Summary of Voluntary Sector Representation from Boards/ Committees (June – Aug 2023)

QUALITY PERFORMANCE AND FINANCE COMMITTEE

23rd June- Rachel Talbot

There has been an increase in referrals to paediatric services for preschool children along with an increase in need for children with complex needs. As well as this there are long waiting lists for speech and language therapy.

There is still concern about the number of inappropriate out-of-area mental health placements with work being done to reduce these.

The dementia tour bus that visited care homes across Cambridgeshire and Peterborough earlier in the year was a great success.

27th July- Rachel Talbot

There has been a reduction in turnover of staff since the beginning of the year. Mental Health nursing however had seen an increase in turnover.

A discussion took place about the Learning Disability Health Needs assessment. There was a list of recommendations however with lack of funding these may be difficult to implement.

Ambulance handover time has improved and is being sustained and is now the best in the region.

PEOPLE BOARD AND SUBGROUPS

12 July -Education and Development workshop ARCH representation

The Oliver McGowan training the ability to recruit the right amount of staff and the cost of training were discussed.

Background-the- The Health and Care Act 2022 introduced a requirement that regulated service providers must ensure their staff receive Learning Disability and Autism training appropriate to their role. The suggested training is the Oliver McGowan training.

17 July- Leadership and OD subgroup- Sharon Allen

There is a shift in focus from NHS from Serious Incident Review to Patient Safety Incident Reporting Framework (PSIRF). Understanding what within the organisational system led to an adverse outcome. All NHS and commissioned organisations have to introduce PSIRF and Arthur Rank are doing this.

Sharon had taken part in the System Change Consulting Programme (a Health Education England-funded programme) and she fed back at the meeting. The programme had several modules and they are now available online.

https://eoe.leadershipacademy.nhs.uk/development-support/system-leadership/system-od-and-transformation-learning-modules/

The Leading Beyond Boundaries training had 78 nominations including several from Health Alliance members and all have been offered a place.

If organisations undertake staff feedback and are willing to share results and action plans contact Sharon Allen or Anita Pisani

COMMISSIONING, INVESTMENT AND IMPROVEMENT AND REFORM COMMITTEE

18TH August – Michael Firek

Someone to Talk To- Young people’s Mental Health Service the ICB has agreed to continue to fund this service until June 26. It is a jointly commissioned piece of work with Cambridgeshire County Council and supports young people 13-25 with complex mental health needs. The service is currently delivered by Centre 33.

Continuing healthcare efficiency plan- A plan has been received and approved to reimplement clinical tier rates for nursing care beds. A revised and simplified set of rates has been discussed with providers to manage costs and be more reflective of the client’s needs.

Cambridgeshire and Peterborough ICS Outcomes Framework- work is continuing on this. The intention of the framework is to encompass patient and user experience as well as workforce, culture and leadership elements alongside clinical, care and service outcomes.

PA Consulting- These were engaged on Feb 23 to develop a resource model informed by population health, outcomes and the health economic value of change. Work is currently under way to develop logic models that will help the system to assess the economic benefits of different interventions.

Mental Health Investment Standard (MHIS) Review- more than £183m of funding goes into Mental Health and Learning Disability and Autism services. The ICB has done a deep dive review of expenditure for 22/23 to understand the activity, quality, experience, performance and value for money of the services provided for the local population. Several learning points were identified.

Continuing funding for 23/24 was agreed upon. There was a recommendation to pursue 3-year contracts with Voluntary and Community Sector Organisations who were delivering services funded by the Mental Health Investment Standard (MHIS) or the Service Development Fund.

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