Cllr Graham Jones MRPharmS

Leader, West Berkshire CouncilVice Chairman, Berkshire LPC

Pharmacy and local government

“The system will focus on personalised care that reflects individuals’ health and care needs, supports carers and encourages strong joint arrangements and local partnerships”e

“To strengthen democratic legitimacy at local level, local authorities will promote the joining up of local NHS services, social care and health improvement.” p

Health and Wellbeing Boards

“Promote the joining up of local NHS services, social care and health improvement”

Joint strategic needs assessments

“We will strengthen the collective voice of patients and the public through arrangements led by local authorities, and at a national level, through a powerful new champion, Health Watch England, located in the care quality commission” f

“We will ring- fence public health, allocated to reflect relative population health outcomes, with a new health premium to promote action to reduce health inequalities”.u

Challenges facing Local Authorities

Demographic Time bomb – Community Care budgets

Cuts in government support Less prescriptive working Total Place

Changing budgets

Adult Community care 2000 - 25% of budget 2010 - 33% of budget 2020 - 50% of budget ?

Rest – roads, children’s services, libraries, waste collection, recycling, countryside, housing, planning, leisure, culture, economic development etc etc

How does local government operate ?

Executive Senior officersScrutiny

Local Government Structure

County and district councilsUnitary councilsJoint services

Who’s who

Director of Community Care Portfolio holder for Community Care Scrutiny leads / Health Scrutiny Young people’s services Health and Wellbeing Boards Director of Public Health MPs

Questions ?