact of funders

eg, effective commissioning

Consultancy

Think tank

PARTNERSHIP BETWEEN HEALTH AND

SOCIAL CARE A NO BRAINER

• But does not mean it is easy

• Would have happened by now – lots of talk, pilots, experiments etc

• Even SIBs not taken off as yet

WHY NOT HAPPENING?

• Cultures

• Incentives

• Behaviours (central and local govt; clinicians etc)

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VOLUNTARY SECTOR SOMETIMES SEEN AS

PLAYING A BIG PART? WHY?

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Bad Reason

Better

Reason

Best Reason

Cheap. Millions of free volunteers

Often good at what they do

The best charities worry about the

whole person, their journey, all

their needs

SUPPORTING GOOD HEALTH

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Charities’ role supporting patients

• Patient voice and involvement

• Navigating the system

• Prevention and early intervention

• The social determinants of health

Charities’ role influencing the system

• Delivering services

• Influencing the design of services

• Making state resources go further

Seven essays discussing the role of the charity sector

FIVE YEAR FORWARD VIEW

“The NHS will become a

better partner with

voluntary organisations

and local communities”

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AREAS WORTH DOING

MORE WORK

Can the health service work better with charities?

How can charities save the health service money?

How can charities influence the health service?

CAN THE HEALTH

SERVICE WORK BETTER

WITH CHARITIES?

HOW DOES THE HEALTH SERVICE WORK

WITH CHARITIES?

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1037

280

444

164 128

704

26 11

246

Primary care Secondary care Community-based services

NHS provider Private company Charity or social enterprise

Primary, secondary and community contracts by provider type

WHAT DO WE NEED TO KNOW TO MAKE THIS

AN EFFECTIVE SYSTEM?

• What types of providers are being commissioned by CCGs?

• How are CCGs approaching the pre-procurement phase?

• What influence has the Social Value Act had on the approach of

CCGs to commissioning?

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HOW CAN CHARITIES

SAVE THE HEALTH

SERVICE MONEY?

HOW CAN CHARITIES SAVE THE HEALTH

SERVICE MONEY?

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Preventative

health

Social

determinants

of health

People with

identified

health needs

PREVENTION AND THE SOCIAL

DETERMINANTS OF HEALTH

• How do charities best insert themselves into this agenda?

• How can we encourage funders to recognise the importance of earlier

intervention?

• How do we address the challenges of measurement in this field

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HOW CAN CHARITIES

INFLUENCE THE HEALTH

SERVICE?

HOW CAN CHARITIES INFLUENCE THE

HEALTH SERVICE?

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Charities

Statutory system

Systems

changeServices

Research

Advocacy

Policymakers

Commissioners

Clinicians

Models of

systems

change

SYSTEMS CHANGE

• What kind of influence is realistic for charities to exert?

• What kinds of interventions work in what circumstances?

• How can we best share this knowledge within the sector?

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FUTURE RESEARCH

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Commissioning

How does the health

service work with

charities?

Prevention and social

determinants

How can charities save

the health service

money?

Systems change

How can charities

influence the health

service?

“CAN THE VOLUNTARY

SECTOR SAVE THE NHS”

IS THE WRONG QUESTION

How it can help join it up,

change its focus, bring

innovation and a holistic

approach to health and social

care is the real need for

focus

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THANK YOUNew Philanthropy Capital – Transforming the charity sector

thinkNPC.org