Integrated Commissioning and Preventions Programme Jonathan Griffiths & Martyn Palfreman 27 October 2017

Overview Programme brings together 2 of the 5 RPB strategic priorities: Integrated Commissioning Preventions (including IAA) Programme Manager in post from 1 August Provides capacity for wide-ranging programme which will consolidate and build upon existing work Programme Board in place – initial meeting on 28 September – and scheduled to meet monthly from November onwards 5 work streams and actions approved Terms of Reference and governance arrangement agreed Connections established with HDUHB Transforming Clinical Services programme Agreement on allocation of programme funding to support work streams

Programme Board Membership Lead Director and Chair, Director of Social Services and Leisure, Pembrokeshire CC Joint Head of Service, Strategic Commissioning – Pembrokeshire and Carmarthenshire CC Head of Adult Services – Ceredigion County Council Head of Mental Health and Learning Disability, Carmarthenshire County Council Director of Public Health, Hywel Dda UHB Head of Learning Disability and Older Adult Mental Health Services, Hywel Dda UHB County Director and Commissioners – Hywel Dda UHB Director of Commissioning, Hywel Dda UHB Chief Officers of CVCs Housing Modernisation Programme Manager, Carmarthenshire CC delegated Head of Regional Collaboration Programme Manager – Integrated Commissioning and Preventions

5 work streams Development of joint commissioning arrangements across region Development of a regional preventions framework Regional approach to development of social enterprise, user led co-operatives and 3rd sector Implementation of an IAA service across region Development of regional vision and strategy for technology enabled care (TEC)

Joint commissioning arrangements What’s already in place Joint commissioning arrangements across Pembs /Carms CCs Commitment in principle to extend arrangements across Ceredigion CC and Hywel Dda UHB Dedicated resource approved to establish Regional Strategic Provider Forum – Pembrokeshire Lead LD MPS workshop event held on 19 October - On target for publication Dec 17 Proposal for Regional Advocacy strategy approved by ICP Board, timeline agreed and provider/service user engagement programme being developed by 3 County Advocacy network Scoping document for regional housing needs analysis approved by ICP Board building on work done in Carmarthenshire and spanning older adults and Learning Disability – Carmarthenshire lead

Joint commissioning arrangements ctd What we’ll do next Development of regional commissioning framework (March 18) Development of Regional Commissioning arrangements (TBC) Development of L & D programme for Commissioners (Dec 17) Review & development of MPSs inc. Learning Disabilities (Dec 17 & ongoing) Commissioning Regional Advocacy services (April 19 – new service) Establishment of regional strategic provider forum (March 18)

Regional preventions framework What’s already in place All 3 LAs are meeting their duty to develop strategies for preventative services – visions, strategies, target operating models Unique locality based approaches with key similar key ingredients Ongoing Information gathering on approach taken by each LA What we’ll do next Regional Preventions framework articulating key cornerstones and approaches to development of preventative services across region (March 2018) Regional Outcomes framework for preventions and well being (March 2018)

Social enterprise, 3rd sector & User led services What’s already in place 3 County position statement being developed for 3rd sector led approach to early intervention and preventative services Capability and resilience of 3rd sector across region – surveys returned, analysis underway Working group established between Wales Co-op Centre and CVCs to develop Social Value Forum Targets developed with 3 CVCs around establishment of user led co-operatives with ???? What we’ll do next Develop regional approach to 3rd sector led support for preventative services (March 17) – CVCs lead Report on capability and resilience of 3rd sector across the Region (Dec 17) Establishment of regional social value forum (March 18)

IAA What’s already in place All 3 LA’s continue to develop IAA services – significant progress since Regional position statement developed by IPC in March 2016 Different locality based approaches with key similar ingredients Ongoing Information gathering on approach taken by each LA IAA standards and training identified as an area for development of regional workforce plan What we’ll do next Updated regional position statement for IAA delivery (March 18) Evaluation of different IAA approaches (March 18) Development of IAA standards (March 18) Regional implementation of Dewis/Infoengine linked to 111 (March 18)

TEC strategy What’s already in place Held 1 of 3 strategy development days, 2nd and 3rd days set for end of October What we’ll do next Mapping of existing activity across region (Oct 17) Development of vision & regional priorities (Oct 17)

Any questions?