Agenda item

A report from the Chief Executive is attached.

Geoff Little, Bury Council Chief Executive attended the meeting to provide members with an update in respect of the delivery of the Locality Plan - “Transforming Health and Social Care in Bury”.

The presentation contained information in respect of the two key areas of organisational changes for Bury:-

Locality Care Alliance (LCA); and

Single Commissioning Organisation (OCO)

The Chief Executive outlined the key components of the LCA and the OCO:

The LCA, will include five neighbourhood teams with staff co-located with a single line management system as well as a joined up case management system.  Borough-wide integrated services will provide intermediate services and manage patient flows into and out of hospitals.

The purpose of creating a Single Commission Organisation is to align the Council’s commissioning of social care and public health with the CCG commissioning of acute, primary, community and mental health services.   The key components of the One Commission Organisation (OCO) will be:-

·         Pooled budgets

·         Single budget processes

·         A single commissioning strategy

·         Shared performance data and intelligence driving commissioning and decommissioning decisions

·         New approaches to commissioning based on outcomes.

A single executive team will be created with combined roles covering both the CCG and Council responsibilities.  This will require significant organisational development and staff engagement.

Those present were invited to ask questions and the following issues were raised.

Responding to a Member’s question the Chief Executive reported that the proposals contained within the Locality Plan will help to address the CCG’s 75 million pound funding gap by providing joined up services and shifting resources in to early intervention.

Responding to Member’s concern in respect of lack of progress; the Chief Executive reported that there has been some slippage in the development of the OCO and the LCA.  The Council has been informed that the transformation monies will not be released until further detailed information in respect of the Locality Plan is received.  The proposals will require full consultation with staff.  

The Chief Executive reported that the current fragmentation of commissioning has made it difficult to focus resources on the priorities set out in the Locality Plan.  By working jointly with the CCG via the one commissioning organisation and taking a more holistic approach to the delivery of services this will help to address some of the Borough’s health inequalities.

With regards to the implementation timelines, the Chief Executive reported that they are realistic and align with Greater Manchester and specific financial targets.

In response to a Member’s question, the Chief Executive reported that the flow of patients is very complex and any changes across the Acute sector will need to be coordinated at a Greater Manchester level.  Work is underway to improve services and outcomes as well as reduce costs within the Acute Trusts.

The Chief Executive reported that the way healthcare services are delivered will need to change and work will need to be undertaken with the public and other stakeholders to manage that change.

It was agreed:

The Chief Executive be thanked for his attendance and be invited to attend a subsequent meeting of the Committee, date to be confirmed.  Future presentation will include information in respect of an updated transformation timeline, staffing implications, financial monitoring including transformation monies, managing risk/risk register and governance.