Agenda for Joint Commissioning Board on Monday, 9th March, 2009, 5.00pm
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Agenda, decisions and minutes
PDF 343 KBVenue: Committee Room 3, Hove Town Hall. View directions
Contact: Caroline De Marco, Democratic Services Officer
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Procedural Business
(b) Declarations of Interest by all Members present of any personal interests in matters on the agenda, the nature of any interest and whether the Members regard the interest as prejudicial under the terms of the Code of Conduct.
(c) Exclusion of Press and Public - To consider whether, in view of the nature of the business to be transacted, or the nature of the proceedings, the press and public should be excluded from the meeting when any of the following items are under consideration.
NOTE: Any item appearing in Part 2 of the Agenda states in its heading either that it is confidential or the category under which the information disclosed in the report is exempt from disclosure and therefore not available to the public.
A list and description of the categories of exempt information is available for public inspection at Brighton and Hove Town Halls. Minutes: 44 (a) Declarations of Substitutes
44.1 Geraldine Hoban, Deputy Director of Strategic Commissioning PCT stated that she attending in place of Amanda Fadero, Director of Strategy, PCT.
44 (b) Declarations of Interests 44.2 There were none.
44 (c) Exclusion of Press and Public
44.3 In accordance with section 100A of the Local Government Act 1972 (“the Act), the Board considered whether the press and public should be excluded from the meeting during an item of business on the grounds that it was likely, in view of the nature of the business to be transacted or the nature of the proceedings, that if members of the press and public were present during that item, there would be disclosure to them of confidential information (as defined in section 100A (3) of the Act) or exempt information (as defined in section 100I(I) of the Act).
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Minutes of the Previous Meeting Minutes of the meeting held on 23 February 2009 (to be circulated separately). Minutes: 45.1 RESOLVED – That the minutes of the Joint Commissioning Board Meeting held on 23 February 2009 be agreed and signed by the Chairman.
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Chairman's Communications Minutes: 46.1 There were none.
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Public Questions (The closing date for receipt of public questions is 12 noon on 2 March 2009)
No public questions have been received by the date of publication. Minutes: 47.1 There were none.
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Financial Performance Report - Month 10 Report of the Director of Finance, NHS, Brighton and Hove (copy attached). Decision: (1) That the financial position of the pooled budgets - forecast at breakeven – and the actions underway to manage the pressures within the system, be noted.
(2) That the conclusion of the procurement of the substance misuse and community alcohol services tender, and the award of the contract for the delivery of the service to Sussex Partnership NHS Foundation Trust, be noted.
Minutes: 48.1 The Director of Finance (PCT) presented a report which set out the financial position of the pooled budgets at the end of Month 10, and the forecast year end outturn. It highlighted emerging pressures and set out plans to address these pressures (for copy see minutes book). The forecast was still to break even.
48.2 Janice Robinson noted that the Sussex Partnership Trust still had some way to reach their year end position. She asked how they would deal with their budget in time. The Director of Finance, PCT explained that the overall position for the Sussex Partnership Trust was to have a comfortable surplus. This was confirmed by Tony Sharp of the Sussex Partnership Trust.
48.3 RESOLVED - (1) That the financial position of the pooled budgets - forecast at breakeven – and the actions underway to manage the pressures within the system, be noted.
(2) That the conclusion of the procurement of the substance misuse and community alcohol services tender, and the award of the contract for the delivery of the service to Sussex Partnership NHS Foundation Trust, be noted.
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Older People Mental Health Planning Framework 2009/10 to 2011/12
Report of the Director of Strategy, Brighton and Hove City PCT (copy attached). Additional documents: Decision: (1) That the Brighton and Hove Older People Mental Health Planning Framework 2009–2012 be approved.
Minutes: 49.1 The Deputy Director of Strategic Commissioning PCT introduced a report of the Director of Strategy, Brighton & Hove City PCT, which set out the vision for the future development and commissioning of services to support older people with mental health needs, and their carers, in Brighton and Hove (for copy see minute book). The planning framework and the three year action plan were attached as appendix 1. In twelve months time, when year one of the action plan had been implemented, the framework would be updated and a full commissioning strategy would be published. Meanwhile, the framework would be reviewed in light of the publication of the National Dementia Strategy. A Joint Steering Group would oversee and implement the framework. It was suggested that the Steering Group be accountable to the Joint Commissioning Board.
49.2 John Dearlove noted that the Executive Summary of the report made the point that the number of older people living with dementia and depression was expected to increase dramatically, yet the report stressed that the framework was expected to be delivered within health and social care budgets. The Deputy Director Strategic Commissioning agreed that this would be a challenge. Finances would need to be carefully directed and there should be an emphasis on early intervention and good, appropriate support at an early stage. Early intervention and early support were not necessarily expensive.
49.3 The Commissioner for Older People Mental Health stressed that there would be a need to look at how Brighton & Hove could link to ongoing initiatives. The Lead Commissioner, Older People mentioned that there might be some pilot sites that could be accessed. This would place Brighton & Hove in a better position. Meanwhile, Brighton & Hove was in a better position than the rest of the country as there was not a massive increase in older people.
49.4 The Director of Community Care stressed the importance of the healthy living aspect of the preventative strategy. The report detailed many ways in which the service would be different in five years time. There would be a need to clearly explain these changes in press releases.
49.5 Janice Robinson commended the strategy. She stressed the importance of good data, particularly in relation to health. She expressed concern that this group might be particularly vulnerable to future budget restrictions. The Deputy Director of Strategic Commissioning replied that she was confident that this matter would be kept high on the agenda. Key dedicated people were working on it.
49.6 RESOLVED - (1) That the Brighton and Hove Older People Mental Health Planning Framework 2009–2012, be approved.
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Physical Disability Strategy - Choice, Independent Living and Personalised Care: A Draft Strategy for Physical Disability Services 2009-2012
Report of Director of Strategy, Primary Care Trust (copy attached). Additional documents: Decision: (1) That the attached strategy be noted and endorsed.
Minutes: 50.1 The Deputy Director of Strategic Commissioning PCT introduced a report of the Director of Strategy, Primary Care Trust which set out the first Physical Disability Commissioning Strategy for the city. It was a joint strategy across Brighton & Hove PCT and Brighton & Hove City Council and outlined the development of services for adults with physical disability over the next three years 2009-2012 (for copy see minute book). A Steering Group would oversee the implementation of the strategy. It was proposed that this would be accountable to the Joint Commissioning Board with either 6 monthly or yearly feedback.
50.2 Simon Turpitt referred to the financial plan. He stressed that financial pressures would worsen and asked why residential nursing home care was increasing by 10% to 12%. The Deputy Director of Strategic Commissioning replied that there would be a challenge in the face of increased demand. Finances would be closely monitored. Officers were looking at different models of commissioning. It would be some time before officers could point to evidence.
50.3 The Director of Community Care made the point that people were in long term care for different reasons. Some people had been in rehabilitation. It was necessary to make use of relevant accommodation.
50.4 The Director of Adult Social Care & Housing agreed that there was a need to ensure that the growing need was carefully monitored but stressed that the city delivered well in keeping people at home, compared to the national average.
50.5 Janice Robinson acknowledged that there was integrated working in three services but considered that there were tensions between health and social care. i.e the social model and medical intervention. There was less about medical intervention in the strategy. The tensions meant that the strategy was less coherent.
50.6 The Director of Community Care stressed that the strategy covered many disabilities. Some disabilities were a medical model and others were social model.
50.7 The Commissioner for Physical Disabilities highlighted the health prevention and wellbeing agenda and access to information. Access had been highlighted by service users. There needed to be a focus point for access to services. There would be consultation on this issue.
50.8 RESOLVED - (1) That the attached strategy be noted and endorsed.
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Learning Disability Partnership Board - Annual Report
Report of Director of Adult Social Care & Housing (copy attached). Additional documents: Decision: (1) That the report be noted and that the work of the Learning Disability Partnership Board be endorsed.
(2) That it be agreed that the Joint Commissioning Board receive annual, rather than six-monthly, reports from the Learning Disability Partnership Board, and safeguarding reports on a regular basis.
Minutes: 51.1 The Board considered a report of the Director of Adult Social Care & Housing which presented the Learning Disability Partnership Annual Report, which was attached as an appendix (for copy see minute book). The Manager, Integrated Learning Disability Service and the Project & Development Officer presented the Annual Report.
51.2 The Board were informed that the Learning Disability Partnership Board had been set up in order to oversee and help the planning and development of services that help local people with learning disabilities. The Joint Commissioning Board and the Cabinet Member for Housing had agreed to receive a formal report of the work of the Learning Disability Partnership Board, to ensure that the Board was properly accountable to governance arrangements. It was originally envisioned that the Partnership Board would submit reports twice a year. However, the Partnership Board recently decided to request an annual reporting structure, which will eventually be matched to the financial year cycle.
51.3 Members were informed about the membership of the partnership, the work of sub-groups, new projects and the development of a new website.
51.4 Members agreed they would like to receive the safeguarding people with learning disabilities report annually.
51.5 John O’Sullivan asked if more could be done to improve access to health care. The Deputy Director of Strategic Commissioning PCT reported that a great deal of work had been carried out around access. The Manager, Integrated Learning Disability Service confirmed that a report on health care for people with learning disabilities could be submitted to the Joint Commissioning Board later in the year.
51.6 RESOLVED - (1) That the report be noted and that the work of the Learning Disability Partnership Board be endorsed.
(2) That it be agreed that the Joint Commissioning Board receive annual, rather than six-monthly, reports from the Learning Disability Partnership Board, and safeguarding people with learning disabilities reports annually.
(3) That a report on health care for people with learning disabilities will be submitted to the Joint Commissioning Board later in the year.
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Deprivation of Liberty Safeguards Report of Director of Adult Social Care and Housing and Head of Partnerships and Public Engagement (copy attached). Additional documents: Decision: (1) That the joint approach between the Council and the Primary Care Trust in implementing the Deprivation of Liberty Safeguards, be supported and endorsed.
Minutes: 52.1 The Board considered a report of the Director of Adult Social Care & Housing and the Head of Partnerships and Public Engagement which explained that the Deprivation of Liberty Safeguards (DOLS) were being introduced from 1st April 2009 as an amendment to the Mental Capacity Act 2005. The report sought agreement that the DOLS service was hosted by the Access Point within Adult Social Care and run in tandem with Brighton & Hove City PCT. In addition it was seeking agreement that authorisations of deprivation of liberty could be agreed by the Director of Adult Social Care and Housing, and nominated deputies as specified in the report (for copy see minute book).
52.2 RESOLVED - That the joint approach between the Council and the Primary Care Trust in implementing the Deprivation of Liberty Safeguards, be supported and endorsed.
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