A new framework for local area agreements (LAAs) has been set out in the Strong and prosperous communities White Paper, which was published by Communities and Local Government (CLG) on 26 October 2006. The White Paper looks to rebalance the relationship between central and local government.
Local partners, including PCTs and LAs, will determine up to 35 local priorities. These will be selected from 200 outcome based indicators covering national priorities from across central government. These will be the only targets that the Government sets, however the LAA may also include additional locally agreed targets that do not need to be reported to central government.
The Comprehensive Area Assessment (CAA) has been established to monitor, support and assess the successful delivery of the LAA. The CAA will have four key elements:
LAs and PCTs will be required to develop a joint strategic needs assessment of the health and social care needs of their local population. This will ensure local partners have a shared understanding of the needs of their locality in order to agree effective long-term health and wellbeing priorities.
The findings of the assessment will feed into the sustainable community strategy and subsequently the targets in the LAA.
The Local Government and Public Involvement in Health Bill includes provisions to deliver better local outcomes through LAAs as the delivery agreement of the Sustainable Community Strategy, and a strengthened leadership role for local authorities as place-shapers, so that local services are better co-ordinated, closer to communities and offer better value for money.
The Local Government and Public Involvement in Health Bill will require local authorities and the PCTs in its area to produce a joint strategic needs assessment of the health and social care needs of its local population. These will enable them jointly to agree more effective long-term health and wellbeing priorities, and help them deliver care that is more responsive to the needs of individuals and the community they serve.