1. Public Sector Cuts
What they mean for
Blackburn with Darwen
8th November 2010

2. Agenda
• 6.00 – welcome and introduction
• 6.10 – Presentation by Councillor Kate
Hollern and Sir Bill Taylor
• 6.40 – discussion – facilitated round
table session for comment and priorities
for specific services
• 7.25 – Closing Comments
• 7.30 – Close of Session

3. Blackburn with Darwen
Council
Councillor Kate Hollern
Leader of the Council

4. Government Spending Review (CSR)
• 500,000 public sector jobs likely to go
• Equivalent loss in private sector jobs
• 28% four-year cut for local government
– with the biggest chunk next year
• £7bn in additional welfare budget cuts
• 40% cut in for Building Schools for the
Future projects
• Police funding cut by 16% over 4
years

5. Locally

6. Vision 2030
• prosperous towns
• connected communities
• clean places
• safe and healthy people

7. CSR impact for your council
• It is a huge challenge – deprived towns
in the north will be hit harder
• Bluntly this means a cut of £48m over
the next four years
• The bigger cuts will come faster with a
cut of £29m next year
• This year we will spend £48m on adult
social care, highways and libraries
alone

8. Tough Choices
• Council controllable gross spend for services - £411million
• Council controllable net spend for services - £143million
• Care Trust controllable gross spend for services £295million
• Care Trust controllable net spend for services £286million
• We ARE thinking ahead
• Cuts of 28% from the Government spending review over four years
• This will mean cuts of £48m for Blackburn with Darwen - or 35% of
the Council controllable spend for services and £29m next year alone
• All the Council services are being closely examined - we will be
looking at doing things differently, more cheaply or not at all.
• Priority has to be to protect the frontline services that you value and
rely on the most.

9. What does the Council spend?
The total net budget of £143m for 2010/11 (after taking income from
grants and fees into account) is shared across eight portfolios.
Actual gross spend in each year is £410m
Resources,
£21M, 15%
Housing, £1M,
1%
Environment &
Sustainability,
£13M,
9% Leisure &
Culture, £8M,
6%
Children's
Services, £33M,
23%
Adults Social
Care, £42M,
29%
N'hoods and
Customer Svs,
£7M,
6%
Regeneration,
£18M,
12%

10. What you get for your money in
2010/11
Portfolio Cost Example Service Cost
Adult Social Care £42m Social Care for older people £19.3m
Children’s Services £33m Social Care for Children £20.2m
Leisure and Culture £8m Leisure Centres, Libraries & Museums £6.8m
Environment and
Sustainability
£13m Refuse collection and Waste Disposal £7m
Housing £1m Support for people who are homeless £0.02m
Neighbourhoods and
Customer Services
£7m Customer contact centres in Blackburn
& Darwen
£2.8m
Regeneration £18m Up-keep of roads; pavements & street
lights
£7.5m
Resources £21m Administration of Council Tax £0.57m
Total £143m

11. Where the money comes from
General Grants
(RSG / ABG /
LABGI /
Business Rates)
34%
Other Service
Specific
Government
Grants
33%
Council Tax
16%
Other Fees and
Charges
17%
Contribution
from Balances
0%

12. Blackburn with Darwen Care
Trust Plus
Sir Bill Taylor: Chair of the Care Trust

13. The challenge for health
• Small increase in NHS funding not enough to meet
rising costs and increased patient demand
• NHS faces a £15-20bn shortfall nationally to be met
by 2013/14.
• All NHS organisations expected to improve efficiency
by at least 4% per annum
• Planned 40%+ management cost reduction by 2013
& major NHS reorganisation is underway
• The Care Trust will find out how much funding it will
receive for 2011/12 in late December

14. Our Plans
• Planning for minimal budget increase for the next few
years
• We will focus our resources on key priorities
• Substantial savings required to fund investments in
local healthcare & meet increased demand
• £9m savings this year - through improving efficiency;
reducing duplication, management costs etc
• As a minimum, Care Trust Plus needs to find
additional savings of over £6m in 2011/12 & similar
amounts in future years
• Will achieve more working in partnership with Council
e.g. reduced management and back office costs

15. What does the Care Trust
spend?
£0 £10 £20 £30 £40 £50 £60 £70 £80 £90 £100
General/Personal Dental Services - £10m - 3%
Purchase of Healthcare from other NHS Bodies - £15m - 5%
Purchase of Healthcare from non NHS Providers - £18m - 6%
All other costs - £19m - 6%
General/Personal Medical Services - £22m - 8%
Purchase of Healthcare from Foundation Trusts - £25m - 8%
Primary Care Prescribing - £27m - 9%
Staff Costs - £30m - 10%
Purchase of Healthcare from other Primary Care Trusts - £33m - 11%
Purchase of Healthcare from East Lancashire Hospital Trust - £97m - 33%
£millions

16. What you get for your money -
Examples
Inpatient and Day Case 49,000
Outpatient Attendances 167,000
A & E Attendances 52,000
District Nursing/Treatment Room Contacts 248,000
Health Visitor Contacts 114,000
Podiatry Contacts 34,000
School Nursing Contacts 58,000
Prescription items issued 3,172,000

17. Your Big Priorities: what you told us
• 2008 Place Survey
– Clean streets, affordable decent homes, less
crime and improved health services
• 2009 Vision 2030 research
– Improve the local economy and provide more jobs;
better schools and college; less crime and
communities getting on
• 2010 Neighbourhood consultation
– Communities getting on, community centres,
better public transport, clean streets, improved
parks and open spaces, refuse collection

18. What next
• Council Budget Setting process
– Grant settlement from Government – December
– Policy Council – December
– Budget Setting and Consultation – November to February
2011
– Finance Council to set Budget and Council Tax – 7th
March
2011
• Care Trust Plus Budget Setting process
– NHS Operating Framework and 2011/12 Funding levels
issued – December
– CTP Financial Plans refreshed – January 2011
– Budget setting completed (including savings & disinvestment
plans) – February 2011
– Final budget for 2011/12 presented to CTP Board for
approval – March 2011

19. You’ll be involved
• We’ll tell you what is happening and listen to
residents and communities
– Meetings - residents, staff, voluntary, faith and
community groups
– Ward Councillor surgeries
– Shuttle/local media
– Social media (Facebook/Twitter)
– Council and other Websites
– YouChoose tool where you are asked to make the
difficult choices and consider where council
budgets cuts should fall, where efficiencies might
be made and where income might be generated.