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Healthier Together Conference

         John Gillespie
Impact of Health Changes
Health Service Changes
• Why this ought to be an opportunity?
• What is the VCS offer?
• What is the default situation / so what
  happens if nothing or not that much is done?
Hospital Centric NHS
And difficult to turn around
The Scale of Need
2 Challenges
• 1. Shift from grants to more formal
  arrangements
  – Impact
  – Quality
  – Finances
  – Governance etc.
2. Claim a larger proportion of the
            NHS budget
•   Support for older people
•   Long-term conditions
•   Keeping People out of hospital
•   Mental health
‘Joined up’ impact
• Ease of Commissioning
• Payment by Success (ie. selling outcomes) &
  social investment
• Linked to disinvestment
Collaborative/Consortium
      arrangements
Examples
• Desta - West London
• Knowsley - co-investment with Local Authority
• For more information please contact
  – John.gillespie@acevo.org.uk
  – 0207 0144 629

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John Gillespie ACEVO