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Meeting: Joint Commissioning Management Board Date: 4th June 2018Time: 9amLocation: Room 309, Civic Building, Waterdale, Doncaster, DN1 3BUAttendeesChris MarshNick TupperDamian Allen Denise BannJackie Pederson (Chair)Steve MawsonHayley TingleRupert SucklingCath DomanAndrew RussellDavid CrichtonGill Parker – note takerApologiesAnthony FitzgeraldLinda Tully Jo Miller ItemDiscussion/CommentsAction1Welcome, introductions and apologiesApologies from Anthony Fitzgerald, Linda Tully and Jo Miller 2Minutes of the previous meeting and matters arising Page 4, item 6, action for Faye Tyas – to be picked up at next JCMB meeting.Action Tracker and Bring Forward Agenda required for future JCMB meetings to ensure actions not missed. ToRs also to be re-circulated.Agenda with embedded documents format not to be used again, as CCG colleagues cannot open using IPads – it was suggested to send out as one PDF document in future.Cath, Hayley & Faye have met and agreed to re-launch the Finance Group – got a facilitator and looking at dates.With regard to Section 75 – Cath, Steve, Hayley and Faye to meet. As Commissioners, there is still plenty of work to do, and regular meetings are required.The challenge for Doncaster was ?139M (the gap) – this may now have changed. What collective actions are required to reduce the gap from us and providers, and what investment is required in the market? Joint efficiency plans in place for the next few years – to be ready for our July meeting. Potential efficiencies in the system will be discussed in more detail at next JCMB meeting.FTGPGPCD, SM, HT & FTHTAll3VCF report and workshop update Commissioning the Voluntary, Community and Faith sectorCommissioning Workshops (30, 60, 90 day plans) The workshop took place 24th May – it was a very energetic session. The Innovation Unit are producing a report following the session.A discussion is required around how we support the Sector to come together and speak as one voice – there are hundreds of organisations which may need one route in and one route out. Chris and Nick advised that we focus on clusters in the Sector, as we can’t interact with all areas. Allan Wiltshire is leading on Community Engagement – we need to see the Community Engagement Strategy. Katy Turner is the Voluntary Sector Coordinator – to be invited to our next meeting.The Sector needs to be self-sustaining as much as possible. The Sector also needs to be involved in governance in some way. We need to keep up regular dialogues with the Sector.The Health and Wellbeing Board have been talking to the Sector, and the health and social care forum have identified a representative from darts to attend the Board.AllAWGPAll4 BCF resource to support transformationA more detailed paper is to come to our next meeting.There are three main areas for proposed investment as follows:General Fund – for such as one off events and pieces of workSupport for VOLCOM & Faith SectorsSupport for transformation – additional resources requiredThis has had the broad approval from the ACP Leadership Team.For point one – we need to avoid having individual business cases for each piece of work, but have an overarching case to cover everything – this needs to be broad and flexible.Resource mapping is required to ensure there are no areas of duplication, and an executive function to have overall responsibility and keep the momentum going. Workforce Development is an area where we can work together as well as Commissioning, but there will be other areas too.Steve pointed out Estates and Finances are more ‘unblockers’ rather than ‘drivers/deliverers’ – they will look at the desired outcomes and how these can be unblocked.Our thinking needs to be around the whole system, not just our own organisations. Chris has identified two pieces of work as follows:Look for duplicationDesign an internal investment model – could look at the Greater Manchester model for this.Work with Kings Fund will be critical to unblocking mind-sets and fundamental thinking changes.5Better Care Fund (BCF) updateReport only updates on BCF – there are two other pots of funding – IBCF and Non-Recurrent BCF. JCMB need to consider what level of detail to be reviewed at this meeting and what can be delegated to JCOG.The paper updates on financial spend for 17/18 and allocation for 18/19 and provides a progress report against the national conditions and performance measures and will go to the public Health and Wellbeing Board in June. Comments back to Rupert by 12 midday 5th June.Guidance still awaited for 19/20 funding and planningAll6Baseline Assessment Integrated Commissioning for Better OutcomesAt a recent extended JCOG, a self-assessment exercise was undertaken against the four domains:Domain 1: Building the FoundationsDomain 2: Taking a person-centred, place based and outcomes focused approachDomain 3: Shaping provision to support people, places and populations Domain 4: Continuously raising the ambitionThe outcomes of the exercise haven’t been collated yet, but we need to decide what to do with the information, what areas need unblocking and what work to focus on – results to go back to JCOG. It was felt to have been a very honest piece of work. Commissioning Teams need to be brought together for certain areas of work. It was felt we need to repeat this exercise every six months. It is a tool which can be used at Doncaster level and also to look at areas of opportunity – i.e. what needs unblocking. 7Update from JCOG – (for reading prior to the meeting)All felt this was useful.Chris to look at options to introduce a main-stream BCF dynamic to the model – agreed at JCOG – to bring to next JCMB meeting.CM8Procedure for Future meetingsPlease note: can all papers have a cover paper to be clear on what we are asking of the JCMB? i.e. a recommendation and a decision, to note, for info etc.All8Any other businessGovernance of JCMBMeeting minutes to be shared in the Public Forum.Jackie commented we should be in a position to make some decision at the next meeting.Date and time of next meeting: 19th July 2018 10 – 11.30amCivic Office meeting room 313 ................
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