Strategic Partnerships Report - PowerPoint Presentation

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Strategic Partnerships Report

Dominic Hardisty, Chief Operating OfficerFebruary 2017

Paper –

BOD

21/2017

Adult Services

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

BCC Section 75

Completion of the work to bring in the out of hours AMHPs into the S75 (to join the long standing inclusion of the day time AMHP service) creating one 24/7 AMHP

S

ervice within the S75 in Bucks. 

Engaging with the work to develop the new operating framework within Adult Social Care. 

Creation of new Social Care Pathway for placements and social care only cases

Pilot

the new operating framework into Mental Health practice ( visiting Cambridge where this is in place)

Develop relationships with new leadership team in adult social care..

Agreeing priorities for new year

OCC Section 75

Section 75 agreement remains in place

New schedule of JMG meetings confirmed for this year

New Schedule of pre JMG meetings agreed

Refresh of annual objectives to be confirmed for performance and finance schedules

Implementation of Action

plan to address

issues identified in the recent audit and develop the business process within the S75

Identify savings for 17/18 and review impact

on service provision

IAPT Oxon (PML/Mind)

Contract with OCCG (5 years) signed

Key national targets met

Ensure we remain on track to deliver contractual and national targets

Sub-contracts with PML and MIND being drawn up and to be signed in quarter

Healthy

Minds Bucks (Richmond)

Planning to expand work with Richmond Fellowship in Bucks as we have put a bid in (with CCG) for work with DWP proposing to work with job centre staff aiming to recognise people with MH issues

Ensure we remain on track to deliver contractual and national targets

Live Well Stay

Well

Healthy Minds Bucks (Bucks

Healthcare)

Way

Forward with (BHT)

Development of Live Well, Stay Well contract with BCCG with

a view to further rollout of the programme across the county

Working with Parkwood to deliver the Live Well, Stay Well programme

Sub-contracts with Parkwood, BHT and CV Health to be drawn up and signed in the quarter

Adult Services

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

Relate Bucks

Formally accepted across from CCG to Oxford Health in contractual terms

Head of Service reviewing contract performance

OMHP Oxon (Mind, Response, Restore, Connection FS, Elmore)

Agreement to make MIND information workers and Connection FS worker posts permanent in AMHTs

Recovery College funding being met from Directorate budget as no additional funding for this project (£250k

per annum to Restore who host it)

Response Project 10 now fully operational, positive impact reducing delays in Oxon wards by moving on 10 patients (cost £100k)

Response CEO chair of PMG

Operationalising project work-streams which will now feed into the OMHP SMT

Single point of access work-stream should be completed this next quarter (delayed from previous report)

Recovery College new prospectus to be published

OCCG commissioners will attend first PMG this quarter

Urgent Care Mental Health

(SCAS and TVP)

SCAS mental health nurse scheme now established at ambulance control

Street Triage with TVP fully operational in both counties (two centres in Bucks and one in Oxon)

Both successfully working with TVP in providing appropriate mental health crisis response

PIRLS and EDPS both providing 24 hr care liaison psychiatry within BHT and OUH hospitals – bid for investment to provide

CORE 24 model developed

Both meeting their response targets and both being seen positively by acute provider colleagues

Feedback from Trust reps at

A&E Boards to Exec team.

Develop calm suites

Refurbish 136 suites

Adult Services

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

Thames Valley and Wessex Forensic Network

(OHFT, Response, Southern Health NHS FT, Dorset

Trust, Isle of Wight NHS Trust, Solent NHS Trust, Berkshire NHS FT , Central & Northwest London NHS FT)

New Care Model application successful following interview

Initial

network meetings / workshop complete (August & Sept)

Initial reviews of data conducted

Further meetings with NHS England (region and centre) to agree actions/next steps.

Board approval for New

Care Model started in ‘shadow form’ from 1

st

October (with no financial risk, excluding TCP patients)

Full due diligence to validate and reconcile patient and financial information

Further network meetings (Monthly)

Establish governance arrangements for NCM

Conduct initial reviews of patient cohort to prioritise pathway developments and actions

Review contracts with NHS England to agree actions and changes

Partnership with Restore (Patients’ shop at Littlemore)

Discussions

had regarding ensuring there is ongoing patient participation in staffing the shop.

Patient feedback provided to Restore regarding the interview process and that patients would prefer

not to be interviewed in a group.

Agreement made

with the Restore CEO that out of county patients can attend the Restore shop prior to funding being agreed.

Quarterly meetings held between Restore and OHFT forensic staff with a view for ongoing monitoring of all attendees.

Promote the opportunities

provided by the shop, to the patients, at Ward Community meetings.

Information from quarterly meetings feedback to FSM regarding attendance, individual progress and funding.

Children’s & Young People’s Services

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

Barnardo’s in Buckinghamshire

CAMHS

Barnardo’s in Oxfordshire

and Banes

Staff finishing CYP IAPT Enhanced Evidence Based Practice

course, strong supervision established from OHFT staff to Barnardos staff.

Partnership established through tender process

To develop mechanisms

to ensure that Buddies are available for assessments to improve the pathway for CYP.

Develop clear roles and functions to add

best value.

Beat in

Buckinghamshire CAMHS

Contract ending 1st July. Training sessions delivered across Bucks and Oxon, not to the standard that we would expect.

Work alongside

Beat to improve training sessions for June 17

Response

Developed

Partnership to deliver innovative service model within the localities through 7 different organisations

Establish detailed roll out plan and which

will be

embedded in

strong

OH governance.

strong governance

Local Safeguard

Children’s Boards

Oxfordshire

Buckinghamshire

Wiltshire

Swindon

BaNES

Consultation with Board members following Wood report to determine focus and structure of local Boards

Increased requirements for performance data and audits

Consider potential for cross border Executive functions

Youth Offending Boards

Oxfordshire

Buckinghamshire

Wiltshire

Swindon

BaNES

Impact assessment and planning due to reduction in youth justice funding, and reduction/reconfiguration

of services in Local Authorities and Police

Refine

service delivery and key objectives in all affected areas

Older People’s Services

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

Acute (OUH)

Operational - Updated

choice policy agreed and implemented for Oxfordshire

Operational – continue joint work on choice ,

rehabilitation pathways

and patient flow through community hospitals to ensure consistency of approach

across all settings (acute and community hospital)

Acute (RBBH)

Delivery of MIU and GP

OOH at Henley Townlands working smoothly.

RACU successfully launched in January

Continue monitoring

of RACU service

Various SLAs (OUH)

–

AHP

Radiography

Community hospital medical cover

Positive

feedback from medical colleagues on CQC improvement actions for community hospitals (e.g. pain assessment documentation)

Strengthened quality review processes working well (OUH medical cover for community hospitals) following learning from Sis

Clinical audits and review as planned

Age

UK Oxon

Generation Games are working with OH falls service to develop and deliver a range of exercise programmes focusing on strength and balance to reduce risk of falls

Continue to review opportunities for directly managing contract for exercise programmes

to reduce falls risk

GP Federations (Oxfordshire)

Agreement in place with all Oxon GP federations to explore joint enterprise model to deliver full multi-disciplinary primary care (fruition of locality / neighbourhood integration) to maximise support to patients and reduce pressure on GP and community workforce

Define options for organisational form; and proposals to shift support to

primary care neighbourhoods / localities

Hospices

(Oxfordshire)

Agreement in principle to explore joint pathway

for EoLC domiciliary care for patients receiving Fast Track CHC funded care. OHFT to employ staff ; develop local pathway with hospices to maximise support to patient and family.

Continue

to review as part of development of ILT support team

Key Corporate Partnerships

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

CLAHRC

Patient experience based co-design in early intervention in psychosis services (EBCD in EIP):

Healthtalk

module is progressing well:

Fauzia

Knight (post doc) is now in post and will be undertaking the work to produce the module.

Preventing falls and fragility fractures: Slippage in the project is due to a key staff member leaving to take up a studentship. This has been discussed with the Theme Lead and the project and associated funding re-phased. New appointment is underway

Optimising Treatment for Mild Systolic hypertension in the Elderly (

OPTiMISE

): Additional funding has been secured from the NIHR School for Primary Care Research to perform concurrent qualitative and economic evaluations which has resulted in a change to the milestone dates. The project lead is aware that CLAHRC funding ends on 31/10/2018. The project is on target to meet the revised milestones.

Blood pressure self-monitoring for the management of women during pregnancy with chronic hypertension: a feasibility study (OPTIMUM-BP) PHASE 2 : Project ahead of schedule. Recruitment began in January 2016

CLAHRC

Symposium likely to take place in the Autumn.

NIHR Clinical Research Facility

Full CRF application to renew and expand facilities further to OUH has been submitted, including video. No requirement for an interview

Waiting to

hear back whether application has been successful.

NIHR Biomedical

Research Centre

Full BRC application and video have been submitted to NIHR. Preparations continue for interview to held in July.

OHFT bid was successful and now implementation plan will be developed

Partnership

Progress/Developments in Last Quarter

Key Objectives for Next Quarter

OUHT.OHFT

Joint Research Office

Work is continuing trying to establish methods of working across organisations. Milestones have been revised due to delays with national HRA processes and results form CRF and BRC applications will not be available until Sept 2016 which will impact on this going forward

Work ongoing to

establish ways of working now there are 2 BRCs in Oxford.

Key Corporate Partnerships