Items
No. |
Item |
1. |
Election of Co-Chairs and Welcome
To formally elect the
Co-Chairs of the Joint Commissioning Committee.
Minutes:
1.1
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RESOLVED: That Councillor
Chris Peace, Cabinet Member for Health and Social Care, Sheffield
City Council and Dr Tim Moorhead, NHS Sheffield Clinical
Commissioning Group, Governing Body Chair, be appointed Co-Chairs
of the Committee.
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2. |
Apologies for Absence
Minutes:
2.1
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An apology for absence was received from
Maddy Ruff and Brian Hughes attended
the meeting as the duly appointed substitute.
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3. |
Declarations of Interest
Members of the Committee to declare any
interests they have in the business to be considered at the
meeting.
Minutes:
3.1
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Members of the Committee were requested to
declare if they had any interests which may impact on their
participation in decisions at future meetings of the Committee. The
following interests were declared:-
Dr Tim Moorhead – GP and shareholder in
Primary Care Sheffield, a not for profit enterprise.
Councillor Jackie Drayton – Husband was
an employee in the Voluntary Sector.
Mark Gamsu –
Trustee of 3 voluntary organisations in the City, full details
available on the CCG website.
Councillor Olivia Blake – Non-Executive
Director of the Sheffield Health and Social Care Trust and partner
of a Trustee of the Heeley City Forum.
Councillor Lewis Dagnall – Partner of a
Non-Executive Director of the Sheffield Health and Social Care
Trust and Trustee of the Heeley City Forum.
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3.2
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Members of the Committee commented that there
was a need for clarification as to how interests would be managed
by the Committee. It was agreed that the Director of Public Health,
Sheffield City Council, Greg Fell and the Executive Director of
Delivery, Care Outside of Hospital, Sheffield CCG, Nicki Doherty,
would clarify this and report back to the next meeting of the
Committee.
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4. |
Public Questions
To receive any questions from members of the
public.
Minutes:
4.1
|
There were no public questions submitted. It
was agreed that, should any written questions be required to future
public questions, the responses be agreed with the Co-Chairs.
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5. |
Joint Commissioning for Health and Care - Terms of Reference PDF 330 KB
Joint Report of the
Director of Public Health (SCC) and Executive Director of Delivery,
Care Outside of Hospital
(CCG).
Minutes:
5.1
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The Director of Public Health, Sheffield City
Council, introduced a report outlining the proposed Terms of
Reference for the Committee. He commented that the establishment of
the Committee had been jointly agreed by the City Council and the
Clinical Commissioning Group and officers from both sides had been
involved in its formation.
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5.2
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The work of the Committee focused on three
broad areas as outlined in the report but it was not limited to
that. The Committee was accountable to both bodies. It was
scheduled to meet bi monthly but could meet more often if the
committee agree.
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5.3
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Mark Gamsu
commented that the challenge for the Committee was demonstrating
the added value that the Committee would bring. It presented an
opportunity to establish a shared conversation and a shared
approach to complex issues.
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5.4
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Dr Tim Moorhead commented that the focus of
the committee is using a single commissioner voice to improve
patient experience, tackle health inequalities and achieve quality
services, whilst ensuring financial sustainability for the
city.
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5.5
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Mark Gamsu raised
that the Committee needed recognise the links to the integrated
care system, captured in the TOR .
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5.6
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RESOLVED: That:-
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(a)
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the Committee agreed amendments to the Terms
of Reference, and revised copy to be brought back to the next
meeting;
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(b)
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details of attendees to be removed from the
diagram on page 9;
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(c)
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add the term ‘and outcomes’ to the
end of the sentence in paragraph 3.2.5 of the report to read
‘Improved people experience and outcomes’; and
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(d)
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add details of how
conflicts of interest will be managed.
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6. |
Joint Commissioning for Health and Care - Principles PDF 230 KB
Joint Report of the
Director of Public Health (SCC) and Executive Director of
Commissioning (CCG).
Minutes:
6.1
|
The Director of Public Health, Sheffield City
Council, and the SCCG Lead Officer submitted a report updating the
Committee on progress on delivering the Sheffield City Council and
Clinical Commissioning Groups (SCCG) integrated commissioning
agenda. It set out the principles that had been agreed that would
underpin the re-commissioning of services and gave an example of
how this might work based on the Mental Health Transformation Plan
risk share.
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6.2
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Greg Fell, Director of Public Health,
Sheffield City Council, introduced the report and commented that
the principles outlined were mostly based on the learning already
shared by the City Council and the CCG Discussion was needed on how
to embed the principles and how they would link in to finances.
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6.3
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Mark Gamsu
commented that, traditionally, Sheffield had a good tradition of
working with local communities. The Committee needed to build on
that on a broader strategic level. The Committee should also not
lose sight of previous experience and outcomes.
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6.4
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Dr Leigh Sorsbie
stated that Quality and Equality Impact Assessments (QEIA’s)
often became mixed in with inequalities and they often didn’t
address the issue of inequalities. Consideration should be given to
ensuring papers brought the committee are clear on how inequalities
will be addressed. The Committee acknowledged that QEIA’s
should not just be a tick box exercise and should demonstrate a
real impact.
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6.5
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Dr Tim Moorhead discussed how the committee
could ensure it adds benefit to the health and social care
system. Ensuring the commissioning
cycle is appropriately followed to deliver transformational change
that the committee can support. The
committee requested baseline data to provide a platform to measure
change from.
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6.6
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RESOLVED: That the Committee
approves the Joint Commissioning Principles and requests a baseline
data set.
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7. |
Joint Commissioning for Health and Care - Priorities PDF 163 KB
Joint Report of the
Director of Public Health (SCC) and Executive Director of Delivery,
Care Outside of Hospital
(CCG).
Minutes:
7.1
|
The Director of Public Health, Sheffield City
Council and the SCCG Lead Officer submitted a joint report
providing the objectives and priorities for Joint Commissioning of
Health and Care and a summary of initial considerations for change
to be included in the joint commissioning plan.
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7.2
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Nikki Doherty, Executive Director of Delivery,
Care outside of Hospital, introduced the report and commented that
it was recognised that targeted investment was needed. The report
identified feedback and joint working that had taken place.
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7.3
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Councillor Chris Peace, Cabinet Member for
Health and Social Care, commented that it was important to
highlight the issues of housing, Special Educational Needs
Development (SEND) and mental health and these were important
priorities which the Committee should start their focus on.
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7.4
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Following a question from Councillor Jackie
Drayton, Cabinet Member for Children and Families, Nikki Doherty
commented that frailty did not necessarily mean older people who
were frail it would include preventing frailty with an all age
approach. It was important to ensure people were living well as
close to their home as possible.
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7.5
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Mark Gamsu
commented that the priorities in the report outlined where the City
Council and the CCG had responsibility. They did not focus
on a particular conditions, which was a
positive approach to transformation.
However it was less clear how these had being decided as the
priority and requested the background to deciding these were the
priorities.
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7.6
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Dr Tim Moorhead commented that there was well
recognised methodology for undertaking the work that the Committee
was prioritising. The Committee needed to ensure reports received
reflected the commissioning cycle had being duly followed and
wasn’t responsive to current crisis. It was also important
for the Committee to understand the work of providers and consult
with service users to gauge their views.
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7.7
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Councillor Olivia Blake commented that the
Committee needed to hear citizens
stories to establish gaps in systems and why they existed. Frailty
was not inevitable in all cases. Councillor Chris Peace added that
the Committee needed a breakdown of what services were offered,
where the gaps were and how the Committee could add value.
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7.8
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RESOLVED: That the Committee
approve the priorities outlined in the report and background
content to the priorities to be brought to the next meeting.
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8. |
Date and Time of Future Meetings
To approve the dates and
times of future meetings of the Committee.
Minutes:
8.1
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RESOLVED: That:-
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(a)
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the next meeting of the Committee be held on
Monday, 24 June 2019, at 12:30pm at the Town Hall; and
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(b)
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a Work Programme
outlining future agenda items for the Committee be included as a
standard agenda item for future meetings of the Committee.
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