Schedule 1 KINGSTON AT HOME [Draft contents based on the 2014/15 section 75 while negotiations are carried out for 2015/16. Details will be refreshed once these are complete] Unless the context otherwise requires, the defined terms used in this Scheme Specification shall have the meanings set out in the Agreement. 1 OVERVIEW OF INDIVIDUAL SERVICE In January 2012, Kingston and The Royal Borough of Kingston agreed to work in partnership to develop and deliver an integrated approach to the commissioning and provision of health and social care services delivering rehabilitation, reablement, residential/nursing home care and home based services under the umbrella project Kingston at Home (K@H). The intention of the K@H project is to deliver an integrated home based service model of rehabilitation and reablement (as shown below) led by Your Healthcare CIC () as the preferred provider, who is leading the redesign and co-production work with RBK and the. This direction of travel is underpinned by The Case for Change - March 12 revised March 13 Joint RBK and K Commissioning Intentions - March 12 revised March 13 Management Agreement and Collaborative Agreement between and RBK transferring management responsibilities for RBK services covered under the BTA to ( effective from 1 April 2013) Your Healthcare CIC intermediate care and rehabilitation services community nursing and therapy teams and Cedars Unit inpatient beds specified and commissioned by Kingston PCT in August 2010 and its successor body Kingston from 1 April 2013 Business Transfer Agreement (BTA) of RBK Services to (effective from 1 June 2013) covering the following services o Amy Woodgate Resource Centre including day care, both health and social care; o Day Care at Newent Resource Centre; o Adult Placement Scheme; o Shared Lives o Home Care Service, including the Reablement Team; 1
o Community Outreach Team Section 31 between RBK and joint funding arrangement for Intermediate Care Services to support discharge implemented in 1998. Section 75 between RBK and Kingston discharging Lead Commissioner responsibilities to Kingston for those services under the BTA (effective from 1 May 2013). The RBK Transforming Community Services Programme The RBK transforming Community Services Programme has identified a range of service transformation and redesign opportunities to improve the cost effectiveness and deliver efficiencies across a range of adult social care services which are part of and /or interface with the Kingston at Home project. The Kingston s QIPP programme As part of s 13/14 QIPP programme, the joint Kingston at Home project is required to deliver a contribution to the s QIPP programme, this statement of intent outlines the details of the KAH QIPP scheme. Following discussions between and K Commissioners, it has been agreed to focus the K@H QIPP on enhancing and transforming the community infrastructure to provide an increase in home based rehabilitation, treatment and care through a reduction in 12 community health beds in the Cedars Unit Tolworth Hospital to release funding for reinvestment into the community workforce and pathway redesign to deliver the new service model and care pathways. A joint commissioner and provider transition/project plan is under development to be completed by 31 May 2013 and financial modelling will be undertaken to effect the commissioning and service transformation of the new Kingston at Home service model from September 2013. 2 AIMS AND OUTCOMES Facilitate a better use of health & social care resources for local people Improve access and outcomes for service users through seamless care provision Support greater flexibility for service delivery and redesign Facilitate integrated health and social care commissioning and integrated service provision Provide a framework for integrated commissioning Ensure a fit with each organisation s statutory duties Ensure value for money for health and social care monies through integrated commissioning 2
3 THE ARRANGEMENTS Service Delegations Lead Commissioner Funding Value Provider Notes Kingston at Home RBL Adult Social Services Amy Woodgate EMI Residential Care Amy Woodgate Day Services Newent Day Services Reablement Home Care Outreach Team Supporting personal budget holders Shared Lines (adult placement scheme) Kingston Kingston Kingston Kingston Kingston Kingston Kingston Pooled budget TBA 44 beds block contract Linkages to SWL&StG s Mental Health Services Commissioned & provision In partnership with Age Concern Kingston the model of service will change over time to a universal day services model Service to be integrated with intermediate care from Sept 13 This service relates to 4 existing long term home care service users whose care needs will be reviewed and future care provider identified by will be reviewed by September This team will change over time as the new integrated model emerges Service to develop overtime to offer more short term respite services 3
Service Delegations Lead Commissioner Funding Value Provider Notes Intermediate Care Pooled budget Kingston Kingston at Home Commissioned Health Services Intermediate Care Team including therapies N/A N/A Kingston Kingston Pooled budget Pooled budget 171k Historical contribution to support hospital discharge subject to review as new service model emerges TBA Service to be integrated with RBK reablement service from Sept 13 Linkages to integrated reablement and rehabilitation team Short term social care beds Hobkirk House 4
4 FUNCTIONS and RBK have identified project managers to deliver the Kingston at Home Programme. The services as listed in this Schedule are commissioned and contracted via Kingston s NHS Contract with. The K Commissioner for services will act as lead commissioner. Both organisations will ensure access to other professionals e.g. finance, information, communications, procurement to support delivery of the programme. 1 SERVICES The services covered by Kingston at Home statement of intent from the NHS standard contract 13/14 STATEMENT OF INTENT (extract from NHS Standard Contract 2013/14 - Particulars Between Kingston and Your Healthcare CIC) Service Descriptions Refer to the NHS Standard Contract Documentation 13/14 between Kingston and CIC. RBK Service Specifications Amy Woodgate EMI Residential Care Amy Woodgate Day Services Newent Day Services Reablement and Home Care Outreach Team Shared Lives Scheme Intermediate Care Specifications Cedars Unit (inpatient beds) Intermediate care team These will be revised during 2013/14 to deliver Kingston at Home. Service Levels Refer to the NHS Standard Contract Documentation 13/14 between Kingston and CIC. Particulars which detail the activity measures key performance indicators quality indicators CQUINs which underpin the delivery of the above services. Service Users Health Services NHS healthcare is free at the point of contact. There is no eligibility criteria associated with the health services under Kingston at Home. Council Adult Care Services Access to Council Services for individuals is based on the eligibility criteria underpinning Fair Access to Community Services (FACS) which for RBK is critical and substantial For the reablement service FACS will not apply and will be free of charge up to six weeks 5
http://www.kingston.gov.uk/browse/health/adult_social_care/how_we_decide_if_we_can_help_you.h tm 2 COMMISSIONING, CONTRACTING, ACCESS and RBK have identified project managers to deliver the Kingston at Home Programme. The services as listed in this Schedule are commissioned and contracted via Kingston s NHS Contract with. The K Commissioner for services will act as lead commissioner. 3 FINANCIAL CONTRIBUTIONS Financial Year 2015/2016 Non-Pooled Fund A Non-Pooled Fund B Non-Pooled Fund C Pooled Fund X Pooled Fund Y contribution Council Contribution Financial resources in subsequent years to be determined in accordance with the Agreement 4 FINANCIAL GOVERNANCE ARRANGEMENTS [to be added] (1) As in the Agreement with the following changes: 5 VAT [to be added] 6 [GOVERNANCE ARRANGEMENTS FOR THE PARTNERSHIP [to be added] 7 NON FINANCIAL RESOURCES Council contribution Details Charging arrangements 1 Comments Premises Assets and equipment 1 Are these to be provided free of charge or is there to a charge made to a relevant fund. Where there are aligned budgets any recharge will need to be allocated between the Budget and the Council Budget on such a basis that there is no mixing of resources 6
Contracts Central support services Contribution Details Charging arrangements 2 Comments Premises Assets and equipment Contracts Central support services 8 STAFF 9 ASSURANCE AND MONITORING [to be added] 10 LEAD OFFICERS Partner Name of Lead Officer Address Telephone Number Email Address Fax Number Council Hospital Commissioning 11 INTERNAL APPROVALS Consider the levels of authority from the Council s Constitution and the s standing orders, scheme of delegation and standing financial instructions in relation to the Individual Scheme; Consider the scope of authority of the Pool Manager and the Lead Officers Has an agreement been approved by cabinet bodies and signed? 12 RISK AND BENEFIT SHARE ARRANGEMENTS Has a risk management strategy been drawn up? Set out arrangements, if any, for the sharing of risk and benefit in relation to the Individual Scheme. 13 REGULATORY REQUIREMENTS Are there any regulatory requirements that should be noted in respect of this particular Individual Scheme? 14 INFORMATION SHARING AND COMMUNICATION 2 Are these to be provided free of charge or is there to a charge made to a relevant fund. Where there are aligned budgets any recharge will need to be allocated between the Budget and the Council Budget on such a basis that there is no mixing of resources 7
What are the information/data sharing arrangements? How will charges be (which should be referred to in Part 2 above) What data systems will be used? Consultation staff, people supported by the Partners, unions, providers, public, other agency Printed stationary 15 DURATION AND EXIT STRATEGY What are the arrangements for the variation or termination of the Individual Scheme. Can part/all of the Individual Scheme be terminated on notice by a party? Can part/all of the Individual Scheme be terminated as a result of breach by either Partner? What is the duration of these arrangements? Set out what arrangements will apply upon termination of the Individual Service, including without limitation the following matters addressed in the main body of the Agreement (1) maintaining continuity of Services; (2) allocation and/or disposal of any equipment relating to the Individual Scheme; (3) responsibility for debts and on-going contracts; (4) responsibility for the continuance of contract arrangements with Service Providers (subject to the agreement of any Partner to continue contributing to the costs of the contract arrangements); (5) where appropriate, the responsibility for the sharing of the liabilities incurred by the Partners with the responsibility for commissioning the Services and/or the Host Partners. Consider also arrangements for dealing with premises, records, information sharing (and the connection with staffing provisions set out in the Agreement. 16 OTHER PROVISIONS Consider, for example: Any variations to the provisions of the Agreement Bespoke arrangements for the treatment of records Safeguarding arrangements 8