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 of 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 Voting members Chair Deputy Chair Elected GP Elected GP (elected GP borough (Chair of the Council lead) of Members) K&R Associate K&R Locality Director of Finance Director Transformation Director Non-voting members Director of Director of Quality PPI Other Co-opted Strategy & with responsibility Representative members Partnerships for Kingston
Appointments process Elected GP Borough Roll over of tenure of current Lead & chair of the CCG chair to ensure continuity borough committee Chair of the Council of Invite expressions of interest Start process and appoint in Members & deputy chair from GB GPs and member January of the borough representatives and undertake committee interview process Elected GP Invite expressions of interest Start process and appoint in from GB GPs and member January representatives Elected GP Invite expressions of interest Start process and appoint in from GB GPs and member January representatives
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- ordinated 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 BOROUGH COMMITTEE AND KINGTON CO-ORDINATED CARE PARTNERSHIP BOARD Health and SWL CCG Governing Body SWL ICS Local Authority (PH, SWL CCG Governing Body Wellbeing SWL CCG Governing Body Board social care, housing, SWL CCG Governing Body Board children’s services) Local NHS Providers (acute, community, primary care, MH) Kingston Borough Kingston Co-ordinated Care Committee Partnership Board Patients and Public Kingston CCP Board locally determined membership reflecting local geography responding to local needs
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
Who are the proposed members of the KCC Partnership Board? 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 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 Meeting in partnership with an option to establish a Committees in Common
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 NHS SWL CCG Governing • Closely tied in with QIPP and CIP programmes SWL ICS Board Body • Close work across Kingston and Richmond and across SWL HCP; strategic oversight and SWL CCG Quality and Performance Committee performance management • Supports the local system assurance approach Kingston Borough Kingston Co-ordinated Care Committee Partnership Board • Bringing partners together to drive an innovative, collaborative transformation approach • Developing new metrics to measure system Kingston and Richmond Finance and Performance Oversight Group maturity, focus on integration and results for the resident/patient
Local system management - Finance NHS SWL CCG GB & PCCC SWL ICS Board • One control total reported to K&R place including K&R delegated budget, Kingston Hospital & SWL CCG Finance Committee HRCH. • Investment decisions agreed at K&R place by system. • Borough specific budgets (primary Kingston care, prescribing and CHC) Kingston Co-ordinated Care Borough Partnership Board Committee reported to borough committees. • Primary care finance reported to Primary Care Management primary care management group Group • Allocation delegated back to SWL (small contracts, MH complex care Kingston and Richmond Finance and Performance & SWL running costs) reported to Oversight Group SWL finance committee only.
Local system management – Primary Care • Responsible for: • the delivery of primary care transformation, NHS SWL CCG SWL ICS Board Governing Body • Primary Care Networks • Primary Care estates SWL CCG Primary • continual improvement in the quality of Care Committee primary care • Works in matrix with the SWL Primary Care Kingston Borough Kingston Co-ordinated Contracting Team Committee Care Partnership Board • Importance of managing conflicts of interest • System development in support of PCNs may Primary Care Management Group see some commissioning responsibilities devolve in agreement, over time 21 Practices • Critical to bring together local primary care LES, Five PCNs KMS and other primary care projects to align with KPGC Federation Kingston transformation aims and outcomes
Local system management - Quality Key functions managed in matrix NHS SWL CCG Governing SWL ICS Board Body through SWL CCG Director of Quality: NHS SWL CCG – Quality Performance Oversight • Safeguarding Committee • Infection control Kingston Co-ordinated Care Kingston Borough Committee Partnership Board • Quality Assurance • Equality and Diversity Kingston and Richmond System Quality Improvement Group (Chief Nurses/Medical Directors) • Making a Difference - Acute Trust • Serious Incident Investigation - MH Trust - Community Provider and Learning - Primary Care - Safeguarding (Adults/ Children/ LAC) SWL CCG Kingston Borough Quality Team
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)
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