Issue - meetings
Your Care, Your Way Update
Meeting: 27/01/2016 - Health and Wellbeing Select Committee (Item 62)
62 Your Care, Your Way Update PDF 904 KB
An update presentation is provided for the Select Committee.
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Minutes:
Sue Blackman, Project Lead for Your Care Your Way gave a presentation to the Select Committee, a brief summary is set out below.
Key decisions for Governing Bodies
Consultation
Financial Planning
Contracting Model
Market Testing
Engagement Approach
Method: Workshops / Surveys / 1:1’s
Statistics: Over 2,000 individuals reached / In excess of 500 survey responses
Topics: Vision / Commissioning Models / Priorities
Public Engagement Analysis: Top 5 Priorities
A person, not a condition
A single plan
Invest in the workforce
Focus on prevention
Joining up of IT systems
Public Engagement Analysis: Models
Preference towards Model 3 – GP Led Wellbeing Hub
Providers also shared this preference
Public Engagement Analysis: Demographics
Majority of respondents were female
Work to do regarding respondents aged under 25 and over 75
Public Consultation: Key Findings
Better communication between providers will be needed to facilitate transformation.
There will be challenges around funding the new model given the financial pressures upon NHS and Council budgets.
More resources to be invested into front line care rather than creating new management and/or bureaucratic structures.
We must build on existing strengths and relationships rather than starting from scratch.
We must join up data across providers.
Key funding reduction principles
The funding envelope will be adjusted from the 2016/17 baseline to align with Council and CCG reductions in health and care funding arising from both organisations’ financial planning and annual budget-setting processes.
Identified areas for cash-releasing efficiency savings or improving value will need to align to new commissioning & provider delivery models.
Demographic change pressures will need to be managed within available resources.
New investment requests will reviewed on an individual basis and require sound quantitative and qualitative evidence of system benefits.
Commissioners and providers will continue to work in partnership to jointly identify areas of opportunity including back office efficiencies.
Recommended Approach
A Prime Contract
Commissioner > Prime Contractor > Third Sector Providers
and
Dynamic Purchasing System – Commissioners directly accessing services from Third Sector Providers
The Director for Adult Care and Health Commissioning stated that the Council was not a direct provider of services and that she anticipated that a number of services will be provided by not for profit organisations.
Councillor Eleanor Jackson asked what accountability does the Council have with the sub-contractors. She added that she had some concerns over the future of Community Transport to hospitals.
Sue Blackman replied that the Commissioners hold the accountability for the sub-contractors. She added that transformation change must be managed closely and carefully and that IT systems must become aligned.
Councillor Lin Patterson asked if resources would allow for workforce investment.
Sue Blackman replied that training strategies exist across the majority of our providers.
The Chair thanked her for her presentation on behalf of the Select Committee.
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