Integrated Transformation Fund An Area Team Perspective Les Williams Director of Operations and Delivery Birmingham, Solihull and the Black Country
Integrated Transformation Fund
An Area Team Perspective
Les Williams
Director of Operations and Delivery
Birmingham, Solihull and the Black Country
• 7 CCGs across the patch – Wolverhampton, Walsall, Birmingham Cross City, Sandwell & West Birmingham, Solihull, Birmingham South and Central and Dudley
• 143 people in new roles within the Area Team for Birmingham, Solihull and the Black Country. In addition to Family Health Services (FHS) for registration of patients with contractors
• Covers area of 6 Local Authorities
• CCGs supported by Central Midlands Commissioning Support Unit
Area Team Overview
Area Team Functions
Area Teams in England share the same core functions, with responsibility for:
• CCG development and assurance
• Emergency Preparedness, Resilience and Response
• Quality and safety
• Partnerships, includes Local Authorities, particularly through Health and Wellbeing Boards
• Configuration
• System oversight.
• Commissioning a range of services directly
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Integrated Transformation Fund • ITF Guidance already issued, 4th and 17th October
• Strategic and operational planning in the NHS 4th November
• Full guidance to NHS England Board on 17th December, published 19th December, along with CCG and Area Team allocations
• Plans for 2015/16 needs to start in 2014/15
• £3.8bn pool arrangement, brings together NHS and local authority resources already committed to existing core activity
• First draft plans 14th February
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Integrated Transformation Fund • Conditions:
• Support adult social care services with health benefit
• Local authority to agree with health how best used in social care and demonstrate positive difference to social care services
• Have regard to JSNA and existing commissioning plans
• Health benefit to be seen in:
• DTOCs, emergency admissions, admissions to care homes
• Effectiveness of re-ablement and patient and service user experience
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Plans
• 2 year operational
• 5 year strategic
• Shared plan for totality of health and social care activity and spend
• Involve all stakeholders and signed off through H&WB Board
So what’s our view?
Area Team Perspective • Great opportunity to develop real shared integrated planning
• Realisation of long term aspirations
• Build on existing S 75 and S 256 experience of pooled budgets
• Many CCGs looking to go beyond minimum requirements, eg all emergency admissions spend
• Recognise complexity and difficulty of changes – for social care, for funds, for NHS providers
• See 2014/15 as a start and continuing negotiation to deliver true transformation in 2015/16
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Some issues• Transfer not seen as free gift
• Incentivising large acute providers to change
• NHS England as contributors to plan – specialised services, primary care commissioning responsibilities
• GP providers as one of potential recipients of investment to drive change in acute hospitals
• Important facets:
• good local relationships within very effective governance
• clarity of purpose established early
• risk sharing
• Role to encourage CCGs, but not direct them
• Assurance of quality and content of plans for NHS 8