Transforming Community Services Board

Date: 19th May 2010, 5 – 7pm

Board Room, Broad Lea House.

Minutes

Present

Mike Potts,NHS KirkleesChief Executive, Chair

Sheila DilksNHS KirkleesDirector Patient Care

Carol McKennaNHS KirkleesDirector Commissioning

Sue EllisNHS KirkleesDirector HR & OD

Judith HooperNHS KirkleesDirector, Public Health

Rob MillingtonNHS KirkleesNon Exec Director

Rob HarrisonNHS KirkleesStaff Side representative

Jim BarwickNHS KirkleesAsst Dir Strategic Development (Adults)

Dr B JindalHCCPBC representative

June WatsonKCHSLTC lead

Merran Mcrae Kirklees CouncilDirector, Adult Services

Alison O’Sulivan Kirklees CouncilDirector, Children & Young people

Apologies

Dr D KellyN’ Kirklees consortiaPBC representative

Dr S TabnerKCHSCASH Clinical lead

Iain Baines Kirklees Council Strategic transformation programme lead

  1. Introduction and apologies

All members introduced themselves. Apologies were received.

  1. Update and progress to date

Mike Potts gave a summary of progress to date and the purpose of the Transforming Community Service Programme (TCS) including a refresh on TCS; described below.

The principle purpose of TCS policy framework is for the PCT to divest itself of its provider arm, Kirklees Community Health services (KCHS), and become solely a commissioning organisation. In deciding how these changes should be made we need to ensure that the community services provided for the people of Kirklees are of a high quality and reflect the Vision and Values of NHS Kirklees.

It was acknowledged that immediately post election the direction, process and requirements for TCS required clarity from the SHA. However policy remained as above and the TCS programme for Kirklees should continue.

As well as the items on the agenda Mike Potts requested that we agree the principles of what a Community Service should look like.

  1. Terms of Reference

The Terms of Reference were reviewed. Following discussion they have been amended and attached to the minutes for review.

ActionAll. Colleagues to review and comment at next TCS Board.

  1. Principles of working

The Principles of working were reviewed. Following discussion they have been amended and attached to the minutes for review.

ActionAll. Colleagues to review and comment at next TCS Board.

  1. Programme and Governance structure

Jim Barwick presented the Programme and Governance Structure. Comments were received relating to the structure and lines of reporting. Discussion took place on the work of the specific groups and outcome expected.

The Programme and Governance Structure has been amended and are attached to the minutes for review.

ActionAll. Colleagues to review and comment at next TCS Board.

JB. Provide further detail to the components of the programme structure including scope of work and outcomes. Present to next TCS Board.

  1. TCS process, high level programme plan and key milestones

Jim Barwick, in tandem with the Programme and Governance structure, the process high level programme plan and key milestones were described as below;

Timescale / Activity / Outcome
May - July /  Establish TCS board.
 Set commissioning intentions for Integrated Community Services, Principles and Outcome Specification.
 Inform providers of the process and the PCTs expectations of them. /  Programme up & running.
 Clearly documented vision for Integrated Community Services & Outcome Specification for providers to work towards providing.
 Transparency and integrity of the programme.
Aug - Sept /  Informal assessment of providers ability to meet outcome specification.
 Support providers to further develop their response to meeting the outcome specification. /  Understanding of providers intentions, capability, capacity & quality of their proposed form.
 Ensure that providers have opportunity to develop their bid to the highest quality.
October /  Formal assessment. /  Against agreed criteria assess the provider that can best meet the outline specification.
November /  Detailed pathway development. /  Work with the preferred provider to further develop pathways, models of integration and allow innovation and efficiency.
Dec - Jan /  Contract mobilisation. /  Finalise and agree detailied specification
 Agree Contract arrangements.
 Staff in place.
 Business continuity.
Feb - April /  Service goes live. /  Service provided against the specification and contract.

It was acknowledged that TUPE of staff by April 2011 would an ambitious timescale. However the TCS programme, working to the timeline above, will give a clear direction of travel for function and form and that TUPE of staff could follow to more manageable timescales.

ActionJB. Provide further detail to each stage

Define and arrange a process for setting the vision and subsequent outline specification for community services.

  1. Process of assessing options of potential organisational form.

A draft process was reviewed and commented on.

ActionJB. To work with Iain Baines to include Council based assessment criteria.

  1. Communication required

The importance of clear unambiguous communication was discussed.

ActionJB. To meet with Helena Corder to activate the Communications transactional group, advising and producing communications materials.

  1. Any other business

The guiding principles for TCS programme were discussed and agreed. These are:

 For some existing services that are provided in the community it will be clear that they would be better placed with an acute provider. For those services which would be a minority the process for transfer will sit outside the main TCS programme.

 There should be no geographical fragmentation of Community Services.

 The provision of Community Services should be responsive to needs within localities and contribute to reducing health inequalities and achieving health outcomes.

 There will be different approaches and specifications for Adults, Children and Mental Health services but this does not preclude a single provider.

The TCS Board agreed the next steps to be:

 Progress the activities to the timescale as indicated above.

 Develop and agree the vision for Integrated Community Services.

 Invite SHA commissioned consultants (Finemores) to support the visioning process.

 Develop clear criteria for assessing providers which include understanding costs of newly configured services.

 Develop a communications plan.

 Scope programme resource requirements.

  1. Next meeting

The next meeting and a series of monthly meeting would be arranged in due course.

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TCS Board, Minutes 19th May 2010