Who really makes decisions about local health funding for the Voluntary and Community Sector?

Local Democracy and Health

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A summary of the governments policy on health and social care is a bit like this:

  • focus more on prevention
  • support people to live longer in their homes through better integration

…..and the solution is to take money out of acute care and invest it in communities

This should represent a real opportunity for organisations with expertise in working in communities and on the social determinants of health – in particular the local voluntary and community sector – to contribute and get access to funding. It does not feel that this is the case!

In part this is because we are locked into an analysis of how commissioning works that does not reflect reality.

The official commissioning model.

  • Assess need at local authority level using the JSNA
  • Debate and agree local priorities through the Health and Wellbeing Board
  • Put these priorities into the Joint Health and Wellbeing Strategy
  • The JHWS…

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