Agenda item 4 - MTFS (Final) Cab 070213 , item 9. PDF 1 MB

More documents

Recommendations

Info

Meeting the challenge The Public Health allocation is a ring fenced grant and the expectation is that it will be fully spent. Given the financial context and identified needs, we will integrate prevention across Gloucestershire County Council and support the Council to discharge its responsibilities in relation to children and families and adult services to ensure outcomes are improved in these areas with a strong focus on prevention, for example, working with Commissioning Directors around ‘troubled families’ and reablement. Helping people to stay healthy and live independently for longer is a major contributor to reducing cost pressures in the medium and longer term. This is the first year that GCC has received this grant and the Director of Public Health is committed to fully integrating public health into the Council. We already commission a range of public health programmes and services aimed at protecting and improving health, preventing illness and reducing health inequalities in line with County priorities. Commissioning priorities for 2013/14 and 2014/15 are informed by Gloucestershire’s Joint Strategic Needs Assessment (JSNA) and driven by Gloucestershire’s Health and Wellbeing Board with advice from the Director of Public Health. The public health grant will be used to support outcome delivery of the Health and Wellbeing Strategy and to integrate prevention to support GCC’s existing priorities. Performance will be measured against a subset of locally determined priority indicators from the Public Health Outcomes Framework, which includes 66 public health indicators. We will apply the principle of ‘proportionate universalism’ ensuring the right level of support and intervention is commissioned according to need to reduce the gap in health inequalities. Looking Forward The public health grant allocations were published by the Department of Health on 10 th January 2013. A large amount of the public health grant is already committed to existing public health service provision. We have only recently received the grant allocation, which was a significant uplift from what we were expecting. Therefore the budget allocation is provisional. We are working closely with Council colleagues and the Health and Wellbeing Board on the process of agreeing public health priority areas for improvement in 2013/14. Potential areas for investment include: • Support delivery of the Health and Wellbeing Strategy across the life course to Promote health lifestyles and reduce health inequalities • Support for Clinical Commissioning Group on the prevention agenda • Ensure health and wellbeing and prevention is integral to delivery of the Council’s priorities and develop integrated models of commissioning • Delivery of core mandated public health services • More local action in line with the principles of the Health and Wellbeing Strategy. Delivering Change In a climate of financial constraints it is more important than ever that we work together, to make public health everybody’s business. We will work internally and externally, through the Health and Wellbeing Board, and other key partnerships, to inform and influence commissioning and delivery plans that contribute to improving health and wellbeing and reducing inequalities. 37
The Council is ideally placed to take on this new duty to improve health. A broad range of issues impact on health and lots of organisations in Gloucestershire, through their daily work, already contribute to health and wellbeing. Everyone has a role to play in improving health and we expect everyone to play their part including individuals and communities as well as the public, private and voluntary sectors. We will work collaboratively to support the Council’s priorities, including those that promote integration across health and social care to achieve efficiency and quality services for the community. The Health and Wellbeing Board is the key vehicle through which change will be delivered. We will continue the cycle of reviewing and recommissioning services that started under the NHS. We will focus action on areas where there is a strong evidence base for effectiveness and cost-effectiveness to ensure that we maximise the value that we can achieve with our resources. Where evidence is lacking, we will seek new and innovative ways of delivery. 38
Page 1 and 2: Gloucestershire County Council Medi
Page 3 and 4: 7 The capital budget strategy refle
Page 5 and 6: This will then provide a further £
Page 7 and 8: The draft budget was also considere
Page 9 and 10: for non Academy Schools. These amou
Page 11 and 12: • Providing the basics - In the c
Page 13 and 14: (1) The budget provides for contrac
Page 15 and 16: Any increase in a school’s depriv
Page 17 and 18: In the future there is a risk that
Page 19 and 20: 40 Council’s financial standing a
Page 21 and 22: 2014/15 2015/16 £m £m Budget 420.
Page 23 and 24: Entry’ approval had been given, w
Page 25 and 26: escheduling, and investments. • P
Page 27 and 28: ANNEX 1.1 : COMMISSIONING INTENTION
Page 29 and 30: Delivering Change Achieving improve
Page 31 and 32: Currently an estimated 38,000 older
Page 33 and 34: ANNEX 1.3: COMMISSIONING INTENTIONS
Page 35 and 36: Looking Forward Some of the changes
Page 37: Source LGA: From transition to tran
Page 50 and 51: Proposed Cost Increases 2013/14 - A
Page 52 and 53: Proposed Cost Reductions 2013/14 -
Page 54 and 55: Proposed cost reductions as part of
Page 56 and 57: Annex 4 Proposed Cost Reductions 20
Page 58 and 59: Forward Planning 2013/14 to 2015/16
Page 60 and 61: Revenue Outturn 2012/13 : Forecast
Page 62 and 63: • The Learning Disabilities Exter
Page 64 and 65: • Young people’s support: an un
Page 66 and 67: Reserve movements Balance at 31st M
Page 68 and 69: Academies. Such adjustments will be
Page 70 and 71: Scheme Name Actual Actual Forecast
Page 72 and 73: Annex 9 Capital Programme Prior Yea
Page 74 and 75: Scheme Name Prior Years 2011/12 £'
Page 76 and 77: Capital Programme Forecast - Decemb
Page 78 and 79: 1. Background 1.1 The Chartered Ins
Page 80 and 81: 5.3 Total borrowing requirement at
Page 82 and 83: 7.8 Council’s Banker - The Counci
Page 84 and 85: Appendix A EXISTING PORTFOLIO PROJE
Page 86 and 87: 4. Ratio of Financing Costs to Net
Page 88 and 89:
9. Adoption of the CIPFA Treasury M
Page 90 and 91:
Arlingclose’s Economic and Intere
Page 92 and 93:
Specified Investments Appendix D Sp
Page 94 and 95:
Councils Bank Account The Council b
Page 96 and 97:
Notes: • This list could change i
Page 98 and 99:
3. The Local Authority Mortgage Sch
Page 100 and 101:
ANNEX 11 RISK MANAGEMENT STRATEGY 2
Page 102 and 103:
Risk Management Policy Statement Gl
Page 104 and 105:
What are our Strategic Risk Managem
Page 106 and 107:
Appendix 1 - Risk Management Accoun
Page 108 and 109:
Staff/Other Stakeholders ‣ Mainta
Page 110:
i http://www.dh.gov.uk/prod_consum_
show all

Agenda item 4 - MTFS (Final) Cab 070213 , item 9. PDF 1 MB

Create successful ePaper yourself

Delete template?

Save as template?