10:15
John Dixon, Interim Deputy Director for Adult Services, will give a verbal update on key issues.
Minutes:
John Dixon, Deputy Director for Adult Services, updated the committee on local and national developments:
The recent changes in functional responsibility for department directors were outlined. Sara Livadeas, Deupty Director for Joint Commissioning will focus on Commissioning across CEF and SCS, John Dixon, Deputy Director for Adult Services, will focus on Localism and the Personalisation agenda, and Simon Kearey, Head of Strategy and Transformation, will focus on Infrastructure Development. Recent developments in commissioning and localism were discussed further:
Commissioning – The appointment of Sara Livadeas as Deputy Director for Joint Commissioning is the first step in reshaping the commissioning process. The aim will be to deliver joined up services across the age ranges, ensuring a smoother transition at key junctures. This will result in a more holistic family-based model of commissioning.
An autism board has been set up to look at issues from a family perspective with children and parents on its membership. The board recently met for the first time.
John Jackson is working with Steven Richards, Chair of the Oxfordshire Clinical Commissioning Consortium, on the governance arrangements for joint commissioning with the NHS including the need to improve the functioning of the pooled budget.
Members questioned whether there was an overemphasis on the inadequacy of current transitioning between children and adult services. Sara Livadeas suggested that whilst transitions weren’t always bad there were a number of areas in which improvements could be made, for example children accessing out of county services. This is a major driver in plans to develop a local autism facility in the county.
Localism – Increased locality working will complement the changes underway in commissioning services.
A major aim is to devolve decision making to the lowest level. We are already seeing increased member involvement in decisions through the new commissioning model for tier two day services. Increasing the penetration of self-directed support will ensure that more decisions are taken by individuals in receipt of care.
A new set of performance measures are being developed by the deputy directors to manage the performance of locality teams. These developments will result in greater performance accountability within services.
The committee requested some transparency on the level of individual spending under the self-directed support model compared with the previous model. John Dixon assured the committee that this is an ambition but is not currently possible.
In response to questions around the capability of elected members to commission local services, the Cabinet member for Adult Services responded that, as with the day opportunities, members will be briefed and will receive appropriate training prior to any decisions.
Officers AGREED to distribute a summary of key dates in the Day Opportunities process.
The South East Cabinet Members and the LGA are submitting a response to the Dilnot commission.
ArashFatemian, Cabinet Member for Adult Services, AGREED to circulate a link to the presentation by Andrew Dilnot on the future funding of Social Care.
John Dixon, Deputy Director for Adult Services, updated the committee on local and national developments:
Structure changes - The recent changes in functional responsibility for the Directorate Management Team were outlined. Sara Livadeas, Deputy Director for Joint Commissioning will focus on Commissioning across CEF and SCS, John Dixon, Deputy Director for Adult Services, will focus on Localism and the Personalisation agenda, and Simon Kearey, Head of Strategy and Transformation, will focus on infrastructure development. Recent developments in commissioning and localism were discussed further:
Commissioning – The appointment to the Deputy Director for Joint Commissioning is the first step in reshaping the commissioning process. The aim is to deliver joined up services across the age ranges, ensuring a smoother transition at key junctures. This will result in a more holistic family-based model of commissioning.
An autism board has been set up to look at issues from a family perspective with children and parents on its membership. The board recently met for the first time.
John Jackson is working with Steven Richards, Chairman of the Oxfordshire Clinical Commissioning Consortium, on the governance arrangements for joint commissioning with the NHS including the need to improve the functioning of the pooled budget.
Members questioned whether there was an overemphasis on the inadequacy of current transitioning between children and adult services. Sara Livadeas suggested that there were a number of areas in which improvements could be made, for example children accessing out of county services. This is a major driver in plans to develop a local autism facility in the county.
Localism – Increased locality working is well underway and will complement the changes within commissioned services. A major aim is to devolve decision making to the lowest level. We are already seeing increased member involvement in decisions through the new commissioning model for tier two day services. Increasing the penetration of self-directed support will ensure that more decisions are taken by individuals in receipt of care.
A new set of performance measures are being developed by the Deputy Directors to manage the performance of locality teams. These developments will result in greater performance accountability and achievement within services.
The committee requested some transparency on the level of individual spending under the self-directed support model compared with the previous model. John Dixon assured the committee that this is an ambition but is not currently possible.
In response to questions around the capability of elected members to commission local services, the Cabinet member for Adult Services responded that, as with the day opportunities, members will be briefed and will receive appropriate training prior to any decisions.
Officers AGREED to distribute a summary of key dates in the Day Opportunities process.
The South East Cabinet Members and the LGA are submitting a response to the Dilnot commission.
ArashFatemian, Cabinet Member for Adult Services, AGREED to circulate a link to the presentation by Andrew Dilnot on the future funding of Social Care.