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Meet George

How we can help reduce public sector costs

George, 38, lives alone in South London. He’s agoraphobic, so he won’t willingly leave his flat. He’s a chronic alcoholic – two bottles of fortified wine a day, as well as whiskey mixed with the codeine he’s also addicted to. Unsurprisingly, he has liver damage, with fluid on the lungs, which leads to him needing a two-week hospital admission on a monthly basis. He has painful fungal infections.

George doesn’t receive any social care support – he doesn’t meet their criteria. He has been ‘red-flagged’ by the local PCT, meaning he is not able to use their services due to his aggressive/abusive behaviour. So, he has no GP and he’s banned from respite care.

George rings an ambulance two or three times a week. The police have to accompany the ambulance crew when they attend his house. He has attacked ambulance staff, police and taxi drivers, leading to arrest, court appearances and fines. No local taxis will take him to A&E, so the ambulance is his main method of transport. He has a wide range of medication for his conditions, but does not take them. His condition deteriorates until he requires re-admission.

George’s behaviour costs the tax payer an estimated £71,000 a year.

How we can help reduce these costs

At Resolving Chaos we are creating shared services across London that are not only more cost effective but which deliver better outcomes for people like George.

Resolving Chaos works to:

  • Transform fragmented and siloed agency spending into planned and coordinated investment across localities in London.
  • Integrate funding streams across public, private, charitable and grant making sectors.
  • Pool funding, realise efficiencies, and improve services.
  • Encourage joined up working so that people with multiple needs receive 360-degree support. Current financial constraints make joint working difficult, however if evidenced properly, cross- agency working can provide effective financial savings as well as beneficial reform.