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London Councils Total Place – Towards a New Service Model for Londoners

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London Councils Total Place – Towards a New Service Model for Londoners London Councils Total Place – towards a new service model for Londoners January 2010 Contents Section Page Introduction................................................................................................................................................... 3 Background to this project ........................................................................................................................ 3 Total Place – London Councils’ contribution............................................................................................. 3 Total Place – a new way of working? ....................................................................................................... 3 Methodology ................................................................................................................................................. 5 How the mapping was done...................................................................................................................... 5 How the service themes were chosen ...................................................................................................... 6 How the strands were brought together.................................................................................................... 6 Public expenditure in London ....................................................................................................................... 7 Mapping expenditure in London ............................................................................................................... 7 Managing chronic care ............................................................................................................................... 13 Introduction ............................................................................................................................................. 13 What is the problem and why is this a particular issue for London? ...................................................... 13 The current system and its flaws ............................................................................................................ 15 A proposed new system and why this is better....................................................................................... 17 Conclusion .............................................................................................................................................. 20 A whole systems approach to young people exhibiting anti-social behaviour ........................................... 21 Introduction ............................................................................................................................................. 21 What is the problem and why is it a particular issue for London? .......................................................... 21 The current system and its flaws ............................................................................................................ 25 A proposed new system and why this is better....................................................................................... 26 Conclusion .............................................................................................................................................. 29 Tackling obstacles to employment ............................................................................................................. 30 Introduction ............................................................................................................................................. 30 What is the problem and why is this a particular issue for London? ...................................................... 30 The current system and its flaws ............................................................................................................ 33 A proposed new system and why this is better....................................................................................... 34 Conclusion .............................................................................................................................................. 39 Overarching analysis and making the case for change ............................................................................. 40 Introduction ............................................................................................................................................. 40 Extrapolation of findings and potential savings....................................................................................... 44 Annex: Non-departmental public bodies operating in London ................................................................... 45 2 PricewaterhouseCoopers LLP Introduction Background to this project In September 2009, London Councils appointed PricewaterhouseCoopers (PwC) to help develop thinking on Total Place at a pan-London level. In this paper, we set out the background to Total Place, both nationally and in London, analyse public expenditure in London using the preferred Total Place categorisation of spending, and outline the work we have undertaken with London Councils on the deeper analysis of three important public service areas. Finally, we draw out relevant conclusions from the three thematic analyses that we believe may help to develop the wider public service landscape in London in the Total Place context and highlight the scale of the potential benefits that could be secured. Total Place – London Councils’ contribution London Councils aims to make a distinctive and considered contribution to the debate on Total Place in the capital. As a representative, pan-London body, London Councils’ goals in so doing are complementary to those of the Boroughs undertaking Total Place projects. London Councils is in a position to join up important themes that impact on all Londoners and to see the pan-London position on public services. In that sense, London Councils has the unique advantage of being close to, but not part of local government service provision in the capital. PwC’s commission was to map expenditure for London at the headline level and apply Total Place thinking to three public service themes. The three themes need to be seen as exemplars of a way of working through Total Place at this early stage: they are certainly not the only relevant Total Place ideas for London. They are: Managing chronic conditions A whole system solution to the impact of anti social young people Overcoming obstacles to employment. In each case, the objectives were to build a case for more effective joint working by the public sector in London on the chosen theme and then to begin a debate on reasonable and practicable alternatives to the present pattern of service provision. We are not presenting these to London Councils as perfectly worked up solutions; instead, we are putting these forward as ideas that need further expert input and public debate. However, in each case, by applying Total Place thinking, it is already possible to see the potential for significant financial savings, service improvements and better outcomes. Total Place – a new way of working? Total Place is a programme aimed at all localities in England and has its origins in pilot work undertaken in Cumbria under the banners Counting Cumbria and Calling Cumbria. Public sector partners in the county cooperated in a process that produced a map of total public sector expenditure in Cumbria and began the process of exploring together how they could be more effective in spending this resource. 3 PricewaterhouseCoopers LLP The term “Total Place” was adopted for this activity by Sir Michael Bichard in his contribution to the Operational Efficiency Programme (HM Treasury, April 2008). Sir Michael’s first recommendation was: Roll out Total Place, a programme mapping total public spending in a local area and identifying efficiencies through local public sector collaboration to at least 12 pilot sites with a high level reference group to identify how to increase incentives and eliminate the barriers for joint working and with ministerial sponsorship to ensure that issues raised are addressed swiftly across government. Government has chosen to launch the programme at 13 pilot sites, two of which (Lewisham and Croydon) are in London. Total Place is an ambitious and challenging programme that, in bringing together elements of central government and local agencies within a place, aims to: Create service transformations that can improve the experience of local residents and deliver better value Deliver early efficiencies to validate the work Develop a body of knowledge about how more effective cross agency working can deliver cost savings and/or better services for citizens. The Total Place pilots have undertaken two complementary strands of work: the ‘counting’ process that maps money flowing through the place (from central and local bodies) and the thematic/service focus through “deep dives” that explores links between services and identifies where public money can be spent more effectively, most commonly through service design around the citizen. Our brief from London Councils was to examine the opportunities across London as a whole, complementing the Total Place work that is being undertaken at an individual London Borough level, whether in the two official pilots (Croydon and Lewisham) or by other councils in London. 4 PricewaterhouseCoopers LLP Methodology How the mapping was done London Councils commissioned PwC to map public expenditure in London against: services;
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