Issue - meetings
Council / CCG Integration
Meeting: 18/07/2018 - Health and Wellbeing Select Committee (Item 25)
Council / CCG Integration
The Select Committee will receive a presentation on this item from Jane Shayler and Dr Ian Orpen.
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Minutes:
The Director for Integrated Health & Care Commissioning gave a presentation to the Select Committee. A copy of the presentation can be found on their Minute Book and as an online appendix to these minutes, a summary is set out below.
National and local context
• Future arrangements for commissioning and delivery of services are changing
• Recognition of benefits of working more closely with the Council to join up services locally
• Desire to secure ongoing clinical leadership and develop place-based approaches
Key terminology
• Neighbourhoods (30k-50k) – Groups of GP practices coming together e.g. primary care at scale, Primary Care Home models
• Place (250k-500k) – In line with Council boundaries - integration of primary, secondary and social care
• Systems (1million +) – Like Strategic Health Authorities - self-regulating with 7-8 regions nationally each covering populations of 5-10m
The plan for B&NES
From 1 April 2019:
• One team made up of CCG and People & Communities directorate
• One management structure
• One integrated commissioning and delivery function for health, social care, children & young people’s services and education transformation
What does this mean?
• Pool or align all commissioning budgets
• Create a new governance structure
• Co-location of staff (over time)
Case study: Joint Agency Panel
• Funding packages for individuals with a high level of needs
• Combined resources allocated to meet individual requirements
Our organisations in numbers
• Council: 700 employees work in People & Communities / £85m budget (75% of overall Council budget)
• CCG: 75 employees / £261m budget
Three groups
• Group A – Integration (inc. commissioning, quality and safeguarding) – Formal consultation on new structure for some departments in September whilst options are still being considered on others.
• Group B – Centralisation – Mapping exercises underway, timescales vary.
• Group C – Delivery – Savings plans and change processes already underway (independent of integration programme).
Engagement activities
• Online survey / Lunchtime drop-in events
• Team meetings / Interviews with senior managers
Key themes – positives
• Emphasis on staff training & development
• Joining up IT systems
• Key values: open, honest, supportive, positive, curious, inclusive, understanding each other
Key themes – challenges
• Too high-level, more detail required
• Capacity to deliver multiple change programmes
• Some groups fearful of being overlooked: Children and young people’s services / Social workers / Clinicians
Governance arrangements
• Dual decision making process, both with a formal vote.
• Meeting in shadow form currently, public meetings from end of 2018 / early 2019
• Observer status intended to be similar to the arrangements for the Health & Wellbeing Board
Fitting the pieces together
• Transfer of some commissioning functions to Virgin Care
• The Council’s ‘Changing Together’ Programme
• Council & CCG Integration Programme
• Commissioning at scale across B&NES, Swindon and Wiltshire (STP)
Councillor Lin Patterson asked if any loss of staff was planned as part of this process.
The Director for Integrated Health & Care Commissioning replied that none was anticipated. She ... view the full minutes text for item 25
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