Issue - meetings

This report provides the Select Committee with a briefing on the progress of the Your Care, Your Way review.

The Your Care, Your Way Programme Manager and the Senior Commissioning Manager gave a presentation to the Select Committee, a summary is set out below.

The Making Plans document has been circulated detailing the four models and fourteen priorities with a view to developing a top five priorities.

Currently in phase 2 of 4 – Design & Specify. Provide an outline of the business case in November / December 2015.

The need for change is because of an ageing population, an increased demand, public expectation and a lack of money.

The current provision is £69.24m to over 60 providers for 400 services.

Vision – We will have health and care services in the community that empower children, young people and adults to live happier and healthier lives. Supporting people to access services when they are needed in as seamless a way as possible, navigators will assist individuals to access pathways of care and support.

There are attributes and challenges with all four possible models and whichever one is chosen we will look to providers to work more collaboratively.

Model 1 – Focus on conditions

Model 2 – Focus on circumstances

Model 3 – GP led Wellbeing Hubs

Model 4 – Community led Neighbourhood Teams

We will try to address loneliness and isolation through this review.

New technology is to be embraced and apps may be used in future work.

Councillor Paul May asked if GP’s and providers used any common IT systems as he felt that a fully integrated system was required.

The Your Care, Your Way Programme Manager replied that there were two in use in the main.

Councillor Tim Ball said that in terms of budgets we must make sure that we have the ability to deliver what we are consulting on.

The Your Care, Your Way Programme Manager replied that we have been clear to providers on the financial challenges of the future.

The Senior Commissioning Manager added that money was not the main driver behind this review and that a significant budget exists. He said that the review was a challenge to think about the best model that we can provide.

Dr Ian Orpen stated that doing nothing was not an option and that this was a real opportunity for change. He said that he had heard a lot of positive feedback so far.

Councillor Paul May said that it was very welcome to see such a customer focus to the review.

The Your Care, Your Way Programme Manager reminded those present that the consultation was open until 30^th October.

The Select Committee RESOLVED to:

i)  Note the content and approach, for consultation, the document attached as Appendix 1 : Making Plans - Consultation Document Phase Two and;

ii)  Acknowledge the proposals for market engagement as set out in Section 5 of this report.

The Your Care, Your Way community health and care services review programme has four key phases. Phase 1 “Analyse and Plan”, included extensive engagement, which ran from January to May 2015. The focus was on engaging key stakeholder groups to elicit feedback to help to better understand current service provision, identify needs and aspirations and consider some of the findings and key challenges and opportunities identified as a pointer towards priorities and strategies for the future.

The focus of Phase 2 is on developing the commissioning intentions document that will set out the overarching strategy, outcome framework and potential models on which consultation will be based during the latter part of this Phase. A further consultation period is planned during Phase 3.

The Cabinet are asked to:

a) Approve, for consultation, the document attached as Appendix 1: ‘Proposals to Review Community Services Consultation Document NHS Bath and North East Somerset CCG and Bath & North East Somerset Council’.

b) Approve the Market Engagement Approach set out in the report.

Councillor Vic Prichard said that the Council would have to operate under financial constraints and highlighted the potential impact on health and social care.  Recent policy changes and guidance would enable commissioners to explore different ways of delivering services.  The Your Care, Your Way review would provide a choice of four potential models for the delivery of community care and health services.  Phase 1 engagement launched in January this year had had feedback from different sources as one of the best public engagements.  Phase 2 would run from 10^th September until 30^th October.

Councillor Vic Pritchard moved the recommendations.

Councillor Martin Veal seconded the proposals and said that the Council have been committed to working closely with NHS colleagues and others to improve the health and wellbeing of local residents.  Councillor Veal was pleased to see the amount of engagement with local people and stakeholder groups in developing these plans.

Councillor Charles Gerrish said that everyone should recognise that this was a launch of an important consultation which should engage as many people as possible in order to get a true picture on what is the best way forward.

RESOLVED (unanimously) to:

1)  Approve, for consultation, the document ‘Proposals to Review Community Services Consultation Document NHS Bath and North East Somerset CCG and Bath & North East Somerset Council’.

2)  Approve the Market Engagement Approach set out in the report.