JOINT COMMISSIONING GROUP
MEETING
Monday 19th November 2012, 11:00 – 2:00
Beaumont Room, Loftus House, Sunderland TPCT
M I N U T E S
PRESENT:Stuart Douglass (Chair)– Lead Policy for Community Safety
John Moiser – Jobcentre Plus
Nicola Grainger – Sunderland TPCT
Laura Johnstone – FIP Plus
Kate Conquerer – Carer
Ben Seale – Sunderland TPCT
Louise Hill – Youth Offending Service
Stephen Potts – Sunderland TPCT
Usha Jacob – Performance & Information Manager
Angela Steward – FIP Plus
Julie Daneshyar – National Treatment Agency
Angela Miller– In attendance
NO. / ITEM / ACTION1 / APOLOGIES / WELCOME / INTRODUCTIONS
1.1
1.2 / Apologies for absence were received from Nonnie Crawford, Pam Lee, Maureen Gavin, Simone Common and Ron Hamilton.
Introductions took place and all were welcomed to the meeting. / INFO
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2 / FIP PLUS UPDATE
2.1 / As explained the FIP plus programme and gave a background to her role. Progress made to date has included setting the foundation of the programme and applying best practice to ensure the best possible outcomes for families, staff and delivery partners. All staff members involved have embraced the FIP Plus approach.
The strengths of the scheme were noted and the group looked at four case studies which were part of the programme. Discussions took place and the group agreed that everything looks positive and hopefully can continue into the future. The group were informed that there was funding for the rest of the financial year; however there is still uncertainty for next year as nothing has yet been announced.
There have been some issues with the scheme. These are: -
Recruitment – The staff redeployment process has resulted in some delays in staffing FIP Plus. Initially three new staff members were appointed from SWITCH; however these have subsequently left post. This problem was resolved with the help of the Assistant Chief Executive but was time consuming and FIP Plus remains two posts down at present. However, existing staff have provided good support to the programme in the mean time.
Inappropriate Referrals – Some referrals were made from agencies involving for families that didn’t meet the criteria. This required sensitive relationship management in order to maintain the positive joint working and ensure that the families were pointed in the right direction to more appropriate services.
The group were informed that the final evaluation will provide a lot more detail than the update report. The group thanked AS for the update and noted that some good work was being carried out. Credit is to be passed to all the staff that is involved with the programme.
NB – LJ and AS left the meeting at this point. / INFO
3 / DECLARATIONS OF INTEREST
3.1 / The group were informed that Kate Conqueror was currently working with the Carers Centre. / INFO
4 / MINUTES OF THE LAST MEETING
4.1
3.2
3.2.1
3.2.2 / The minutes of the last meeting were recorded as a true and accurate.
Matters Arising
Page 2, Item 4.2, Performance – Core Dataset Changes: Introductory Event
BS informed the group that the event went well. The changes give a potential chance for everything to be clearer, though adaptations for it are rather more complex this year.
Page 4, Item 10.3, Any Other Business – Substance Misuse Treatment and Outcomes for Families
JD updated the group on the progress of the project and explained to the group that Simone Common was in the process of looking at the social work audit referrals to understand where parental substance misuse is a factor. Other areas of interest maybe around offending behaviour, school attendance, etc. / INFO
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5 / PERFORMANCE
5.1
5.1.1
5.1.2 / The group looked through the performance report as well as the DOMES report and the following was noted: -
General Report
Drug Treatment Successful Completions – Opiates
Opiates shows 73 successful completions against the baseline of 70. This equates to a 9% successful completion rate as a proportion of all opiate clients in treatment rolling year to Sept. Sunderland at 9% is in the second top quartile at Sept and performing 3 above the set Sunderland baseline.
Non Opiates
Shows 94 successful completions against the baseline of 99. This is a 39% successful completion rate as a proportion of all non opiate clients in treatment rolling year to Sept. Sunderland at 39% is in the second bottom quartile at Sept.
All Drug Users
Shows 167 successful completions against the baseline of 169. This is a 16% successful completion rate as a proportion of all adults in treatment rolling year to Sept. From the 149 drug treatment partnerships, Sunderland measured at 16% is currently performing at 57th.
Planned Treatment Exits – Re-Presentations
Figures show an 18% re-presentation rate for Sunderland. The National figure for the same period was 13%; this sees Sunderland performing below the national average for re-presentations. Discussions took place and it was agreed that further work would be needed around this area.
DOMES Report
The group looked through the report and JD explained section 9. It maybe useful if the non-opiate pathway is reviewed and improvement made, especially in relation to access into treatment. Given the present re-tendering of treatment services improvement activity may be difficult to maintain. Discussions took place it was noted that NG will be re-visiting this area and will monitor this on a weekly basis.
JD went on to note that the rate of growth will need to increase to ensure that Sunderland remains competitive. / INFO
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NG
6 / FINANCE
6.1
6.1.1
6.1.2
6.1.3 / The group looked at the finance report and the following was noted: -
DIP Budget
Expenditure to date is in line with estimates for the half year and in line with forecasted budget provision. Costs accrued for the IOM Manager are currently being logged within the ‘Reducing Re-Offending Manager’ line. These may require re-allocation. Some reconciliation work is required in relation to DISC invoices which reflect an under-spend within this budget and over-commitment within the alcohol budget. At present, a small under-spend is forecast for year end.
Alcohol Budget
Expenditure to date is below estimate for quarter 3. Several providers have failed to present invoices for payment to date and are now being followed up. Expenditure remains in line with full year position, allowing for achievement/non-achievement of PBR allocations for affected providers.
Adult Pooled Treatment Budget
Expenditure to date is below estimate for quarter 3. Several providers have failed to present invoices for payment to date and are now being followed up. The budget forecast remains very tight with expenditure still envisaged to be met from budget position. / INFO
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7 / COMMISSIONING UPDATE
7.1 / The group looked through the commissioning report and the following was noted: -
A letter was submitted to the commissioning team in early September by an incumbent provider raising concerns that providers had not been sufficiently consulted in the design of the service model. Due to this consultation activity has been gathered together and itemised. In order to help ensure that providers feel engaged the procurement/legal team the procurement team advised that a further consultation session with providers could take place.
This was carried out on 24th October 2012. Limited questions were raised at the event, though a window of opportunity was enabled for written queries. These have been responded to and answers published to all attendees. Further questions arising from that process have also been answered and circulated to the group. No major changes were required following the consultation. Following this delay, it may now be necessary to extend the transition period into early 2013/14.
To date it has not been possible to source clinical input for the evaluation panel – the commissioning team is currently liaising with the NTA to source independent input. / INFO
8 / PARTNERSHIP STRATEGIC IMPACT ASSESSMENT
8.1 / SD gave the presentation on the Partnership Strategic Intelligence Assessment and explained the process which was taken. There have been no significant changes in the patterns of crime and volume distribution.
Vera Baird will take up her post as Police and Crime Commissioner on the 22nd November 2012 - as of yet the priorities have yet been agreed.
Public Health allocations for 2013//14 are to be published shortly.
Discussions took place and it was agreed that as soon as further information was received and priorities agreed the group will be informed. / INFO
9 / POLICE AND CRIME COMMISSIONER AND TRANSITION
9.1
9.2 / Police and Crime Commissioner
The group agreed that this area had been covered in the presentation. As more information is received the group will be updated.
Public Health Update
The group were informed that an introductory meeting for Public Health Staff is scheduled with Neil Revely at the end of the week. A further updated will be provided as soon as it is available. / INFO
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10 / ANY OTHER BUSINESS
10.1 / There was nothing noted under this agenda item. / INFO
11 / DATE AND TIME OF NEXT MEETING
11.1 / The next meeting is still to be confirmed. AM to arrange all dates for 2013.
Secretary’s note: The next meeting has been arranged for Monday 18th February between 11:00 and 1:00 in Committee Room 1 at the Sunderland Civic Centre. / AM
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