Meeting: Joint Commissioning Management Board Date: 18th April 2018 Time: 3 – 4.30pmLocation: Room 313, Civic Building, Waterdale, Doncaster, DN1 3BU

AttendeesJo Miller (chair) Anthony Fitzgerald Damian Allen Patrick BirchCath Doman Faye Tyas Hayley Tingle Rupert SucklingNick Tupper David Crichton Andrew Russell Dominic ArmstrongCllr Rachael BlakeGill Parker – note takerApologiesJackie Pederson Steve Mawson Linda Tully Leanne HornsbyCllr Nigel Ball

Item. Discussion/Comments Action

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Welcome, introductions and apologies

Apologies received as above.

Jo welcomed everyone and introductions were made around the table.

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Minutes of the previous meeting and matters arising

Anthony informed the changes to the ToRs requested at the last JCMB have now been made– to circulate by email.

Rachael asked if Cllr Nigel Ball could be added to the JCMB membership as her deputy – to attend when she is not available – this was agreed.

On page 3 under item 5, Cath requested the reference to Capsticks to be removed – Gill to amend minutes.

Damian informed the Commissioning Agreement has been to Exec Board and is due at Cabinet on 24th April.

Anthony informed the integrated commissioning workshop took place – this is on today’s agenda.

The minutes were approved.

AF

GP

3 BCF Governance and Assurance Approach

Dom provided some background information and reasons for his paper. There has been substantial growth around the Place Plan ambitions. It is also felt that now would be a timely opportunity to review arrangements.

The Adults Programme Management Office (PMO) has had responsibility for over-seeing BCF

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responsibilities, as well as helping to manage delivery of the Place Plan projects. Separating out from the core function of the PMO will help to:

Administer the BCF and statutory returns Ensure the BCF is investment–led Provide assurance to the Council and CCG Provide governance and challenge with regard to the Place Plan

The process needs to be made more robust and steam-lined with better planning – everyone agreed with this, however it will be a big piece of work.

Andrew felt there are opportunities for integration and wider governance for a quality assurance framework, with resources from both organisations.

David commented the Health and Wellbeing Board still has a function to oversee the outcomes. Rachael feels we need to find a useful way for this to be sent to the Health & Wellbeing Board.

Jo referred to the diagram at appendix 1 – as the Health and Wellbeing Board own the Caring Theme, the diagram needs to reflect this – all agreed. Dom to make the necessary amendments.

Damian added the thresholds for delegation of sign off need to be ratified- i.e. JGOG may sign off on schemes up to a certain amount, however JCMB has an overview of total spending. Any big spends are signed off by JCMB. Faye advised a quarterly report will come to JCMB.

There was further discussion around whether or not the resources recommended by the report were justified – Dom to revisit the resources required.

DomA

DomA

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Commissioning Agreement

Cath talked through the PowerPoint below:

All agreed this clarified what’s happening, and made it exclusively around the 7 Areas of Opportunity.

Jo raised that Health have been treated unfairly by the Government, with funds being withdrawn – how can we avoid this in Doncaster? Hayley informed we have bids in for various pots of funding, and intend to speak up and let our views be known.

5 Integrated Commissioning Functions – Work Plan

Anthony updated following the joint staff working together workshop on 6 th March. This was facilitated by EY, and very well attended by over 100 staff from DMBC and the CCG. The outputs need refining, however they have been split into 30, 60 and 90 day deliverables, which are detailed in the PowerPoint below:

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Cath feels it’s about building a new culture for a Joint Commissioning Team.

Communications Teams are to produce a jargon-free information document.

It was felt the need for a list of all services in one place – Faye has begun work pulling this together, and it will include services and budgets.

Facilities Management Teams from both the Council and CCG are working on access for staff to both buildings. Compatible Wi-Fi is also being worked on.

With regard to communications going out about the Place Plan and 7 Areas of Opportunity – Jo said she would prefer to see this in video format instead of words.

Anthony commented we all have different work plans, which in future need to be grouped under banner headings – there is a session next week to work through this.

Rupert feels the challenge will be to keep the momentum in the detail going. We need to visualise what “good” looks like – he referred to a paper from the LGA shared with colleagues earlier in the week, which will be really helpful to show what work needs to be done – see below:

We need to keep our eyes on the horizon, and not just focus on the 7 Areas of Opportunity. A conversation is needed at the next Operational Group – there are 4 domains in the document, and we have only talked about one of them. Anthony to add to the next JCOG agenda.

Rachael commented it would be helpful for the governing body of the CCG to meet with Cabinet, so they can get to know one another.

FT

AF

6 Future Finance/ Legal / Contracting Approach

This leads on for the Commissioning Agreement; we don’t have a Section 75 in place due to the very complex finance arrangements, however it’s good to have a legally binding document.

We have a Finance and Contracting Group in place, a Commissioning Agreement to a certain level and Providers on board to a Memorandum of Understanding. It’s now time to get on with the nitty gritty and scope. Hayley, Cath and Faye to meet and discuss the key deliverables. We need to be very clear on Legal support and scope out what is required for the next period. We also need to be very clear on the contracting approach, which will be under-pinned on the Alliance Agreement – how contractors are tied to this. There is a good relationship between Capsticks and

HT, CD & FT

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Hill Dickinson, which is a benefit.

Doncaster has £139M of savings to achieve. What are our refreshed savings challenges to be met by 2021? This needs to come to JCMB quickly.

The contractors/providers of Health and Care services are aware of the scale of the challenge – it is a difficult journey. We need to look at duplicated services, and be transparent. Conversations have already started at JCOG, who are looking at lines of savings and synergies. The Finance Working Group is starting to develop a work plan – we need to achieve a level of detail for the Section 75. We need to recognise the different financial landscapes in which we all work. The financial environment within Health over the last 2 years has been much less flexible. We need to work together to use Doncaster’s resources being as flexible as possible.

Jo would like us to explore a new way of contracting – we know what we have to spend and what outcomes we need, however, we want to avoid ‘a race to the bottom’. We want contracts to add as much value as possible, paying a decent wage, offering apprenticeships, training etc. We’ve already done some work on this, but there is a lot more to do. This approach should also take some fear out of the system.

Rupert added we need to take a consistent approach around social values.

David commented we may not achieve 100% on all outcomes, and have to make compromises.

Damian felt an investment approach with regard to social values would yield benefits later.

Hayley said we are already diving to the bottom line with Procurement, and need to think about this.

We need to commission services, not just outcomes. Damian gave an example of the Supported Living Contract, where we have tried to build in outcomes. This will be a learning curve with us and Providers, with parallel investment on the contracts, and a revised joint strategic needs analysis this year. We shouldn’t just focus on saving money, but need a wider concept considering social / public value.

Jo proposed Team Doncaster take on this challenge, with her as sponsor, and a partner to be brought in if necessary. We could make a positive difference to families in Doncaster.

Rupert suggested a report to Health and Wellbeing Board on a different way of delivery.

HT

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Messages out from JCOG

Anthony will continue to send out messages.

JCOG have agreed in principle to use the Care Homes as an Area of Opportunity Agreed in principle for BCF funding for a Post Diagnostic Dementia Care pilot for 2018/19 –

this should help reduce dementia patients in A&E. A Community and Voluntary Sector workshop is planned for early May – Katy Turner is

leading on this.

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8Minutes of Transformation Coordination Group Meetings – (for reading prior to the meeting)

Minutes for noting.

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Any other business

Rupert informed about a session on “People Born in Bradford” and working with them on data linkage.

Jo shared some good news – the Department Head of Civil Services in New Zealand made contact with her as they are just coming across a period of austerity, and have heard about our good work in Doncaster. They are sending a small team over to work with us and look at our approach to the economy.

Date and time of next meeting:

Monday 4th June 2018 from 9 – 10.30am

Civic Office Meeting Room 309

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