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