Minutes:
Karen Sharp, KCC was unable to attend the meeting for the presentation. Dave Holman , Head of Mental Health, Children’s and Maternity Services and Nazima Chauhan NHS West Kent CCG Senior Commissioning Manager for Children & Maternity Services were in attendance for this item. Mr Holman gave a presentation to the Board which highlighted the key areas of activity and the proposed timetable for commissioning children’s, mental wellbeing services and outlined work on a national maternity services pilot which was likely set to transform the scope and character of existing services.
The presentation highlights included a focus on:
• Facts & Figures (117,000 children & young people aged between 0-19, 23,000 are between 0-4 years old and that children & young people account for approximately 25% of total West Kent CCG population)
• Strategic Fit
• Levels of Need
• Vision and Guiding Principles for the NHS WK CCG Commissioning Plans for Children’s Services 2016 – 2021
• Governance Structure
• Provider Landscape
• Outcomes for Children – West Kent Position
Mr Holman advised the Board of the work currently underway to progress the National Maternity Pioneer which followed a National Review of Maternity Services under the chair of Baroness Cumberledge. The following local agencies were involved in Wave One of the initiative:
• West Kent CCG
• High Weald Lewes Havens CCG
• Maidstone & Tunbridge Wells NHS Trust
Mr Holman explained that as one of seven areas selected nationwide, local health organisations will work with NHS England to develop and test new approaches for improving maternity care and promote their national adoption. Mr Holman signalled the commitment to include a focus on prevention; opportunities to highlight life-style and behaviour change and to enable a real transformation in the scope and character of local maternity services.
Mr Holman reported on current work streams in 2016/2017:
· Service model for Special School Nursing Service - CCG
· Community Paediatric Continence Service - CCG
· Children’s Community Nursing Service - CCG
· Therapy Services - CCG
· Review of acute pathways - CCG
· Commissioning of services for children and young people with special educational needs or a disability – CCG and KCC
Current Procurements:
· School Public Health Nursing including emotional health and wellbeing – Kent County Council
· Child and Adolescent Mental Health Services – Kent County Council and CCG
· Health Visiting Service – Kent County Council
· Family Weight Management – Kent County Council
Mr Holman concluded the presentation by inviting Board members to consider three key questions:
• Is our focus on commissioning priorities correct?
• Options for future integrated commissioning arrangements?
• Role of the West Kent Local Children’s Partnership Groups?
Comments and Discussion
• Local data shows challenges for West Kent on MMR and Obesity outcomes. Recommended that this information should be considered when developing joint commissioning plans. (Malti Varshney)
• How will prevention and social prescribing fit into this agenda (Alison Broom)
• LCPGs are developing well and ‘have feet on the ground’ and are enthusiastic to have been provided with Outcomes Dashboard. Consideration could be given to delegating responsibilities to them (Bob Bowes)
• KCC was in the process of having good dialogue/negotiation with Districts and Boroughs on a clearer model on the shape of future public health activity (Alison Broom)
• What opportunities could be developed to establish better development of local services and approaches especially in light of the STP/Delivering the Five Year Forward View (Bob Bowes/Alison Broom/Dave Holman)
The Chair thanked Mr Holman and Naz Chauhan for the presentation and requested that the slide presentation pack be distributed to Board members.
The Board resolved to:
1. Invite KCC and NHS WK CCG to present a detailed written report on progress and plans for closer co-operation in the Commissioning of Children’s Services in time for the next Board meeting on 20/12/16.
2. Explore invitation for District and Borough representation onto the newly established NHS WK CCG Children’s Programme Oversight Group.