Agenda and minutes

County Councillors Andy Jenns, Keith Kondakor and Kate Rolfe. Councillor Chris Kettle (Stratford District Council).

Members are required to register their disclosable pecuniary interests within 28 days of their election of appointment to the Council. A member attending a meeting where a matter arises in which s/he has a disclosable pecuniary interest must (unless s/he has a dispensation):

·         Declare the interest if s/he has not already registered it

·         Not participate in any discussion or vote

·         Must leave the meeting room until the matter has been dealt with

·         Give written notice of any unregistered interest to the Monitoring Officer within 28 days of the meeting Non-pecuniary interests must still be declared in accordance with the Code of Conduct. These should be declared at the commencement of the meeting.

None.

The Chair welcomed everyone to the meeting.

None.

The committee gave initial consideration to this item at its special meeting on 30^th July. Members agreed to hold a further meeting, with a particular focus on the ‘place’ aspects. A copy of the previous report is provided as background.

The committee gave initial consideration to this item at its special

meeting on 30 July. It was agreed to hold a further meeting, with

a particular focus on the ‘place’ aspects. A copy of the previous report

had been provided as background.

A two-part presentation was commenced by Anna Hargrave of South Warwickshire CCG. The presentation covered the following areas:

• The role of the clinical commissioner to plan, determine and prioritise, purchase and monitor services.
• How our system fits together, showing the population sizes and purposes of the different levels from the primary care network through to region. The aim was to provide 80% of activity at ‘place level. Some aspects had to be provided over the larger system footprint.
• Why merge? Key aspects were developing place, more efficient decision making, administrative savings, staff recruitment and retention and better access to new opportunities and funding.
• Our current position, showing the engagement undertaken, the application to NHS England in September and the plans for a continued dialogue.
• Importance of place. At the place level, at least 80% of service transformation would happen and decisions be made on how money was spent. This would focus on local populations and support better engagement. 

David Eltringham, Chair of the Warwickshire North Place Executive delivered the next section of the presentation along with Jenni Northcote. Jenni worked jointly for the Warwickshire North CCG and George Eliot Hospital, having a key role in coordinating planning at the place level. Dr Rachel Davies had hoped to co-present but had clinical commitments. She was the GP and primary care representative on the place executive.  This part of the presentation covered:

• Context about the place, showing the profile of the area and the organisations involved in the place executive. This body had no legal standing and each organisation retained their respective accountabilities. Time had been spent in building relationships and understanding the roles of each organisation.
• Plan on a page, showing the vision, aim, the current state and that desired, with detail on a range of topics.
• A graphic showing the model of integrated care, which puts the patient and population at the centre.
• A diagram showing ‘how we work together – connecting from PCN to system through place’. Mr Eltringham explained how the various aspects were connected from PCN’s, which aimed to deliver neighbourhood priorities, through to priority programmes of work to deliver at the place level. A new aspect was delivery assurance, following the requirement by government to establish a reset board. The accountability and oversight aspects were also reported, together with the more strategic role envisioned for the merged CCG.
• Jenni Northcote spoke to the slide ‘How we work together – areas of focus’. This took existing information from a variety of sources to provide six areas of focus. The focuses are urgent and emergency care, long term conditions, mental health, wider determinants of health, community capacity and maternity, children & young people. An emphasis on working collaboratively at the place level and adding value. Examples were  ...  view the full minutes text for item 3.