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ITEM EX16 - ANNEX 1

EXECUTIVE – 16 MARCH 2004

INTEGRATION OF ADULT MENTAL HEALTH SERVICES

South West Oxfordshire Primary Care Trust and Oxfordshire County Council Social and Health Care

Consultation on the Integration of Commissioning Arrangements for Mental Health Services for Adults of Working Age

 

Introduction

In the summer of 2003 a public consultation took place on the principle of bringing together the commissioning and provision of mental health services for working age adults across health and social care.

Responses to the consultation supported the use of the flexibilities contained in the Health Act 1999 to develop integrated mental health services for adults by:

  • Establishing a pooled budget for the commissioning of services
  • Integrating service provision within a single management structure hosted by a lead agency
  • Using a single agency to commission services

Following the consultation it was agreed that further discussion and consultation would take place with key stakeholders, on the lead commissioning and pooled budget arrangements once proposals had been worked up in more detail.

It has been agreed that the pooled budget and lead commissioning will be fully in place on 1 April 2004. This paper sets out the progress so far in developing proposals for the Pooled Budget, the working arrangements for the Joint Commissioning Team and the Governance and accountability surrounding this. The Integration Project Board, which involves statutory and voluntary sector colleagues have overseen this work – full membership is listed in Appendix 1.

These proposals are for discussion and comment over the next two months, with a deadline of 28 January for comments to be submitted to:

Jenny Connelly

Head of Mental Health, Joint Commissioning Team, South West Oxfordshire Primary Care Trust, Abingdon community Hospital, Marcham Road, Abingdon OX14 1AG

Email: jenny.Connelly@swoxon-pct.nhs.uk

What are the overall aims and objectives of integrating commission?

An overarching statement of aims and values has been developed for the whole integration process:

‘As many as one in four of us in Oxfordshire will experience a mental health problem at some time in our lives and this will in turn affect a wide group of family and friends.

Our aim is that people who experience a mental health problem, and their carers, should receive help that is:

  • Appropriate to their individual needs
  • Planned and provided with the involvement of the service users and their carers
  • Available when they need it
  • Of the highest possible quality
  • Aimed at promoting and enhancing independence

The provision of effective mental health services depends upon a wide range of people and agencies. This includes different NHS trusts, social services, GPs and other primary care staff, elected councillors, housing providers, employers, the police, magistrates and voluntary organisations together with service users and carers. We will involve all of these people in our efforts to turn our aims into a reality.’

Objectives of Integrated Commissioning

In addition to the aims, a set of objectives to test the success of the integrated commissioning arrangements have been agreed:

  • To ensure that service users and carers do not notice any adverse changes to their services
  • To achieve better outcomes for users and carers by meeting service users needs more effectively across a broad spectrum including housing, employment and education needs
  • To value diversity, promote social-inclusion and develop fair and equitable access to services
  • To offer service users a wide range of services that are appropriate to their needs, regardless of whether the funding originates from an NHS or Local Authority source
  • To raise standards by improving the quality and responsiveness of services
  • Maximise development of staff through joint management and sharing of skills
  • To develop simpler and more transparent systems for governance
  • To actively involve a greater proportion of service users and their carers in planning and monitoring new and existing services
  • To maintain good working relationships and partnerships with other organisations and ensure that there are no new barriers set up as a result of integrating commissioning
  • To ensure a greater focus on quality and models of service delivery and not just activity and numbers
  • To improve existing performance as measured by national performance targets for all partner agencies
  • To optimise the use of resources and reduce duplication. The total amount of money spent on services will not be reduced, but making joint decisions should allow more efficient use of the funds available.

A performance framework will be developed that measures both performance against these objectives and performance against national targets. This in turn will form part of the monitoring and evaluation requirements of Service Agreements with individual providers.

What will the Governance, Accountability and Reporting Arrangements be?

The lead organisation for the commissioning and pooled budget arrangements will be South West Oxfordshire PCT. Currently South West Oxfordshire PCT leads the commissioning of mental health services on behalf of the five Primary Care Trusts in Oxfordshire. The Joint Commissioning Team will work closely with all Primary Care Trusts and Oxfordshire County Council to ensure that the strategy and commissioning plans of the Mental Health Partnership Board and Joint Management Group are informed and influenced by local needs and issues.

The framework and infrastructure for governance and accountability around the commissioning and the pooled budget is set out below.

 

Membership

Role/Responsibilities

Mental Health Partnership Board

(This will develop from the existing Mental Health Task Force (Programme Board))

Voluntary Sector

Service users

Carers

Primary Care Trusts

Oxfordshire County Council

Oxfordshire Mental Healthcare Trust

Joint Commissioning Team

  • Agreeing the vision, strategy and direction for adult mental health services
  • Monitoring and evaluation of progress towards delivery of the strategy

Joint Management Group

Head of Social Care for Adults (currently Lorna Brown)

PCT Lead Director Finance & Performance lead from Social & Health Care and South West PCT

In attendance:

Head of Joint Commissioning Team

(currently Jenny Connelly)

Pool Manager

 

  • Formally accountable for expenditure against pool to Oxfordshire County Council and South West Oxfordshire PCT
  • Quarterly reporting to Mental Health Partnership Board on the delivery of the strategy
  • Budget and activity monitoring
  • Decisions on use of pool
  • Setting the performance framework for monitoring including quality
  • Agreement of annual commissioning plan
  • Reporting to Primary Care Trusts (via PCT Commissioning Board) and to Oxfordshire County Council

Joint Commissioning Team

See later section

  • Accountable to the Joint Management Group
  • Delivering Annual Commissioning Plan
  • Negotiate Service Level Agreements with providers
  • Performance monitoring of individual providers
  • Development of systems for service user and carer involvement in service development and monitoring

Local implementation Teams

Led by PCTs

Representatives of stakeholders in the North, City and South localities

  • Drive implementation of national and local targets in localities
  • Identify local health and social care needs
  • Inform strategy and commissioning decisions
  • Review local performance and activity against need

The membership of the Mental Health Partnership Board and Joint Management Group has yet to be finalised. Full membership and terms of reference for Local Implementation Teams have been previously circulated and agreed and are included at Appendix 2 (download as .doc file).

More work on these governance arrangements is being undertaken and will produce by the end of January:

  • Terms of reference and membership for the Mental Health Partnership Board and Joint Management Group
  • Scheme of delegation which sets out clearly the level of accountability for decision making given to each group
  • Proposal for the involvement of service users and carers in the Mental Health Partnership Board

What will the Pooled Budget include?

The pooled budget will be used to commission mental health services for adults of working age resident in Oxfordshire from a range of providers. This means that in the first instance the pool will not include budgets for services provided for residents of South Northamptonshire, and further discussion is underway concerning services in Thame and Shrivenham. Services for adults in these areas will continue to be commissioned from outside the pool.

In addition to the pooled budget the Joint Commissioning Team will have access to other budgets from which it will commission services on behalf of the Oxfordshire Primary Care Trusts. The Team will need to ensure robust links with commissioning arrangements for Child and Adolescent and Older People’s mental health services as well as the commissioning undertaken by the Drug and Alcohol Action Team.

The total sum to be included in the Pooled Budget will consist of:

Key elements of Pooled Budget

Exclusions

Social & Health Care Funded

Primary Care Trust (Health) Funded

 

Funding received by Oxfordshire Mental Healthcare Trust for provision of services to Oxfordshire adults including community, inpatient, drug and alcohol and specialist services

Medium secure services

Primary care based psychological therapies and counselling

Funds paid to voluntary sector by Social & Health Care through Service Level Agreements for provision of:

  • Day services
  • Employment services
  • Advice and information
  • Carer’s support
  • Short breaks/respite services for carers
  • Housing projects
  • Home/Community support
  • Drug and alcohol services

Grants paid to voluntary sector by South West Oxon PCT on behalf of all Oxfordshire PCTs for provision of:

  • Day services
  • Employment services
  • Advice and information
  • Advocacy
  • Drug and alcohol related services
  • Service to sex offenders

Budgets under the heading ‘adults at risk’

Supporting People Funding

Funding for staff seconded from Oxfordshire County Council to Oxfordshire Mental Healthcare Trust for the provision of care management and assessment, rehabilitation and drug and alcohol services and administrative support

 

Approved Social Work Service

Care Management Purchasing Budget

 

 

 

Residential Placements Budgets for mental health and drug and alcohol

 

Budgets under heading "adults at risk"

Funding for posts in the Joint Commissioning Team (including secondments)

Funding for posts in the Joint Commissioning Team

 

 

 

Training budgets at least for first year while further work is done to agree best arrangements

 

 

Property agreements and lease arrangements between individual providers and Oxfordshire County Council

 

£19k Mental Health Modernisation Fund held by South West PCT on behalf of all Oxfordshire Primary Care Trusts

 

Clear statements around the exclusions and the need for linkages to the pooled budgets will be explicit in the Partnership Agreement.

All current agreements with both statutory and voluntary sector providers will be honoured, unless an explicit end date has been agreed. Any queries on this should be addressed to Jenny Connelly.

While the sum of the total pool will include the contribution made by Social and Health Care to the staffing seconded to the integrated provision within Oxfordshire Mental Healthcare Trust the funding flows will be as follows:

  • Sum agreed will form part of total pool amount
  • Social and Health Care will retain responsibility for paying staff who are seconded
  • Service Level Agreement with OMHT will include this element of service, but budget will be net of payment for seconded staff
  • Payment by Social & Health Care to South West PCT for the Pooled Budget will be net of payment for seconded staff

A similar financial flows arrangement will be in place for staff seconded to the Joint Commissioning Team within South West Oxfordshire PCT whereby contribution paid by Social and Health Care for the Joint Commissioning Team will be net of payments for seconded staff.

In establishing the pooled budget for April 2004 agreements on inflationary and growth uplifts, and risk sharing arrangements will be made. This will include agreements between Primary Care Trusts – a generic risk sharing agreement has been developed which will be incorporated into the Section 31 Partnership Agreement and this will also identify individual PCT contributions to the pool. There is ongoing work to set out the key principles of these agreements, including risk-sharing agreements with the voluntary sector.

Client charging, which may apply to both community and residential services, will remain the responsibility of the County Council. This is because numbers of clients charged for mental health services is small and the expertise required to undertake accurate financial assessments will not be available in the PCT. Clear information will be available to service users on the process and arrangements for this.

Who is in the Joint Commissioning Team, and how will it work?

A Joint Commissioning Team (JCT) is being established within South West Oxfordshire PCT to support the Mental Health Partnership Board in the strategic planning of mental health services across health and social care and to commission services to deliver the agreed strategy.

The current make-up of the team is as follows:

Post

Post holder/Vacancy

Head of Mental Health JCT

Jenny Connelly (0.8 WTE)

Commissioning Manager

Paul O’Hare (1.0 WTE) from 1 April 2004 (part-time in interim)

Contracts Officer

Vacant – out to advert (1.0 WTE)

Service Development Workers

Yvonne Castellano (0.5 WTE) - Vale

Sue Taylor (0.5 WTE) - Cherwell

Jenny Tricker (0.5 WTE) – West Oxon

Val Wilson (0.5 WTE) – South Oxon

Vacancy (0.5 WTE)

Pool Manager

To be agreed

Finance & Performance support

To be agreed by South West PCT

In addition the Joint Commissioning Team will receive input and support from Public Health and Information Teams within South West Oxfordshire PCT as required.

A number of key objectives for the team have been identified as follows:

  • To develop a clear commissioning plan for adult mental health services based on needs assessment and identified pathways of care and employing a community development approach
  • To commission and support the development of individual services from a range of providers including statutory and voluntary sector within the priorities set by the Mental Health Partnership Board
  • To contribute to the commissioning of Approved Social Work, Child & Adolescent, Older People and Specialist Mental Health Services as necessary
  • To support the Joint Management Group in developing an appropriate performance and quality management framework for the monitoring and evaluation of services that meets the needs of both partners and ensures the deliver of key national and local targets
  • To develop robust links with the Local Implementation Teams and the ‘Mental Health Board’
  • To work in partnership with finance colleagues in managing and developing the pooled budget arrangements
  • The support the Local Delivery Plan and Delivery and Improvement Statement processes
  • To develop mechanisms for involving service users and carers throughout the work of the Commissioning Team
  • To lead on the application of continuing care eligibility criteria to adult mental health
  • To build on and develop partnerships with other groups and agencies. For example: housing, employment, community groups

Between now and April the focus of the Joint Commissioning Team will be on working with the developing Mental Health Partnership Board and Joint Management Group on the development of the Mental Health Strategy and Commissioning Plan, establishment of the pooled budget, and building links with localities.

Service Development Workers will continue to work in their existing localities as above, attending Local Implementation Team meetings and developing links with Primary Care Trust Mental Health Leads. Support to individual groups and providers will continue to be a key part of their role, as will identification of needs and increasing engagement of service users and carers.

What will the Service Level Agreement and Contracting Arrangements be?

A new form of Service Level Agreement will be developed by the Joint Commissioning Team, which builds on good practice from both partners. This will need to meet the statutory requirements and Standing Orders of both partners. The Service Level Agreements will be proportional to the size of the funding agreement and quality issues of individual providers, in both their content and monitoring requirements.

Current commitments to funding and existing SLAs will be transferred to the Commissioning Team. It is expected that as agreements are renewed with voluntary sector providers, or new agreements put in place, these will be for a period of three years.

What issues are still under discussion?

  • Agreement between the Joint Commissioning Team and PCTs on roles and relationships and ways of working, including reporting to the PCT Commissioning Board and the relationship to the Priorities Forum
  • Agreement on responsibilities of the Joint Commissioning Team in relation to the strategic planning and development of housing
  • Service user and carer engagement in Partnership/Commissioning arrangements
  • Detailed work on the contract/service level agreements – what should it include/exclude
  • Financial issues – how money will flow, access to funding for residential placements etc
  • Risk sharing agreements
  • Funding for Mental Health Promotion issues

What is the mechanism for commenting on these proposals?

This paper has been widely circulated for discussion and comment among key stakeholders. Meetings have been arranged with the Local Implementation Teams, Voluntary and statutory sector providers to discuss the implications of what has been set out.

A meeting with the voluntary sector forum has already been agreed for:

Thursday 15 January at 10.30 in Oxfordshire MIND offices

For details please contact Patrick Taylor at

Oxfordshire MIND on 01865 310830 ext 23

If you or your organisation wishes to meet with representatives from Social and Health Care and South West Oxfordshire PCT to discuss these arrangements further please contact either of the following:

Jenny Connelly, Head of Mental Health, Joint Commissioning Team, South West Oxfordshire PCT
Tel: 01235 205567

Lorna Brown, Head of Social Care for Adults, Social & Health Care, Oxfordshire County Council
Tel: 01865 815828

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