Sarah Ireland, Director of Strategy Communities and Commissioning, Pratima Solanki, Director of Adult Social Care and All-age Disability, gave an update on Outcomes Based Commissioning (OBC). The Panel were informed that an alliance was being formed, however it was important to note that Croydon CCG and Croydon University Hospital were in special measures and negotiations were ongoing. A paper on OBC was due to go to Cabinet in December 2016 with an update on progress.
The Director of Adult Social Care and All-Age Disability stated they were developing a model of care which would enable the transformation of adult social care that was required and mirrored the Adult Social Care Transformation Programme. It would enable people to have a life and a care plan that was personalised to them; with the LIFE (Living Independently for Everyone) model assisting people so they did not end up in hospital and an integrated system around hospital discharge.
Good outcomes had been noted from the TRASC programme with 46% of referrals not resulting into full social care assessments.
The Panel were informed that at the next meeting there would be further details on the work completed and the success rates. The Chair noted that while Croydon was further on than other authorities, it was important to have all the right systems in place and that partners were aware of what was required.
The Director of Strategy Communities and Commissioning stated the council was very mindful that it was opening itself up for demand and hoped funds would move around the community services, prevention work and acute services. Officers were, however, conscious that the provider and commissioner were in special measures and it was important that the regulators understood the programme. By working closely to align services it was hoped it would help the hospital.
The Director of Adult Social Care and All-Age Disability informed the Panel that she had had sight of Croydon University Hospital's recovery plan and had completed an impact assessment with regards to the council. Early supported discharge had been part of the plan which the council raised concerns around, and had led to the council and hospital to bid jointly for funding to support the programme.
In response to Member questions the Director of Adult Social Care and All-Age Disability confirmed she had not seen the CCG's recovery plan.
The Director of Strategy Communities and Commissioning stated that adult social care and health was unsustainable across the country, and that integration was required to enable adult social care to work. It was important for adult social care to work as it enabled fewer people to enter acute care which cost more money to fund.
In response to Member questions the Director of Strategy Communities and Commissioning informed the Panel that there was a governance process which shared the risk across the partners and had legal standing. The work was complex and ground breaking, and it was important that the relationships were in a strong position.
The Director of Strategy Communities and Commissioning confirmed that all partners had to meet their own deficits, however funding would move around the partners. In the long term there could be a accountable care organisation which shared the risk, however while the health service could be in deficit the council could not be in debt.
The Panel noted the content of the update.