PGB Joint Commissioning Board Minutes

Transcription

1 PGB Joint Commissioning Board Minutes PGB Governing Body Meeting in Public 17 June of 6

2 JOINT COMMISSIONING BOARD MINUTES Kinetic, Francis Crick House, Moulton Park, Northampton, NN3 6BF 20 th December 2013, Present : Cllr Robin Brown (RB), Cabinet Member for Adult and Public Health, Northamptonshire County Council (Chair) Carole Dehghani (CD), Interim Accountable Officer, Corby CCG Andrew Jepps (AJ), Assistant Commissioning Director, Northamptonshire County Council Cllr Catherine Boardman (CB), Portfolio Holder Childrens & Education, Northamptonshire County Council Roddy Thomson (RT), Head of Financial Reporting and Analysis, Nene CCG Andrew Bailey (AB), Carer Representative Brendan Macken (BM), Northamptonshire Mental Health Service User Reference Group Raf Poggi (RP), Clinical Director, Nene CCG Sonia Bray (SB), Community Networking Officer, Healthwatch In attendance: Gordon King (GK), Commissioning Manager Mental health, NHS Nene CCG Gerry McMurdie (GM), Commissioning Manager Dementia, NHS Nene CCG Richard Bailey (RBa), Deputy Head of Joint Commissioning, NHS Nene CCG Sandra Bell (SBe), Claira Ferreira (CF), Commissioning Lead LD, Nene CCG Jackie Lawley (JL), Project Manager, Nene CCG Chris Gore, Contract Manager, Community Equipment, Northamptonshire County Council Janet Doran (JD), Assistant Director - Children, Families, Early Help & Prevention, Northamptonshire County Council Julie Egginton (), Minute Taker, Nene CCG ITEM ACTIONS 1.1 APOLOGIES Richard Alsop, Catherine O Rourke, Pat McCarthy, Yalini Gunarajah, Sandra Bell 1.2 DECLARATIONS OF INTEREST Brendan Macken has been appointed Governor at NHFT. No further changes to last time. to create declarations document, maintaining ongoing declarations Page 1 of 5

3 2. MINUTES OF THE LAST MEETING Section 9 Carers Strategy Update, AB advised the reference to funding should read The rapidly increasing demands on carers consideration should be given to ensure there IS funding for carers / extra funding for carers. Subject to this amendment, the Minutes of the previous meeting were agreed. 3. MATTERS ARISING None 4. ORGANISATION UPDATE RBa updated the Board that Nene is formally in a position of financial recovery actions are being led by NHS England at local and regional level. A financial recovery plan has been submitted and Nene are working through the issues. There will be no dramatic change to funding of NHS. CD advised the current financial year is on target for Corby. CD has been appointed accountable officer. Contracting rounds have started. AJ advised the draft budget and plan for the Council have been published. NCC face a challenging financial position over the next 5 years with a gap of 130m net real terms to be met. Next year will be challenging for adult social care. There are Public Health changes as to how the team will operate in consultation with staff team. Children s services continue to be challenged following the responses to the OFSTED inspections, and NCC are investing 12m each year to facilitate this. 5. CHILDRENS COMMISSIONING BUSINESS 5.1 RBa provided an outline of the report. Children s re-commissioning is due to go to the marketplace in January It will be a challenge to meet this timeline given the amount of work still to do. There was a request to extend the timescales in order to do the work properly, which was supported by NCC as detail is required to facilitate sign off and ensure no impact on social care. There was a request for CCG s commissioning to fall in line with NCC s. It was acknowledged joint commissioning was the long term aim. Expert advice needs to be sought with regard to the short term requirements and sign off by CCG Boards. Short term solution needs to ensure services are maintained. The NCC Improvement Board will need to be assured that the joint commissioning / pooled arrangements will clearly improvement services. RBa to prepare report to CCG Boards on the 6 month extension with clear programme plan and secure timelines. The Joint Commissioning Board agreed to support an extension of 6 months. There were discussions around the Short Break services which are jointly commissioning between CCGs and NCC and delivered by NHFT, and in particular the NHS England papers which had very recently been published. SB confirmed that carers wanted integration and clear pathways. It was agreed there needed to be one consistent approach. RBa Page 2 of 5

4 6. MENTAL HEALTH COMMISSIONING BUSINESS 6.1 Mental Health Commissioner report Adult Mental Health Pooled Budget Finance and QIPPS schemes Report 2013/14 Month 8 The Board were asked to note that there were concerns regarding IPC delivery due to both volume increase and cost of packages for some individuals. GK to provide Board with detailed project plan at next meeting. The Board were advised there would be a new member of staff joining in January to support the project management of IPC. 6.2 MH PbR Update Primary Care, Commissioning Intentions and Health & Wellbeing Board Mental Health Wellbeing Service GK summarised the report. Phase 1 of IAPT will be part of the Healthier Northamptonshire work. There are challenges with PbR. It has now moved to tariff based payment and the guidance from monitor is not robust enough to go to tariff. It will therefore be necessary to continue with block contracts for another year. CCG are proposing to go this route for 6 months then progress as planned. SB welcomed the approach with carers and users. AB raised the question whether the 10 Questions formed part of the JSNA regarding Mental Health. AB will circulate the paper to the Board. GK AB 6.3 Dementia Report GMcM summarised the report. The National State of the Nation report has been issued, showing an increased in the CCGs diagnosis rates. Anti-psychotic drugs are high in Corby, likely down to prescribing by primary care and acutes. A review of the report from 2 years ago is required to identify areas of focus to reduce this. Favell House has been part of the step down pilot over the lasts 6 weeks, and initial details have validated assumptions, showing an improvement for individuals. Discussions were had with regard to funding of the Neighbourhood Return scheme. This will be reviewed once the detail is available. 7. LEARNING DISABILITIES COMMISSIONING BUSINESS 7.1 JL provided a summary of the report. QIPP is on target to delivery. Work on The Martins is due to be decommissioned by end of March to circulate link to the LD video to the Board. CF advised complex needs services needed to be reviewed in light of the Winterbourne report. There were discussions around short breaks, carers and people with complex needs in particular the transition from childrens to adults. JD to facilitate inclusion of Alison Shipley in the LD and Childrens work being undertaken. There is a requirement for CCGs to clearly articulate plans for LD by February 2014, and in particular regarding children by June A clear joint commissioning statement will need to go before the Health & Wellbeing Board in June There were discussions around Personal Health Budgets being used to facilitate services which NCC welcomed and on ensuring fit for families as well as the child. The Board accepted the recommendations JD Page 3 of 5

5 8 COMMUNITY HEALTH SERVICES COMMISSIONING BUSINESS 8.1 Community Equipment RBa went through the report. The Board accept the recommendations, however work must be identified in respect of pathways and prescribing to mitigate overspend. Healthwatch advised they had issues with the recommissioning process and would like adoption of a formal process to include user involvement. There was a presentation by Millbrook Healthcare regarding the equipment prescribing and distribution services they provide. As the process is online, data can be seen my commissioners. Millbrook extended an open invitation for anyone to visit their site to see how the system operates. AB had outstanding queries on delivery charges. It was agreed Healthwatch would discuss with Millbrook outside the meeting. Following discussions around proposed mitigations against overspend, the Board accepted the recommendations however work was required around pathways and prescribing. Healthwatch to liaise outside the meeting to ensure user representation. SB 9. CARERS STRATEGY UPDATE No update to report. 10. SECTION 75 RENEWAL There were discussions around Borderline. Wansford wish to commission Mental Health from Cambridge & Peterborough CCG and Oundle from Nene/Corby CCG and NCC commissioning arrangements. The Board agreed that it should be both or none with Oundle having the option to commission direct from NHFT should they choose. Subject to GK to confirm there is no risk to the CCGs the Board agreed notice should be given to Oundle, advising they could choose to be part of Borderline. RBa to prepare draft for signature by CCGs and counter signature by NCC. 11. NHS TO SOCIAL CARE FUNDING TRANSFER AJ summarised the report which was tabled. It is proposed the S256 budget be brought in line with BCF to ensure schemes do not overlap. Challenges were highlighted around the CRT service and Care Home fees. The Board agreed the recommendations. The S256 Revenue Grants Lists schemes and top level metrics details can be obtained from AJ. to send out electronic copy of the report. 12. HEALTHIER NORTHAMPTONSHIRE The Integrated Transformation Fund is now the Better Care Fund. AJ summarised the report, in particular the financial arrangements over This includes transition arrangements, some of which will be based on performance and metrics. Benchmarking is agreed by NCC and checked by NHS with tracking at 70%. Draft templates to be submitted by 14 th February 2014 and final agreed template by 4 th April. There were discussions with regard to carers. AB has issues with regard to Carers not being included, which he will discuss further outside the meeting. It was acknowledged by the Board that carers are our unpaid workforce. The Board agreed the recommendations. Following a brief scan of the new specification which had only been published in the last couple of days, there GK RBa AB Page 4 of 5

6 did not appear to be any significant changes. 13. ANY OTHER BUSINESS The issue of nursing quality in specialist care homes was raised. Training has been undertaken to rectify the variability. AJ advised this would be his last Board meeting. AB queried where the Board was positioned with regard to the re-organisations and in relation to the Terms of Reference. This will be linked to the outcomes of the Healthier Northamptonshire activity. The Board agreed the next meeting in March would be for 3 hours to facilitate discussion on the Better Care Fund. DATE OF NEXT MEETING: 7 th March 2014, , Kinetic, Francis Crick House, 6 Summerhouse Road, Moulton Park, Northampton, NN3 6BF Dates of future meetings: 13 th June 2014, , Board Room, Francis Crick House, 6 Summerhouse Road, Moulton Park, Northampton, NN3 6BF 12 th September 2014, , Board Room, Francis Crick House, 6 Summerhouse Road, Moulton Park, Northampton, NN3 6BF 12 th December 2014, , Board Room, Francis Crick House, 6 Summerhouse Road, Moulton Park, Northampton, NN3 6BF Page 5 of 5