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There are a number of national drivers for changing the way in which adult social care services are commissioned. These include:
Merton has a diverse population in terms of affluence and ethnicity. It is becoming more ethnically diverse. At present its population has a higher weighting towards middle age than average, but there is a rapid growth in older people over 80 and in children and young people. This presents a challenge to the whole council and its partners.
Merton’s financial context is very challenging, as a “floor” authority which overall spends the lowest amount per head of population of all London boroughs. Its Medium Term Financial Strategy forecasts the need to reduce spend by up to 30% between 2010 and 2013.
Merton’s adult social care service is a low spender per head of population. Its most recent performance rating is “Good” for all outcomes. Sutton and Merton PCT has a rating of Fair for financial management and Good for quality of commissioning
The aim of this strategy is to facilitate this reform by providing:
The strategy’s objectives have been mapped against the “inverse triangle of care”, in line with the aim to maximize effective prevention. Essentially investment in preventive services is being protected for 2010/11 and re-focused while investment elsewhere is being reduced.
The main opportunities for improvement are:
This page was last updated on Friday 4 February 2011