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Care Trust Partnership Review

Care Trust Partnership Review. Daljit Lally Executive Director Adult Care. Development of the Care Trust. Current Governance Structure. Background. Significant Changes in Northumberland Council Local Government Review NHS Transforming Community Services Guidance

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Care Trust Partnership Review

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  1. Care Trust Partnership Review Daljit Lally Executive Director Adult Care

  2. Development of the Care Trust

  3. Current Governance Structure

  4. Background • Significant Changes in Northumberland • Council Local Government Review • NHS Transforming Community Services Guidance • Range of continuing pressures • Review was an opportunity to take stock and set out positive changes

  5. The Review Group • Joint review NCC, NCT, Commissioners, Providers • Member lead Chaired by Cllr Anita Romer • Politically balanced elected member representatives Cllr Davey, Cllr B Douglas and Cllr Sanderson • Underpinned by three sub groups • Service users and patients • Staff and staff side • Support Services

  6. What information was considered? • Previous work with York University • Range of models considered 3 separation and 3 remaining integrated • Policy issues about health and social care • Set criteria and assessed each model against them • Looked at a range of underpinning evidence • Assessed use of resources and potential for further efficiency • Decision in principle

  7. Models considered? • Model A Status quo with further separation • Model B Integrated organisation without commissioning • Model C Reverse Partnership with Council • Model D Separation with continuing PCT provision • Model E Separation with a Northumberland Community Foundation Trust (CFT) • Model F Separation with a wider community service

  8. Option A Continue the status quo, with clearer separation of roles

  9. Option BAn integrated organisation without NHS commissioning

  10. Preferred “Option C”“Reverse” partnership with the Council as lead organisation

  11. Option DSeparation with continuing PCT direct provision

  12. Option ESeparation with a Northumberland community health foundation trust

  13. Option FSeparation with community health provider covering a wider area

  14. Discussions with stakeholders • Care Quality Commission and registration • Key issue registration and accountability for service delivery • Council members and leadership • Key issues clarity around potential liability and governance framework • Informing the public • Inform Scrutiny committee and interested parties through the LINk

  15. Next Steps… further work • Finalisation of formal contractual position • Separation of support infrastructure • Drafting of partnership and secondment agreement agreements • Formal consultation with staff • Communicating with the public

  16. Next Steps… further work • Decision from North of Tyne NHS boards agreed “in principle” • Scrutiny committee 19 November 2009 and Executive 30 November 2009 • Further work to agree arrangements, prepare further board and executive report planning for implementation by 31 March 2010 • Clarity Governance arrangements e.g. audit, NHS link, CQC registration

  17. Conclusions and Key issues • The views of patients and people who access services are key • They want local services which are joined up and delivered in a timely way • Impact on quality of services • Improvements in the clinical pathways and patients health • No additional financial pressure on either the Council or the NHS • Improved use of scarce resources • Any questions ????

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