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The new London Brokerage Network
What is Brokerage?
• Bit of a postcode lottery• Ideal v current reality
Context
• There’s a lot going on, not just Personalisation!• The Cuts • Localism• Personal Health Budgets
Threats• What is the viability of the existing service models?• Removal of the certainty of block grants and contracts.
Competitive environment of smaller, less secure individual funds
• Services that do not provide support which is in demand may cease to operate.
OR• Removal of the constraints of block contracts• Collaborative environment of universal services within
communities• The chance to find out and respond to exactly what people
really want.
Opportunities
A patchwork quilt
Community Brokerage Principles
Geographical equity
For everyone
Development agency functions
Information, advice and guidance (IAG)
Both ethical and viable (collaboration)
Building on existing, credible organisations
Provision of information, advice and assistance There is evidence to suggest that the provision of information, advice and assistance to help people maintain their health and well-being can prevent or delay the need for more costly interventions. This is supported by the evaluation of the Partnerships for Older People Projects (“POPP”) programme
• overnight hospital stays were reduced by 47%;
• use of Accident & Emergency departments reduced by 29%;
• reductions in physiotherapy/occupational therapy and clinic or outpatient appointments, with a total cost reduction of £2,166 per person.
Our recommended scheme creates a new duty to provide information, advice and assistance to people. This duty should support the policy priority of greater emphasis on prevention services, to help people maintain their health and well-being and delay or prevent entirely the need for future social care interventions. If the need for more intensive social care interventions is prevented, reduced or delayed, this would have positive benefits.
Law Commission Adult Social Care Impact Assessment May 2011
Brokerage
Info & Access
Prevention & re-ablement
Social Capital
Choice & Control
More than just support planning and procurement
So…• Brokerage is more than support planning• The Voluntary and User-led sector do this anyway• Core-funding• Popular• Preventative• Ties in with localism and drive to universal services• Saves money• Transferrable skills
The elephant in the room
The London Brokerage Network
• To show that there are viable alternatives to purely in-house model
• To provide useful tools, including database• Facilitate cost-effective and quality brokerage• Build critical mass• Facilitate networking and information-sharing• Quality Mark for service providers• Taking the ‘punt’ together
