Executive Summary
About the programme In the spring of 2024, Partners in Care and Health, Newton and Atlantic partnered to establish the Future of Prevention programme to support local authorities to accelerate their use of proactive prevention in adult social care at scale. The programme has now reached its halfway point and as such, this report aims to share emerging insight and planning, enabling authorities nationally, those directly involved and others with an interest in this area, to benefit from the thinking and work being undertaken in the programme. The case for proactive prevention at scale In the context of increasing demographic pressure alongside significant financial constraints, the case for proactive prevention in adult social care is stronger than ever. Over the next 20 years the number of people aged 85 or above is expected to increase by almost 75%. If change is not made, care demand from those aged 65+ will rise by 80% over 20 years.* Emerging evidence indicates that proactive prevention can have a major impact on improving outcomes whilst reducing costs. For example, Norfolk County Council’s use of targeted interventions to prevent falls is reducing fracture rates in addition to projecting savings of £4-8m pa. However, while there are pockets of good practice being seen across the country, these are not yet being implemented at scale nationally. While all forms of prevention are important, this programme focuses on proactive, targeted prevention for older people, where there is an opportunity to demonstrably and measurably improve outcomes for individuals in the short- to medium-term.
The difference the programme will make This will directly contribute to the government’s ambition to shift from ‘hospital to community’, from ‘analogue to digital’ and from ‘sickness to prevention’. There is also an opportunity to create a robust, consistent evidence base for the use of proactive prevention to improve outcomes for older people which will in turn drive further improvements nationally. Progress to date The programme is showing potential to support the government’s ambitions to embed prevention as a core feature of adult social care delivery. The senior leaders of adult social care services participating in the Future of Prevention programme are calling for a major shift in how adult social care is delivered in England: from reactive to proactive; improving lives; saving money; and getting on with it, now. A delivery model and evidence framework for proactive prevention are in development and are now being tested with colleagues across the social care sector and in central government. The next Community of Practice session in January 2025 will focus on exploring how the delivery model and evidence frameworks could be applied to specific use cases in a cross-council proactive prevention initiative. Use cases that have been suggested to date include falls prevention, carer breakdown prevention, and homelessness prevention. The final report from the programme will be disseminated to all local authorities nationally in summer 2025.
PRIVATE AND CONFIDENTIAL
* Source: Office for National Statistics population projects and Newton estimates
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