The Board to receive NEW Devon CCG’s Commissioning Framework and Intentions.

Jerry Clough, Managing Director, Western Locality provided the board with the commissioning and framework and intentions for NEW Devon CCG.  The CCG were required to produce a 2 year and 5 year plan to be signed off by the Health and Wellbeing Board.  It was also reported that -

a)    NEW Devon CCG over 900,000 people and work consistently carried out across this patch.  Our job is about the people that we service and place them at the centre of our work, about the individual and how they receive care;

b)    the Better Care Fund is about integration and how we will deliver better services and will comeback with a clear statement on the Better Care Fund that we all sign up to;

c)    we can work independently and we want to work collaboratively with all our providers to come up with the best solutions.  Funding was extremely tight and cannot afford to waste money and make this very clear this is the desired way for working for us;

d)    the final framework document set out the high level finance plan and describes the levels of improvement and transformation to deliver a balance plan next year.

In response to questions raised, it was reported that -

e)    they were working across the 3 local authorities with joint strategies.  This was an incredible achievement and critical to localise our intentions, what we do locally would be different and need to make sure we get the variation right in the right area;

f)     checks and balances against the Joint Strategic Needs Assessment (JSNA) to cross relate into local areas.  Information was being gathered from Public Health England to make sure everything was crossed checked;

g)    there were radical ideas for targeted follow up care and lots of examples that follow up care kept people well.  Look to put in systems to empower people, for lots of people if feel that you need a follow up here is a number and you can make that decision whether you want that appointment;

h)    there was a need to get a clear definition on vulnerable groups and this should be made more explicit in the framework;

i)     the final plan be aligned to the Health and Wellbeing Strategy and would come back to a future the board for a more detailed discussion;

j)     the 5 year strategy would describe the landscape on the future commissioning on primary care and in the future will work to a different model of practice and solution to what we currently face;

k)    the Better Care fund comes with a set of rules and regulations and fits well into discussions that we are having.  There is a very clear scale of integration and was the Better Care Fund the way to deliver ambition?

The Board were happy with the development of the framework but following today’s discussions wanted to see included explicit alignment of the framework with the Health and Wellbeing Strategy.