Eye Town Hall September 20 th 2016 Introduction to project What Ive discovered Key local organisations Public sector spend in the community Suggestions Agenda Page 2 Eye Partnership ID: 912473
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Slide1
Presentation to Eye Community
Eye Town Hall
September 20
th
2016
Slide2Introduction to projectWhat I’ve discovered
Key local organisations
Public sector spend in the communitySuggestions
Agenda
Page
2
Slide3Eye Partnership:
Background
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3
To explore the potential for local people in Eye to play a far more significant role in the design, commissioning and delivery of public services or reducing demand for these services.
Slide4Summary of approach
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Gather information about activity and spend of local statutory providers
Bring community together to share finding and explore opportunities for greater joint working
Understand what is already being provided in Eye by voluntary sector and local people
Further work to explore specific opportunities
Today
Slide5Share some of the findings from the work - The organisations and people in Eye
The public sector demand and spend in the town
For everyone to make connections with others
To agree if there are areas where the community could play a more direct role in the design and delivery of public servicesAgree next steps
Aims of this evening
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Slide6Who have I met or spoken with - Local voluntary groups
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No.
Organisation
Name
1
1st Eye Scout Group
Joan Norman
2
490th Eye Aerodrome Memorial Project
Jacki Ayling
3
Bereavement Friendship and Support Group
Susan Whymark
4
Church of St Peter and St Paul
Guy Sumpter
5
Community Centre
Ian Barber
6
Contact The Elderly
Gill Watson
7
Dove Project
Julia Shekleton
8
Eye Arts Club
Liz Waugh McManus
9
Eye Bowls Club
Wyn Hoskins
10
Eye Business Forum
Adrian Beatty
11
Eye Church Company of Bell Ringers
St. John Perry
12
Eye Grammar School Fund
Sara Muldoon
13
Eye Library Friends
Pete Bernard
14
Eye Magazine
Chris Willoughby
15
Eye Opportunity Group
Sanchia Brandreth
16
Eye to Eye
Adrian Beatty
17
Eye Town Moors Woodland
Chris Willoughby
18
Eye Works 4 U
Jonathan Pooley
19
Forge Church (Debenham)
Steve Fenning
20
Hartismere Hospital League Of Friends
Gini Williams
21
Save The Children - Eye Branch
Jan Perry
22
Volunteer Centre
Charles Butler
Slide7Who have I met or spoken with?
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7
No.
Organisation
Name
1
Bartrum Road Services
Ashley Rimmer
2
Business Forum
Brett Fraser
3
Care UK Hartismere Care home
Cathyrn Weed
4
English Antiques
Steven Harmer
5
Handyman Shop
Bruce Slater
6
Permastore (Tanks and Silos)
Jim Mann
7
Rosemary and Thyme
Paul Farrow
8
Roy Humphrey
Gary Baldwin
No.
Organisation
Name
1Age UK SuffolkVanessa Lomax2British Red CrossMark Bradley3Community Action SuffolkClaire Taylor Haigh4Eye LibraryJulie Shepherd5Eye Stroke Support GroupSally Grater6Suffolk Inter-Faith Project David Capey7Thornham WalksJosephine Henniker-Major8WEA (Workers Ed. Auth.)Ray Carter9Waveney FoodbankGraham Reardon
Local Businesses
Larger voluntary groups
Slide8Who have I met or spoken with?
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8
No.
Organisation
Name
Role
No.
Organisation
Name
Role
1
Eye Children's centre
Debbie Frost
Childrens Centre
30
NHS property Services
Ian Burns
Property
2
Eye Health Centre
Christiaan Partridge
GP
31
Norfolk and Suffolk NHS FT
Alison Armstrong
3
Eye Health Centre
Henry Lewis
GP
32
Norfolk Community H&CIan Huggins 4Eye Health CentreJulie AshleyGP Practce Manager33St Peter and St Paul SchoolIan BelhamEx Head5Eye Health CentreViqar AhmedGP 34Suffolk CCBelinda ClabburnYouth Offending6Eye Town CouncilAlan CooperCllr35Suffolk CCFrances BeddingCommunities
7
Eye Town Council
Andrew Evitt
Cllr
36Suffolk CCGareth MoirCommunities8Eye Town CouncilCharles FlatmanCllr37Suffolk CCGlynn SmithChildren and Young People9Eye Town CouncilColin RibchesterMayor38Suffolk CCGuy McGregorCllr10Eye Town CouncilNancy FordCllr39Suffolk CCJan JonesHealth Visitor11Eye Town CouncilPeter GouldCllr40Suffolk CCJo HuckleReablement12Eye Town CouncilRichard BerryCllr41Suffolk CCJodie RendellHealth Improvement Commissioner13Eye Town CouncilSarah BarrettTown Clerk42Suffolk CCJulia RodwellService manager for Adults14Eye Town CouncilSimon HootonCllr43Suffolk CCLynda BradfordHealth Improvement Adults15Gilchrest Birthing UnitAlison LittlerManager44Suffolk CCMargaret DaffernReablement16Hartismere SchoolJim McAtearHead45Suffolk CCMarie MillerInterim Service manager17Hartismere SchoolS BeveridgePE Teacher46Suffolk CCNancy GoodchildReablement18Healthwatch SuffolkElizabeth Storer 47Suffolk CCPatrick ForrestData Adult Social Care19iCash SuffolkAllison ChaplinSexual Health48Suffolk CCRachael MetsonCommunities49Suffolk CCRachel BottomleyIntegration (Health and social care)20Ipswich and East Suffolk CCGChris ArmittHealth Data21Ipswich and East Suffolk CCGDavid BrownProperty50Suffolk CCSharon JarrettPublic Health Children22Ipswich HospitalJohn TobinBed Blocking51Suffolk CCSonia UrwinSchool Nurse23Mid Suffolk DCDavid Clarke Communities52Suffolk CCStuart HudsonTroubled Families Coordinator24Mid Suffolk DCDelia CookEconomic Regeneration53Suffolk Community HealthBarry GibsonCommunity Nursing25Mid Suffolk DCJohn BootyData54Suffolk Community HealthDawn GobboldCommunity Nursing26Mid Suffolk DCJonathen SeedCommunities55Suffolk Community HealthPamela ChappellCommunity Nursing27Mid Suffolk DCNigel BrettCommunities56Suffolk PoliceMark JacksonPolice28Mid Suffolk DCPeter GarrettEnvironment57Suffolk PoliceSteve LongPolice29NHS EnglandMatthew ThorpeGP practice data58West Suffolk NHS FTJacqui Grimwood
Statutory providers
Slide9Statutory Providers
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Slide10Page
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Slide11Page
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Slide12Page
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Genuine strength around Older Adults, sport and leisure and health and wellbeing
Slide13Over 100 people either spoken to or met
More as part of wider meetings e.g.
Community Action Suffolk networking event (20 attendees)
Adult social care team meeting (20 social workers) c. 60 different organisations
Summary
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There is a huge amount of activity in the town and impossible for anyone to know everything that is going on.
There remain many organisations I have not manged to contact
Slide14Eye is an extraordinary town with an abundance of things to do and opportunities for residents
There is a highly vibrant voluntary sector - particularly strong in
Sport and leisure
CultureProvision for older people
Health and wellbeing
The town is well served with information about what is going on: Website, Eye Magazine, Eye to Eye directory and newsletter
There are multiple physical assets
Community Centre, Bowls Club, Town Hall, Cricket Club, Hartismere Hospital, Churches, Scout Hall
etcThe development at the airfield (200+ new homes) is potentially a great opportunity for the townExcellent schools
Reflections Page 14
Slide15Lots of the provision is not well joined up
Whilst information is readily available sometimes this does not get through to either local people, voluntary groups, businesses or local statutory providers
Some have described a bit of a divide in the town - but everyone has real appetite to encourage greater take up of what’s going on
Could be much closer links between the voluntary sector and statutory providers
Town Hall is an issue!
Hartismere (Hospital) is an issue!
Reflections
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Slide16Overall Public sector spend in Eye (£’000s)
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£12m per year
Slide17Overall Public sector spend in Eye (£’000s)
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£12m per year
Slide18Overall Public sector spend in Eye (excl. DWP)
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Approx. £7m pa
Slide19Overall Public sector spend in Eye (excl. DWP)
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Approx. £7m pa
Eye Town Council at £116,000 is 1.6% of local spend
Slide20Areas to highlight - Health
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20
Non-elective Hospital admissions
421 events costing £932k
A&E attendance
1,019 visits costing £124k
Prescriptions (total cost greater than £1m)
Central nervous - 20,000 items costing £247kCardio vascular - 44,00 items costing £126kBed blocking – waiting on data
Could non-elective hospital visits be reduced?
Might a “social prescription” be better?Could the community support people come home sooner?
Help for people with long term conditions
Slide21Adult Social Care
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Domiciliary care
c.18 people costing £140k
Residential care
c. five people costing £190k
Reablement (helping people back on their feet)
48 people £63kAssessment and social care est. £100k pa
Is there more of a role for the community to play in delivering these services or helping reduce demand for them?
Only in Eye - not surrounding villages
Slide22Housing
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22
Surplus of £379k consumed by:
Housing management
Lettings
Estates
issues
Corporate overheads (e.g. IT, Finance, HR, Legal, Borrowing)Housing benefits costs £876K pa on 202 people
Spend
/ income area per year
£
Total rent collected from 136 properties
£574k
Capital spend on those properties
£128k
Other spend on properties
£67k
Total spend
£195k
Surplus
£379k
Could housing stock be put in the hands of the community?
What’s causing the demand for Housing benefit?
Slide23Grounds maintenance
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Eye Town Council - cemetery £5k
MSDC £38K (est.)
Suffolk County Council £?
Hartismere Hospital £8k- £10K (est.)
Hartismere Place Care Home £?
Could local organisations e.g. Jonathan Pooley’s and Ian Barber’s “Eye works 4 you” deliver some of these contracts so the money stays in Eye?
Slide24Public health
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24
Health Visitors
School Nurses
Drug and Alcohol services
Weight management
Smoking cessation
Total budget for Eye - estimated at £81k per year
How do we make sure people delivering these services are aware of what is already available in Eye?
How can community support promotion of these services?
Slide25Areas to highlight - Children and Youth services
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13 “Troubled Families” in Eye
No children in top three bands of social care provision:
Children in need (0)
Child Protection (0)
Children in Care (0)
14 Youth Offending incidents last year
Slide26Challenge and opportunity of Hartismere
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South Norfolk
West Suffolk
Great Yarmouth and Waveney
Ipswich and East Suffolk
EYE
Ideally placed between hospitals to be a substantial delivery point. But…
suffers from CCG boundaries
Slide27Hartismere
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27
NHS property services are responsible for letting space in the building or effectively “sweating the asset”
But if there are “voids” then the Clinical Commissioning Group (CCG) gets charged for the voids
So, in fact, perversely, NHS property are incentivised to keep the place empty?
Slide28Hartismere
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Charges from NHS property services to Ipswich and East Suffolk CCG - £453k pa
Slide29Hartismere
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In more detail…
How can these costs be justified?
Gilchrist Birthing Unit charged £50,000 pa - midwifery services but only five births last year
Slide30There is a great deal of money spent Eye
Some (maybe quite a lot) of this money is wasted
There is probably quite a lot of duplication of effort
Dealing with same familiesAsking the same questions etc
Sometimes money is spent doing things that local community groups could do cheaper and better
Community has virtually no say in how the majority of this money is spent
Capabilities of the community are not always well understood by providers of services - so they don’t benefit from that capability
Community is not always aware of the scale of services being delivered
Organisations and departments within organisations are inconsistent in the way they deal with communities
So what? Page 30
Slide31Reducing demand on health and social care sector
Social prescription -
helping people with long term conditions
an alternative to prescribed drugsIdentify and support people who are lonely and isolated and direct to community provision
Help free up bed blocking by tapping into community provision
Support domiciliary care providers and reablement service
Grounds maintenance contracts
Could these be combined and explore potential for local provision
More youth provisionEncourage greater take up of local services by those parts of Eye where take up is lower
Suggested areas to look at in more detail (1) Page 31
Slide32Look again at Hartismere Wellbeing Centre
Make better use of the building
Reduce charges, open up to non - health
Continue to explore getting other services in thereGP practice to relocate?Minor injuries unit, x ray unit
Encourage other (neighbouring) CCGs to commission services from Hartismere
Demand more of a say in how benefits from the new housing on airfield will be shared in the community
Long term…
Transfer ownership of Hartismere Hospital to the community?
Transfer ownership of Housing stock to community?Community playing far greater role in commissioning of health and care services
Suggested areas to look at in more detail (2) Page 32
Slide33Establish group that acts as a point of liaison between the community and statutory providers
Ensure community is represented properly in locality based discussions
Establish agreements with statutory providers about how they will work with the community - some form of charter potentially?
Encourage greater take up of what’s already in Eye through promoting what’s available to:
Surrounding villages
Certain parts of the community
Through other organisations
Establish small working groups to look at different areas
What might need to happen
Page 33
Slide34Which of the ideas I’ve mentioned are worth pursuing?
What other services do you think the community could play a more active role in either, commissioning, delivering or preventing demand for?
In groups
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Slide35Feedback and next steps
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