Issue - meetings

To consider the attached report which describes the role the two key organisations, B&NES Council and B&NES CCG, could play in the B&NES system in leading the extension and enhancement of integrated commissioning for the benefit of the population and to create a more sustainable approach to Health and Care going forward.

10.40am – 30 mins – Mike Bowden/Jane Shayler

The Board considered a report which described the role that B&NES Council and B&NES CCG could play in leading the extension and enhancement of integrated commissioning for the benefit of the population and to create a more sustainable approach to Health and Care going forward.

Each organisation has its own constitution and separate accountabilities but has a common interest in the health and wellbeing of local people.  There is now an opportunity to strengthen existing joint arrangements to achieve the level and pace of service integration needed to meet current and future challenges.  This will enable both organisations to provide the seamless health and care which residents need and to meet the sustainability challenge faced by both organisations.

There are already a number of joint commissioning arrangements in place.  The focus in the first instance would be on governance and decision making arrangements.  The key principle to support integrated commissioning is that the new model must be capable of adding value and improving outcomes.  Providers would appreciate a clearer single voice from commissioners and shared information could be used to good effect.

This proposal offered an exciting opportunity to move the partnership forward to support the delivery of the Health and Wellbeing Board strategy.

In response to a question from Sarah Shatwell, Jane Shayler confirmed that the following services currently operated pooled budgets:

·  Mental health

·  Learning disabilities

·  Better Care Fund including from 2017/18 community health and care services

·  Community equipment

·  Children’s complex needs

She also confirmed that further updates would be brought back to the Board as the project progresses.  It was noted that the proposed integration will take the form of a “partnership of equals.”

Dr Ian Orpen stated that this provided a good opportunity to bring together many elements as commissioning is currently fragmented.  The focus should be on considering the person and not the condition and how to do this effectively.

RESOLVED:

(1)  To agree broad support for the proposal to develop an Integrated Commissioning model between the Council and the Clinical Commissioning Group, that is fit for purpose, sustainable and responds effectively to emerging issues and pressures across health and social care.

(2)  To note the benefits of this integrated commissioning model as an enabler for delivering the Joint Health and Wellbeing Strategy and improved health and wellbeing outcomes for the people of B&NES.

(3)  To note the links to the early work of the Board in considering the development of an Accountable Care model across Bath & North East Somerset.