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

2. 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

3. 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

4. 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)

5. 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

6. 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)

7. 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)

8. 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)

9. 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)

10. 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)

11. Any questions?