Agenda item

The Board had before it a report by Judith Proctor (Chief Officer, ACH&SCP) which set out a Strategic Commissioning and Transformation Programme for the IJB and outlined the process undertaken to develop these priorities.

The report recommended:-

that the Board -

(a)          Endorse the principle of strategic commissioning as set out in the paper in Appendix 1;

(b)          Agree these as the priority strategic commissions for development over a rolling three year programme;

(c)          Agree the high level investment proposals set out in the paper;

(d)          Agree that oversight of delivery of the programme would continue under the Transformation Programme Board which would, in turn, report to the Audit and Performance Systems Committee;

(e)          Request an annual report on progress and milestones, or as required by exception to the IJB;

(f)           Agree that funding not committed to these strategic commissions would be directed by the Transformation Programme Board, within an agreed allocation process aligned to the IJB’s Strategic Plan; and

(g)          Agree the establishment of new posts related to the delivery of this programme.

The Board received a presentation from Judith Proctor in which she advised that the Transformational and Strategic Commissioning Plan would provide the mechanism for delivering the Strategic Plan. Mrs Proctor summarised the context of health and social care integration and the consultative process undergone during the development of the Strategic Plan. She explained that the Transformational and Strategic Commissioning Plan would encompass three main areas of focus:

1.           Enablers: This area would concentrate on the development of mobile working, shared networks, platforms to support integrated teams and cultural and organisational change;

2.           Commissioning Approach: This area would look at supporting locally focussed commissioning, improving integrated working with third and independent sector providers and increasing capacity and sustainability through joined up working and better relationships; and

3.           Development of New Models: This area would focus on the development of Acute Care@home, building community capacity and modernising primary care.

Mrs Proctor also highlighted the resourcing and governance arrangements of the IJB and the importance of being prudent in relation to risk and the necessity of having robust structures in place. She also added that the Partnership would be realistic in its planning and not overpromise on its capacity to deliver services.

Thereafter there were questions on the bidding process for Transformational Funding; the proposed level of funding to be allocated to independent and third sector providers; and the viability of ring-fencing funding for projects and services to be delivered at locality level. Members also highlighted the importance of information analysis and the development of an evaluation framework to avoid a retrofit analysis after year two; and the Partnership’s use of the Programme Management Office to deliver sustainable change and avoid the expansion of existing capacity.

The Board resolved:-

(i)            to endorse the principle of strategic commissioning as set out in the paper in Appendix 1;

(ii)           to agree these as the priority strategic commissions for development over a rolling three year programme;

(iii)         to agree the high level investment proposals set out in the paper;

(iv)         to agree that oversight of delivery of the programme would continue under the Transformation Programme Board which would, in turn, report to the Audit and Performance Systems Committee;

(v)           to request an annual report on progress and milestones, or as required by exception to the IJB;

(vi)         to agree that funding not committed to these strategic commissions would be directed by the Transformation Programme Board, within an agreed allocation process aligned to the IJB’s Strategic Plan;

(vii)        to agree the establishment of new posts related to the delivery of this programme;

(viii)       to request that a report on the principle of ring-fencing transformational funding be presented to the Audit and Performance Systems Committee; and

(ix)       to thank the Chief Officer for the informative presentation.