Agenda item

Commissioning Strategies

(To receive a report from George Spiteri (Senior Strategic Commercial and Procurement Manager), which invites the Board to consider a report on the commissioning Strategies which is due to be considered by the Executive on 4 June 2019. The views of the Board will be reported to the Executive as part of its consideration of this item)

Minutes:

Consideration was given to a report by the Strategic, Commercial and Performance Manager, which invited the Board to consider a report on the Commissioning Strategies which would be considered by the Executive on 4 June 2019.

 

Members were referred to the Appendix A of the Executive report, which set out the following commissioning strategies for consideration:

 

  • Specialist Adult Services
  • Safeguarding Adults
  • Carers
  • Adult Frailty and Long Term Conditions
  • Community Wellbeing
  • Public Protection

 

Members were invited to ask questions, and it was agreed that the following points be passed onto the Executive for consideration:

 

  • The Board considered the issue of timing and was advised that a decision had been made to submit the commissioning strategies to the Executive as a single item, after all six had been considered by the relevant scrutiny committee. This had led to a delay, for example two of the commissioning strategies had been considered in September 2018.  With the benefit of hindsight it might have been better to have presented each strategy immediately after they had been considered by the relevant scrutiny committee.  

 

  • Although certain services and contracts were under the remit of a particular scrutiny committee, some items inevitably impacted on other scrutiny committees.  For example the public health services commissioned by the County Council (Wellbeing Commissioning Strategy) were under the remit of the Adults and Community Wellbeing Scrutiny Committee, but were also of interest to the Health Scrutiny Committee.  Issues covering two or more scrutiny committees were managed by the Board. 

 

  • The Board was advised that the performance information at the end of each highlight report for quarter 3 (2018-19) had already been considered in detail by the Board on 28 February 2019; and by the two relevant overview and scrutiny committees (Adults and Community Wellbeing Scrutiny Committee on 27 February; and Public Protection and Communities Scrutiny Committee on 12 March 2019).

 

  • It was noted that the report was not a 'performance' item and the performance information (on pages 21, 25, 30, 34, 39 and 43 of the Executive report) was included for background information only.  Members were informed that the Quarter 4 performance would be considered by the Board on 27 June 2019.  In addition, detailed quarter 4 performance for these commissioning strategies would also be considered by the Adults and Community Wellbeing Scrutiny Committee on 3 July; and the Public Protection and Communities Scrutiny Committee on 23 July 2019.

 

The Board highlighted the following points in relation to the strategies listed below:

 

Specialist Adult Services Commissioning Strategy

 

·         An example of a scheme using capital investment to reduce revenue costs was extra care housing, which could be developed jointly with district councils; with one scheme in particular planned in Lincoln, which would support adults in one facility, rather than in residential care.

·         The importance of NHS health checks for adults and children with learning disabilities was highlighted.

·         That the NHS should be encouraged to improve access to mental health services.

 

Carers Commissioning Strategy

 

·         The importance of the development of the carers portal for all carers was highlighted.

·         identifying and providing support to young carers (Carers Commissioning Strategy);

 

Adults and Long Term Conditions Commissioning Strategy

 

·         The Board questioned the reasoning for the categorisation of 'adult services' (ages 18-64) and 'older adult services' (age 65+), particularly in the light of the increase in state pension age.

 

RESOLVED:

 

  1. That the Board supports the recommendation to the Executive, as set out in the report;

 

  1. That the comments made, as listed above, be passed on to the Executive in relation to this item.

 

 

 

Supporting documents:

 

 
 
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