PAPER D
ADULT AND COMMUNITY SERVICES SELECT COMMITTEE – 27 January 2005
UPDATE
FROM THE PWC TASK GROUP
COUNCILLOR IAN STEPHENS - TASK GROUP CHAIRMAN
REASON FOR SELECT COMMITTEE CONSIDERATION
The Select Committee requested
this update at the meeting on 16th December 2004.
1. To identify:
§ Other local authorities and PCT / Healthcare Trusts which have been involved in the establishment of a Care Trust
§ Other local authorities and PCT / Healthcare Trusts which have considered and rejected a proposal to establish a Care Trust.
§ Any relevant lessons from the experience of those authorities in developing and/or delivering such a proposal.
§ Whether an application should be submitted.
§ The criteria which should be used by the Local Authority and NHS bodies to decide whether or not to submit an application to the Secretary of State.
§ The criteria to decide which services to include in any such application.
§ How the Select Committee should be involved in the development of proposals to form a Care Trust
§ Corporate Governance and accountability arrangements, including the role of the Select Committee, should a Care Trust be formed
§ The transition process in forming of a Care Trust.
§ Any other features of the application which the select committee wishes to express a view upon (including the viability and sustainability of the Council after any transition).
|
ACTION
REQUIRED BY THE SELECT COMMITTEE To note the progress made by
the Task Group. |
BACKGROUND
The
Statement of Intent, issued jointly by the Isle of Wight Primary Care Trust
(PCT), Isle of Wight Healthcare NHS Trust (IWHNHST) and the Isle of Wight
Council (IWC) in July 2003. The
statement set three aims:
1.
“That in future they
wish to see health and social care services delivered jointly with a view to
full integration of those services wherever that either improves services to
the people we serve, the working experience and development of our staff or
creates greater efficiencies.
2.
That services should be
driven by the needs of the service user and our wider community rather than
professional or organisational boundaries.
3.
That all managers are
expected to apply this principle in the future design and delivery of
services”.
In
July 2004, the Council, Primary Care Trust and NHS Healthcare Trust on the Isle
of Wight commissioned a report by PwC consultants in order to produce a range
of options around increased service integration. The Island Strategy Group (comprising the chairs of the two Trust
boards, the portfolio holder for Adult and Community services and the Chief Executives
of each of the thee organisations put forward a recommendation to the Executive
on 6 October 2004 that Option 5 is the preferred option is now option 5. Option 5 outlines the aim of setting up of a
joint service to provide Social Care and Health Services for the Island. The exact form and range of service delivery
that this Trust will take is yet to be decided. A range of stakeholders have been consulted jointly by the NHS
and Local Authority, and in addition the Task Group will be scrutinising and
assisting in policy development in line with the responsibilities of the Select
committee for both Adult and Community Services and Health Scrutiny.
The
Task Group has decided upon the following actions:
1.
Members agreed that it
would be useful for the Chairman of the Transitional Steering Board to address
the Task Group at a future meeting.
2.
The Chairman of the
Task Group has met with the Director of the Rural Community Council to discuss
Voluntary and Community Sector involvement with the new organisation, as this
was felt to be vital in delivering any new organisation.
3.
The Task Group will
continue to invite a Patient and Public Involvement Forum (PPIF) Member to
meetings of the Task group. The aim of this is for the member to present
information or concerns from the areas and organisations with which they are
involved.
4.
In addition to the
visit to Camden, the Task Group will be looking at other Local Authorities who
considered entering into a Joint Social
Care / Health Trust arrangement and identify areas of Best Practice.
5.
The Task Group will
continue to monitor, research and investigate the arrangements for the
establishment of a ‘Community Trust’.
Specifically, the Task Group will look at how best to structure
governance arrangements, consider alternative models to deliver transparent and
accountable decision-making and make recommendations relating to governance and
probity.
RELEVANT PLANS, POLICIES, STRATEGIES AND PERFORMANCE INDICATORS
4.
The Select Committee
and Best Value Service plan for 2004/05.
CONSULTATION PROCESS
The
Task Group has taken evidence from officers from both the PCT and IWC, and a
PPIF representative has been present at the majority of Task Group meetings.
The
Task Group have also consulted with elected Members of Camden borough Council
who have been involved with the establishment of a Social Care and Mental
Health Care Trust covering Camden and Islington.
The RCC has agreed to attend a meeting of the Task
Group in the near future to assist in feeding through the thoughts of our
voluntary sector partners.
FINANCIAL, LEGAL, CRIME AND DISORDER IMPLICATIONS
None.
APPENDICES ATTACHED
None.
BACKGROUND PAPERS USED IN THE PREPARATION OF THIS REPORT
PricewaterhouseCooper, Organisational review, Phase 2 Report, October 2004.
IWC, IWPCT and IWHNHST, Statement of Intent 2003
Contact Point: Louise Biggs, Research and Scrutiny Officer,
available on 01983 823768 or [email protected]
COUNCILLOR IAN
STEPHENS
Chairman of the
PWC Task Group