Consideration was given to this report seeking
support to explore in more detail the value of a whole system
commissioning model through an enhanced partnership arrangement
between Cheshire East Council and the Central and Eastern Cheshire
Primary Care Trust. The principle to be explored was that through
such joint commissioning, and by contracting collaboratively, there
would be the potential for both savings and workforce
efficiencies.
RESOLVED
- That the potential value for local
communities of developing a Whole System Commissioning Model
through an Enhanced Partnership between CEC (Adults, Health &
Wellbeing, Children & Family Services), CECPCT, GP
Commissioning groups, Schools and others to meet the health and
wellbeing needs of our citizens and patients be noted.
- That Officers undertake to explore the potential
value of such a development and report back to both the Cabinet,
PCT Board members and the GP Commissioning Executive on the value
and implications identified through trialling and developing the
proposed model.
- That it be noted that formalJoint
Commissioning under a section 75 arrangement [NHS Act 2006]already
takes place in respect of meeting the needs of the adult learning
disability population and that this will be sustained; inaddition
that an ‘in principle’ agreement be given for the
development of a section 75 agreement for Continuing Care to be
sought, pending legal and financial advice as well as risk
assessment.
- That the appropriate Overview and
Scrutiny Committee be briefed on this work and Whole System
Commissioning Model as it evolves.
- That the following extract from the
NHS White Paper be noted:
‘….
Councils will be assessing local needs promoting more joined up
services and supporting joint commissioning. This builds on the
excellent work that is already done by some Councils in joining up services to improve health
& social care and will ensure a closer working relationship
between health and other council responsibilities, such as housing
and environmental health. This means that patients who need the
help of both health and social care services can expect to get much
more coherent, effective support in future’ DOH Liberating
the NHS: Local democratic legitimacy in health, July 2010 [link to
full paper is available in appendix 1].