Agenda and draft minutes

Venue: Informal Virtual Meeting

Contact: Graham Walton  020 8461 7743

Items
No. Item

1.

APOLOGIES

Minutes:

Apologies were received from Councillor Chris Lloyd from RB Greenwich and Councillor Marianna Masters from LB Lambeth.

2.

DISCLOSURE OF INTERESTS AND DISPENSATIONS

Members to declare any interests and dispensations in respect of any item of business to be considered at the meeting.

Minutes:

There were no additional declarations of interest.

3.

CCG PRESENTATIONS pdf icon PDF 2 MB

(A) Integrated Care Services

 

(B) Vaccination

 

(C) Recovery of Elective Surgery

Additional documents:

Minutes:

The Committee received three the following presentations from colleagues in South East London CCG and asked questions arising from the presentation:

 

(a)  Integrated Care Services (ICS)

 

It was recognised that integrating care had been the “holy grail” for health and social care services for decades.  This reflected the changing demographics and needs of the population and the misalignment that had built up over decades between the needs of the population and how health and care services were organised.  As the population lived longer and had increasingly complex mental and physical health needs it had become increasingly inadequate to rely on a health system built on hospitals and small-scale primary care.  Historically, the response had been to bolt on services such as community nurses, social workers, domiciliary care and this had resulted in a vast amount of fragmentation, inefficiency and poor co-ordination within the system.  If we were to get integrated care services right enormous benefits could be delivered and this could translate into a genuinely good experience of care.

 

In terms of subsidiarity, all of the decision making regarding how to structure out of hospital care services were likely to be within the control of the Boroughs and the provider collaboratives would have greater autonomy over how resources were managed to better deliver specialist services.  It was clear that the system would be built from the Borough base and the vision was that the ICS would give primacy to boroughs to take decisions if that is the most effective place for decisions to be taken.

 

The Joint Committee were pleased to note that there was nothing to suggest that overview and scrutiny powers would be removed through this process.  Consideration would need to be given to how decisions impacted different areas to ensure consistency of decision making.  Going forward the different parts of the system would need to understand how scrutiny arrangements would work.  It would be helpful for joint scrutiny arrangements to continue in order facilitate an efficient decision-making process.

 

The Joint Committee noted that in the event of a change in the law through the Bill being passed, CCG responsibilities would transfer to an ICS statutory body.  At that point responsibility for commissioning would sit with the ICS commissioning body and there were no plans to change the structure of localised commissioning.  The hope was that local care partnerships – made up of commissioners and providers - would be the partnerships to whom the ICS would delegate.

 

The Joint Committee recognised that the proposals represented a cultural and organisational challenge to enable staff to develop the skills that would be required to work in multidisciplinary teams.  The organisations were only just embarking on the project and there would be a need for continuous professional development in order to support staff in developing the skills they would require.  However, it had to be recognised that if staff were provided with the right opportunities and an appropriate environment change would happen.

 

In relation to returning to ‘in person’ stakeholder and  ...  view the full minutes text for item 3.

4.

WORKPLAN

The next meeting is scheduled for xxx 2016 in xxx. The scheduled agenda is:

 

·  xxx

Minutes:

The Joint Committee agreed that a pre-agenda meeting would be held at the beginning of September 2021 and at this meeting Health colleagues would be able to advise on the most appropriate topics for discussion at the next meeting which could be held in October.

 

It was agreed that consideration would be given to holding an ‘in person’ meeting in October.