This is an impact assessment of the proposal to cease Devon County Council’s Integrated Adult Social Care contribution to the Wellbeing Exeter Partnership.
Exeter City Council is the lead commissioning body and the current agreement with a pooled budget and collaborative commissioning and delivery model is held with Devon Community Foundation, running until March 2025. Devon County Council initially funded the early pilot of Wellbeing Exeter through the ICE (Integrated Care Exeter) programme funded by a dedicated Transformation Challenge Award from Central Government. On-going funding of £395,000 per year has continued from 2018, funded from the Adult Social Care budget.
Wellbeing Exeter was established through the Integrated Care Exeter (ICE) Project (2012 to 2017). Under the leadership of the ICE Director, Wellbeing Exeter was established as a proof of concept in 2013, working within one GP practice in Exeter and a range of voluntary and community sector organisations. By 2015 Wellbeing Exeter expanded to cover several GP practices across the city and key partners agreed to extend funding to continue to develop the programme. As part of the exit strategy for ICE, Exeter City Council was invited to take over the management and leadership of Wellbeing Exeter when it appointed the ICE Director to its Strategic Management Board in July 2017.
Wellbeing Exeter is now an established partnership of public, voluntary and community sector organisations working together providing foundations for individuals and communities to promote and improve their own health and wellbeing. The partnership brings together key strategic funders pooling resources to deliver the holistic programme: Exeter City Council, Devon County Council, Sport England and Exeter’s Primary Care Networks (groupings of GP practices).
Wellbeing Exeter was established as a single structure for encouraging preventative behaviours by individuals and promoting “resilience” within the system and across communities. In practical terms this means offering a range of community-based options to targeted individuals, to enable them to access what they want to maintain health and wellbeing, reducing the need for statutory care services now and into the future. There are three main ingredients to the approach:
1. Resilient People: social prescribing
2. Resilient Communities: community building and supporting active lifestyles
3. Resilient System: network support and co-ordination