Attachment 8

North East Lincolnshire Council and the North East Lincolnshire Clinical Commissioning group business plan 2015-2018

Introduction

This plan is a requirement of the partnership agreement and sets out

objectives to be delivered by each partner for the period of the plan

financial resources that are transferred under the agreement.

anticipated major changes in policy, any issues that are defined as ‘reserved matters’ for the council in the Partnership Agreement.

Key policy changes

Implementation of the Care Act 2014.

The delivery of the new NHS, Adult Social Care and Public Health Outcomes Frameworks.

Better Care plan

3.	Key areas for partnership development:

Together we will deliver sustained improvements to health and social care by:

Tackling health inequalities through targeted activity in the most deprived areas

Delivering value for money health and care services

Improve access to quality information for residents of all ages on health care and wider support options

Promoting the role of citizens, in improving quality, choice and accessibility as well as taking responsibility for their own health and well being

Developing a strong partnership culture, working collaboratively to deliver innovative solutions which maximise the use of resources across both organisations and improve quality.

4. Financial and performance arrangements.

Detailed financial arrangements are contained in appendix 1; appendix 2 contains the performance measures to be reported.

5. Risk management and assurance

NELC and the CCG have identified the following key strategic risks:

Increasing demand for care services due to demographic changes in the population and due the presentation of increasingly complex health needs in children and young people

Financial and assurance implications of the Care Act 2014

Financial balance – due to the need to achieve council and NHS savings targets

Failure to deliver the pace of change required in acute sector to release resources safely

Assurance on the robustness of safeguarding arrangements for both children and adult services

A risk management plan will be developed for the partnership. The council will hold the budget (£32,000) to deliver the audit plan.

6. Equality impact assessments

During the course of the year the CCG will undertake equality impact assessments for Adult Social Care to give the assurance that NELC needs.

NELC will undertake equality impact assessments for service changes determined by the Children’s Commissioning Board to provide assurance to Health for services commissioned on its behalf

The Partnership Operational Board meeting currently takes place monthly and includes the following. These arrangements will be subject to review during 2015/16 to ensure a fit for purpose structure to meet the changing needs of the partnership:

Key strategic issues and forward plan of key decisions

Policy developments

Report progress on key plans and strategies

Safeguarding

Highlight/give assurance on the management of risks

Finance and performance

North East Lincolnshire CCG & Council Partnership Agreement priorities for the period 2015-17

Strategic / High Level Priority	Work Required 2015/16	Work required 2016/17	Policy implications	Lead and Support Arrangements
Adult Social Care Efficiency Programme	Deliver £4.7m of the required £9m efficiency programme (additional to £2m delivered in 14/15) Identify and manage risks associated with above plans	Deliver the final element of the £9m efficiency programme	Updated ASC strategy and implementation plan to cover 2015-17	CCG Lead - Helen Kenyon Technical support – Jake Rollin
Children’s Commissioning	Preparing for re-procurement of CAMHS due 2016/17. Succession plans for critical roles	New role requirements of CCG from new SEN Code of Practice – statutory.	To be confirmed
Move towards a collaborative model of working with a strong partnership culture.	Agree vision, values and objectives for the partnership in the context of increasing collaboration around prevention and early intervention to improve the health and wellbeing of the public Review of the Section 75 agreement with a view to establishing robust but efficient partnership governance, financial management and assurance arrangements Establishment of joint commissioning plan and forward planning arrangements to deliver agreed vision	Evaluation of new working arrangements and identification of further work required to maintain progress towards desired vision.	None, but will require CCG and council decisions on options	Partnership Leadership Group Partners nominated officers and support services Bev Compton/Helen Kenyon
Care Act implementation Embedding the changes required by the 2015 reforms Preparing for the 2016 reforms Embedding the changes required by the 2016 reforms	Monitor the costs/ additional demands of the 2015 reforms Revised assessment and care planning framework (inc re carers) is in place across all partner organisations i.e. NELC, focus, Care Plus and Navigo (where relevant) Key strategy and policy review Understand the costs of the 2016 reforms Revise charging policy by reference to a) any issues which have arisen during 2015, b) any further opportunities for cost recovery, c) requirements of the 2016 reforms Develop processes/ systems/ skills to support creation of IPBs, care accounts/ statements, and increases to all ASC functions Communication plan	Operating under new arrangements Detail of required changes expected October 2015	Risk of increased demand Key policies may be affected by future of partnership work Further revision of charging policy may require consultation Implications for policy represented by the 2016 cannot yet be confirmed	Emma Overton – Programme Manager POG – Care Act Implementation Board Workstream leads
Improving the health and wellbeing of the public	Specific partnership objectives to be agreed Contributing to the development and shaping of JSNA requirements Contracts and services re-commissioned/redesigned in line with agreed objectives	On-going review and management of the programme	Health and wellbeing implementation plan	Bev Compton/Helen Kenyan/Stephen Pintus
Health and social care workforce planning	Implementation of Care Certificate Attracting greater numbers of social care workers into the area	Jake Rollin Jake Rollin

Appendix 1 – Financial arrangements

See PDF attachment

Appendix 2 – Performance indicators

National priority area	Targets to be delivered by NELC on behalf of the CCG	Targets to be delivered by the CCG on behalf of NELC
NHS Operating Framework 2012-13	PHQ16: Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s PHS17: Health Visitor Numbers
Adult Social Care Outcomes Framework 2012-13	1A: Social care-related quality of life 1B: The proportion of people who use services who have control over their daily life 1C: Proportion of people using social care who receive self-directed support, and those receiving direct payments 1D: Carer-reported quality of life 1E: Proportion of adults with learning disabilities in paid employment 1F: Proportion of adults in contact with secondary mental health services in paid employment 1G: Proportion of adults with learning disabilities who live in their own home or with their family 1H: Proportion of adults in contact with secondary mental health services who live independently, with or without support 2A: Permanent admissions to residential and nursing care homes, per 100,000 population 2B: Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services 2C: Delayed transfers of care from hospital, and those which are attributable to adult social care 3A: Overall satisfaction of people who use services with their care and support 3B: Overall satisfaction of carers with social services 3C: The proportion of carers who report that they have been included or consulted in discussion about the person they care for 3D: The proportion of people who use services and carers who find it easy to find information about services 4A: The proportion of people who use services who feel safe 4B: The proportion of people who use services who say that those services have made them feel safe and secure
Public Health Outcomes Framework 2013-16	Low birth weight of term babies Breastfeeding Under 18 conceptions Child development at time of 2-2.5 years Excess weight in 4-5 and 10-11 year olds Hospital admissions caused by unintentional and deliberate injuries in under 18s Emotional Wellbeing of looked-after children Alcohol related admissions to hospital	People with mental illness or disability in settled accommodation Employment for those with a long-term health condition including those with a learning difficulty/disability or mental illness
Other	Childhood obesity rate: Year R Childhood obesity rate: Year 6 Childhood Immunisations Teenage conception rates per 1,000 females aged 15-17	Timeliness of social care assessment (all adults) Timeliness of social care packages following assessment The number of carers receiving a 'carer's break' or a specific carers' service or advice and information as a percentage of clients receiving community based services. Reviews