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Ten key lessons from the Total Place pilots:

  • Prevention versus cure
  • Case management – look at the whole person, not the symptom
  • Junctions – avoid people falling through gaps
  • ’80-20’ – public sector demand is very focused; can be expensive
  • Dispersed infrastructure – multiple locations all providing service
  • ‘Marbled in’ bureaucracy – “because that’s how we do it”
  • Decommissioning – realise benefits
  • Community connection – first port of call for service
  • Commissioning not producing – don’t be a factory
  • Programme working – programmes of work, not silos of delivery

Useful stuff: none of this is new. What is new is the appetite to do something this time.