Agenda item

Report of Andrea Green, Coventry and Rugby Clinical Commissioning Group

The Board considered a report of Andrea Green, Coventry and Warwickshire CCG which provided an update on the Out of Hospital (OoH) Transformation Programme which aimed to achieve truly integrated services based on the changing population needs by using an outcome based commissioning approach. A detailed overview of the programme and process was set out at an appendix to the report. The work programme was underpinned by extensive public, patient and stakeholder engagement and sought to address the structure, cultural and professional barriers to delivering person centred care.

The report indicated that the three Coventry and Warwickshire CCGs commenced the OoH programme of work in 2015 with the aim of improving the integration of community services to deliver a more personal-centred offer. The programme represented a significant component of the CCG strategy and had been bought into the Proactive and Preventative Care workstream of the Better Care, Better Health, Better Value programme. Initial work involved commissioners working with patients, the public, clinicians and key stakeholders including Local Authority representatives to shape and define a set of outcomes and objectives for a future clinical model of care.

The Board noted that the commissioners had agreed the following objectives for the programme:

·  To reduce the health and wellbeing inequalities

·  To address the care and quality gap by ensuring more services use evidence based best practices

·  Identifying those most in need and co-ordinating their care more effectively by commissioning and ensuring interdisciplinary working

·  To work within tight financial parameters by developing and delivering services around the needs of patients and carers and reduce duplication and waste of resources.

Attention was drawn to the six domains, developed to ensure the providers deliver agreed outcomes.   

In April 2017 the CCG Governing Bodies formally adopted the Clinical Model. The Programme Board then undertook a process to determine the necessary contracts. The Board were informed that delivering the transformation required to make the system truly integrated would require sustained effort over a number of years by the commissioners and providers. The model and outcomes commissioned would be consistent across Coventry and Warwickshire but the underpinning contracts would be based on geographical areas. This way resources could be targeted to reflect the different health needs of each population, different service provision and different historical levels of resourcing.  

In July, 2017 the Governing Body of Coventry and Rugby CCG considered a range of commissioning and contract options and decided to make a direct award to Coventry and Warwickshire Partnership Trust for Coventry residents and South Warwickshire Foundation Trust for Warwickshire residents. It was anticipated that the new type of contract would come into operation from April 2018. The Collaborative Commissioning Board was to be responsible for the future governance of the programme.

 Members asked for examples of how patients would see a difference between the existing service and that provided by the new commissioning approach. An assurance was sought that the sharing of data between the health partners would not become an issue and information was requested on plans for linking with the voluntary sector.

RESOLVED that the update report on the Out of Hospital Transformation Programme be noted.