Kingston Governing Body meeting 7 January 2020 MOVING FORWARD - - PowerPoint PPT Presentation

Kingston Governing Body meeting 7 January 2020

MOVING FORWARD TOGETHER: LOCAL ARRANGEMENTS POST APRIL 2020

• 1. Developing the local SWL CCG governance – Kingston

SWL CCG governance structure

Role of the Kington Borough Committee

The SWL CCG governing body will establish a Kingston Borough Committee which will:

• Develop and deliver its overall annual plan as a constituent element of a Local Health and Care Plan (LHCP),

which is a shared plan developed and delivered with other health, local government and voluntary sector bodies working in Kingston

• Meet in common with these other bodies to develop and deliver the LHCP
• Report on the development and delivery of the LHCP to Kingston Health and Wellbeing Board
• Seek broad support from its partners for its plans relating to investment of CCG funds in services based in the

borough

• Develop and deliver its annual plan in relation to primary care services, via its Primary Care Management

Group (PCMG), through the PCMG engaging the Local Medical Committee (LMC) as the representative voice

• f the membership and general practice
• Develop and deliver its annual plan
• Meet in common with Richmond’s Borough Committee, in relation to matters of common interest
• Annually, seek the views of its partners, in reviewing its performance and ways of working

in line with these values

Borough Committee Membership – Kingston

Chair (elected GP borough lead) Deputy Chair (Chair of the Council

• f Members)

Elected GP Elected GP

K&R Locality

Director Director of Transformation K&R Associate Finance Director PPI Representative Director of Strategy & Partnerships Director of Quality with responsibility for Kingston Other Co-opted members Voting members Non-voting members

Appointments process

Elected GP Borough Lead & chair of the borough committee Roll over of tenure of current CCG chair to ensure continuity Chair of the Council of Members & deputy chair

• f the borough

committee Invite expressions of interest from GB GPs and member representatives and undertake interview process Start process and appoint in January Elected GP Invite expressions of interest from GB GPs and member representatives Start process and appoint in January Elected GP Invite expressions of interest from GB GPs and member representatives Start process and appoint in January

• 2. Developing the governance of the Integrated Care Partnership (ICP) in

Kingston

Background

• The NHS LTP describes each STP area being an Integrated Care System

(ICS) by April 2021

• SWL Health and Care Partnership (HCP) has flagged their intention with

NHSE to be an ICS from April 2020

• Kingston ICP supports the local delivery of the SWL ICS
• The Kingston ICP is evolutionary building on strong health and care

partnerships already developed – Kingston Co-ordinated Care

• Whilst the Kingston ICP board (currently known as the Kingston Co-
• rdinated Care (KCC) Partnership Board) will be the key forum for driving

transformation for health and care for the population of Kingston we will work with others to on a bigger footprint to deliver change where it makes sense

Kingston CCP Board locally determined membership reflecting local geography responding to local needs

SWL CCG Governing Body SWL CCG Governing Body SWL CCG Governing Body Kingston Borough Committee Health and Wellbeing Board Kingston Co-ordinated Care Partnership Board Local Authority (PH, social care, housing, children’s services) Local NHS Providers (acute, community, primary care, MH) Patients and Public SWL ICS Board SWL CCG Governing Body

KINGSTON BOROUGH COMMITTEE AND KINGTON CO-ORDINATED CARE PARTNERSHIP BOARD

What is the proposed scope of the Kingston Co-ordinated Care (KCC) Board?

• Development and delivery of Local Health and Care Plan
• Management of place financial architecture (health and LA)
• Agreement of transformation business cases relating to Kingston health

and care system

• System and relationship management
• Estates, workforce, digital and other enabling strategies working with other

borough based ICPs and across SWL

• Shared communications and engagement plans

Proposed members of the KCC Partnership Board Recognise autonomy of each partner with distinct and separate governance arrangements Organisations are supported by and supporting the work of the KCC Partnership Board Meeting in partnership with an option to establish a Committees in Common

Who are the proposed members of the KCC Partnership Board?

HealthWatch Kingston Kingston Hospital Primary Care Networks/GP Chambers

Royal Borough of Kingston including AfC NHS SWL CCG/Kingston Borough Committee South West London and St George’s Mental Health Trust

Your Healthcare

Voluntary Sector including StayWell

Next steps

• Partnership governance task and finish group to finalise

approach – meeting early January 2020

• Shadow run KCC Partnership Board as ICP Board from

January 2020

• 3. Examples of how local system oversight will work post April 2020

Local system management – Performance

• Utilising existing forums – eg A&E Delivery Board
• Closely tied in with QIPP and CIP programmes
• Close work across Kingston and Richmond and

across SWL HCP; strategic oversight and performance management

• Supports the local system assurance approach
• Bringing partners together to drive an innovative,

collaborative transformation approach

• Developing new metrics to measure system

maturity, focus on integration and results for the resident/patient

NHS SWL CCG Governing Body SWL CCG Quality and Performance Committee Kingston Borough Committee Kingston Co-ordinated Care Partnership Board SWL ICS Board Kingston and Richmond Finance and Performance Oversight Group

Local system management - Finance

• One control total reported to K&R

place including K&R delegated budget, Kingston Hospital & HRCH.

• Investment decisions agreed at

K&R place by system.

• Borough specific budgets (primary

care, prescribing and CHC) reported to borough committees.

• Primary care finance reported to

primary care management group

• Allocation delegated back to SWL

(small contracts, MH complex care & SWL running costs) reported to SWL finance committee only.

NHS SWL CCG GB & PCCC SWL CCG Finance Committee Kingston and Richmond Finance and Performance Oversight Group Kingston Borough Committee Primary Care Management Group Kingston Co-ordinated Care Partnership Board SWL ICS Board

Local system management – Primary Care

• Responsible for:
• the delivery of primary care transformation,
• Primary Care Networks
• Primary Care estates
• continual improvement in the quality of

primary care

• Works in matrix with the SWL Primary Care

Contracting Team

• Importance of managing conflicts of interest
• System development in support of PCNs may

see some commissioning responsibilities devolve in agreement, over time

• Critical to bring together local primary care LES,

KMS and other primary care projects to align with Kingston transformation aims and outcomes

NHS SWL CCG Governing Body SWL CCG Primary Care Committee Kingston Borough Committee Primary Care Management Group 21 Practices Five PCNs KPGC Federation Kingston Co-ordinated Care Partnership Board SWL ICS Board

Local system management - Quality

Key functions managed in matrix through SWL CCG Director of Quality:

• Safeguarding
• Infection control
• Quality Assurance
• Equality and Diversity
• Making a Difference
• Serious Incident Investigation

and Learning

Kingston and Richmond System Quality Improvement Group (Chief Nurses/Medical Directors)

• Acute Trust
• MH Trust
• Community Provider
• Primary Care
• Safeguarding (Adults/ Children/ LAC)

SWL CCG Kingston Borough Quality Team Kingston Borough Committee NHS SWL CCG – Quality Performance Oversight Committee Kingston Co-ordinated Care Partnership Board NHS SWL CCG Governing Body SWL ICS Board

Communications and engagement

• Kingston & Richmond Communications and Engagement (C&E) Group established for over

18 months made up of C&E professionals from local health and care partner organisations:

• Successful joint working to date - borough health and care plans; winter campaigns; young

people’s mental health campaign

• Key activities to April 2020:

 Develop a communications and engagement offer for Kingston health and care partnership boards in early 2020 to formalise group’s role of working with health and care leaders across Kingston and Richmond to ensure quality, integrated C&E, that is aligned to and supports integrated health and care delivery in both

• boroughs. This includes a proposal for the group to report directly into the partnership board.

 Develop an integrated community engagement approach to ensure voice of local people can influence the decision making of the borough health and care partnership and SWL CCG through the local borough committee (see next slide - ideas for integrated engagement)  Develop overarching C&E forward plan 2020/21 (to include deliverables for health and care plans and other integrated priorities)

Ideas to support integrated community engagement

• Approach to be determined locally through the

Kingston & Richmond Communications and Engagement Group

• Approach can develop over time with steer from

Kingston HCP board and wider community

• Suggestion of a stakeholder reference group for

decision-making of Kingston health and care partnership and CCG local committee

• Receives information on borough health and care

plans and priorities and has opportunity to ask questions, discuss, influence

• Supports joined up engagement and

communications across borough partners

Community engagement reference group

Reference group at place level to advise ‘place’ committee and CCG borough committee Membership could include, for example: Healthwatch Voluntary and community sector NHS Trust public governors Borough ‘umbrella’ groups Borough patient reference group reps PCN community forum reps Borough multi- faith forum Borough equalities group

Supported by the Kingston & Richmond Communications and Engagement group