Presentation by Sarah Pickup, Deputy Chief Executive of Hertfordshire County Council, to CIPFA's Social Care & Health Conference on tackling budget pressures.

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Tackling Budget Pressures
An Update from Hertfordshire
Sarah Pickup
Deputy Chief Executive
Hertfordshire County Council
www.hertsdirect.org
Content
• Practical measures to tackle budget pressures
• Improving efficiency
• Working with others
• Learning from others

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Hertfordshire’s financial position
• Savings made 2010/11-2013/14 £165m
£94m to fund demographic and inflationary
pressures
• Savings required 2014/15-2017/18 £145m
£116m to fund demographic and inflationary
pressures
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Social Care Budget and Savings
• 2013/14 Budget £326m
• 40% of council’s total budget
• £8-10m pa demographic pressure
• 1% on indep sector fees is £3m
• Savings 4 years to 2013/14 £54m+ £11m
• Savings required to 201718 £65m

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Service Plan for Health and Community
Services
THE WHAT
• Prevention
• Recovery/re-ablement
• Choice and control in
meeting ongoing needs
THE HOW
• Efficiency
• Partnership
• Contribution
http://www.hertsdirect.org/docs/pdf/
h/HCS_plan_2012-15.pdf
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Achieving Value for Money
• Negotiated reduction in voluntary sector funding
Reduced Cost
Added Value
• Application of costing models
External and then internal
Reduced cost, service continuity
• Business Process Review
Reduced staff and therefore cost
Better use of technology/channel shift
Cont9inuity of access/service

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Tackling Pressures
• Inflation - provider engagement/report
• Alternative support to providers
• Demand Management
• Prevention
• Personalisation
• Cost control
Reducing impact of demographic
change
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Prevention
• Herts Help
• Community Infrastructure incl soc enterprise
• Paying for care
• Falls prevention
• Home First
• Telecare
• Housing related support

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Demand Management/Recovery
• Enablement Homecare
• Intermediate Care
• Enablement beds
• Telecare
• Equipment
• Falls recovery vehicle/service
• One off solutions
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Ongoing Support
• Personalisation – tailor to save and improve
outcomes e.g. Learning disability
• Flexicare Housing
• Reshaping services e.g. mental health day care
• New services e.g. adults with complex needs
• Carer support – carer friendly community
business case

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Working with Partners
• NHS – e.g. case finding, falls recovery,
intermediate care
• Voluntary sector e.g. Hertshelp, MH day services
• Commercial Partners –e.g.
SERCO/Goldsborough/Tunstall
• Provider association e.g targeted training,
apprentices/care cadets, price negs.
• Creating new players e.g. herts community
meals
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Key criteria for success
• Clarity of objectives
• Clarity about givens and negotiables
• Engagement
• Joint ownership
• Flexibility
• Creative problem solving
• Leadership

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thank you