Meeting: Joint Commissioning Management Board Date: Wednesday 21st February 2018 Time: 2 – 3.30pmLocation: Room 313, Civic Office, Waterdale, Doncaster, DN1 3BU .

AttendeesJackie Pederson Damian Allen (chaired for Jo) Cllr Rachael Blake Denise BannDavid CrichtonHayley Tingle

Leanne HornsbyAndrew Russell

Steve Mawson Linda Tully

Rupert SucklingAnthony Fitzpatrick

Chris Marsh Jamie ?? CapsticksGill Parker – note takerApologiesJo Miller

Item Discussion/Comments Action

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Welcome, introductions and apologies

Apologies from: Jo Miller.

Introductions around the table. Damian chaired today’s meeting on behalf of Jo Miller.

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Minutes of the previous meeting and matters arising

Implementation of the Place Plan continues to roll out. There is a Joint Partnership (ACP leadership) meeting this Friday morning to look at delegations.

Blueprints for the 7 Areas of Opportunity are on track to be completed by the end of March.

Draft Terms of Reference – on today’s agenda.

Integrated Commissioning Workshop – arranged for 6th March.

Joint Financial Protocols – Capsticks Workshop – on today’s agenda.

Transition Spend – on today’s agenda.

Integrated Care System – on today’s agenda.

Business Cases are now going through the correct decision making procedure.

3 Finalise Terms of Reference and Governance for JCMB

Wide discussion was held, and suggestions made for additions to the draft. Rupert raised it may be necessary to widen input in the future – looking at where Accountable Care sits in the local system – Anthony to add a line to cover this.

With regard to the structure chart on page 4 – three points were raised at yesterday’s JCOG meeting as follows:

AF

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1. Children & Young People’s Joint Commissioning Resource Group to be included2. With regard to use of BCF money – JCOG and TCG to merge over next 2 months3. Work to be done around delegated authority and spending limits on joint funds

Steve advised we need to be mindful of using “delegation” in the TORs, as the Council cannot delegate to the JCMB – it can only delegate to for example – a Portfolio Holder or a Director.

The importance of transparency around funded activities was highlighted. Up to 2018/19 – there were three pots of money:

1. BCF – which went through Health & Wellbeing Board2. iBCF – goes to the Council and a national return is required3. Non-recurrent – planning to have delegation in place by April

Resources for the 7 Areas of Opportunity will be coming from all three of the above pots, in time it’s likely a fourth pot will be developed reflecting joint commissioning from mainstream resources.

It was felt the wording was not quite right with regard to the agreement of a joint commissioning strategy for each of the 7 Areas of Opportunity – we need to articulate our ambitions.

Anthony to make the amendments discussed and bring back a revised draft TORs for the next JCMB meeting.

AF

4 Doncaster Caring (Place Plan) Update and Progress – presentation

Chris went through a presentation, and an extract from the Doncaster Place Plan Joint Commissioning Agreement - see below:

The links between the Borough Strategy, Place Plan and Doncaster Growing Together were discussed, plus the need to look at things through the eyes of a Doncaster citizen, as the changes are for the benefit of the whole borough.

Closing the finance and efficiency gap will be a huge challenge.

Adoption of the 4 Cohort model (life-stage) was emphasised – we want to avoid slipping back to the medicalised model.

We need to take a broad view of commissioning and look at any common themes – e.g. Loneliness. There will be learning to take from each Area of Opportunity.

We need to be mindful of not rewarding for failure when planning commissioning outcomes.

In 2018/19 – contracts are to be revised via Service Development and Improvement Plans (SDIPS) in the CCG contract – this can be used as a template, and lifted and shifted into other bodies’ contacts.

The basic framework has been laid out with regard to expectations for next year, however a need to hold early discussions with providers was highlighted.

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A lot of pace and commitment over the next 4 weeks is necessary to be ready by the end of March.

All

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Commissioning Agreement Progress and sign off timetable

The Place Plan is the delivery vehicle for Providers and Commissioners. Development will be made during the first shadow year. The Commissioning Agreement (Section 75), replaces the current MoU, and is a legal necessity for joint commissioning – it sets out the scope and schedule for the 7 Areas of Opportunity from development to delivery. The TORs, Structures and Blueprints will be included in schedule 2 of the agreement. There is scope for further development in schedules 2 and 3. A draft agreement has been circulated for comments, and will be re-circulated following today’s meeting. Comments to be returned by 5th March.

The Providers will have a mirror agreement in place - an MoU in the shadow year – supported by their own legal advisors – Hill Dickinson. A workshop has been set up for 16 th March to look at an agreement over risk share, and bringing providers together to change behaviours and practices.

It was felt the new JCMB will have a broader outlook than previously with the JCCC, due to the broader membership.

Rachael suggested a further session for Cabinet Members, to give them an understanding of the language used around the Joint Commissioning process – Rachael to discuss with Mayor Jones and make arrangements for Jackie and Damian to attend a Cabinet briefing session.

Jamie emphasised the need to focus on the 7 Areas of Opportunity. These can be widened in the future, but are a starting point and provide a clear base to communicate to members. There will be a formal review of the Commissioning Agreement after the first year.

Chris asked for feedback from the point of view of outstanding work – by 5 th March, and regarding the pitch and tone of the plan – over the next 5 days.

Jackie stated that as the Commissioning Agreement goes through respective internal governance processes, it is a good opportunity to test out our ambition for the future. When the agreement then goes through public governance processes in April, there is an opportunity to publicly make bold statements on future direction and ambition. This needs testing with Cabinet and GB beforehand.

All

RB

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JP/DA

6 Joint Commissioning Functions Update – Presentation

Anthony went through a Power Point presentation – see below:

Great progress has been made so far, but we can do better, and focus wider than the 7 Areas of

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Opportunity. Senior Management Teams meet weekly and discuss the issues of the week, which are formalised on a monthly basis. These meetings include representation form HR, Commissioning, Finance, Public Health etc. We will get a robust way to formalise commitment on financial decisions. A clear mapping exercise is needed with regard to savings plans up to 2021, and to address the gap in finance and efficiency already highlighted by Chris.

A series of joint interview panels have led to some success around recruitment – it has been helpful to have DMBC and CCG together for this.

Good work is happening between SPU and CCG Business Intelligence - looking at streamlining and avoiding duplication.

More work can be done with Children and Young People, and a workshop is planned for the near future – a framework to be put in place – action for JCOG.

There are implications for the Council - working towards one Directorate of People.

There will be benefits for both staff and the citizens of Doncaster.

The Integrated Commissioning Workshop 6th March – facilitated by Ernst & Young – has 80 to 100 staff attending. Leadership to feed in throughout the day. The objectives and desired outcomes to be circulated by Anthony. What is the vision for Joint Commissioning in Doncaster? We will look at areas that work well. The outcomes will be our tangible next steps over next 3, 6 & 9 months.

Members to be kept informed and acknowledge the huge amount of joint working which has already taken place – how do we get CCG and Cabinet members together?

Chris highlighted the issues of bringing teams together – this is an urgent piece of work which needs to be done well/properly.

The new Director of Transformation, Cath Doman, is starting on Monday –– the work will be very exciting but very challenging.

JCOG

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7SY & B Integrated Care System Update

Not discussed

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

Nothing raised.

9 Any other business

Homefinder Role Business Plan – urgent funding approval from iBCF – need to think about this – Rupert sent an email explaining the need for this prior to today’s meeting, with the following text:

“Under the iBCF there were some lines of investment that weren’t set in stone when we drafted

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the plan that was agreed by cabinet and the Health and Wellbeing Board.Damian has the delegation to ‘firm up those lines’. However as it’s a jointly agreed plan we felt it best that you were sighted on the proposal.”

This new use was agreed.

Delegation document has been circulated. The Draft Cabinet Report re Non Recurrent BCF has been circulated - any comments to

Faye Tyas and Kathryn Black by emailAll

Date and time of next meeting: Wednesday 18th April 2018 3 – 4.30pm, room 313 Civic Office Jackie to chair

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