health and social care landscape implications for us all
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Health and Social Care Landscape Implications for us all. Neil Beasley – Trustee, THT. Pressure on all sides. Voluntary Funding. Welfare Reforms. NHS Funding. Employment. Increased Needs. Access to healthcare. Poverty. Healthcare Reform. Ageing. Housing. Local Government. - PowerPoint PPT PresentationTRANSCRIPT
Health and Social Care Landscape
Implications for us all
Neil Beasley – Trustee, THT
Pressure on all sides
On people with HIV On our services
Welfare ReformsWelfare Reforms EmploymentEmployment
PovertyPovertyAccess to healthcareAccess to healthcare
HousingHousingAgeingAgeing
NHS FundingNHS Funding
Voluntary Funding
Voluntary Funding
Increased Needs
Increased Needs
Healthcare Reform
Healthcare Reform
Local Government
Local Government
We need to adapt services and approaches to cope with this new reality
We need to adapt services and approaches to cope with this new reality
Economic environment
• Spending Review 2010: £81bn cuts package (UK-wide)
• Reduction of £20bn in NHS spending (England)
• Reduction of 25%+ in Local Government income (England)
• Reduction of £18bn in welfare spending (UK-wide)
• Unemployment up to 2.49 million (7.9%) across the UK with much higher rates in some regions
NHS reforms in England:An overview
Replacing 150 PCTs with about 250 GP led Clinical Commissioning Groups, responsible for spending about 80% of NHS budget
CCGs to have statutory duty to consult with service providers & specialist groups
GP and specialist services to be commissioned by NHS Commissioning Board
Public Health to be commissioned by Local Authorities, within a ringfenced allocation (between 2 & 4% of NHS budget)
Local Authorities to have responsibility for coordinating health, social care and public health commissioning within their areas
Implementation timetable is being extended
NHS England Reforms – Themes for us as consumers of care Money will follow us and be based on
outcomes There is a potential expansion of the role of
voluntary organisations as providers of some services to us
GPs who can be inexperienced in dealing with HIV will not have a role in commissioning our specialist services
Local Authorities will be responsible for commissioning sexual health and HIV testing services Risk of fragmentation of our services across all the different
commissioning groups Investment risks to our care are already becoming apparent Long Term Condition Management and need for greater primary care
involvement in HIV not reflected in the commissioning structure
Implications for voluntary and charitable service organisations Cuts planned across most sectors, e.g.
CAB, Turning Point VCOs in first wave of spending cuts Job losses being reported Unpredictability and local variation Unclear expectations of VCO sector 2012/13 likely to be worse than
2011/12
We need to plan for the next few years, rather than hope that things will get better
We need to plan for the next few years, rather than hope that things will get better
Experience at THT
25% cut in statutory income Cost pressures pushed down to us That’s why THT took some difficult
decisions to reduce its cost base and protect its services Maintained most of its services Built a platform for sustainability Launched new services which fit into
this cost constrained future Will never stop trying to make HIV
services a priority and protecting those at most needTHT is now supporting more people with HIV than
ever beforeTHT is now supporting more people with HIV than
ever before
General implications
We all need to adapt our expectations in this new climate
We have a voice, and need to use it locally and nationally, engage in consultations and be a constructive force for quality services
We need to build models that will be sustainable over the next ten years not hold onto the models of the past
Services need to be protected for those most at need We will have to engineer new ways of giving advice,
support and services and consider community rather than clinic based care options in the future