Our Health and Care Partnership consists of the NHS (Royal Cornwall Hospitals NHS Trust, Cornwall Partnership NHS Foundation Trust, NHS Kernow Clinical Commissioning Group, Kernow Health CiC, South Western Ambulance Service NHS Foundation Trust and primary care/GPs), our local councils (Cornwall Council and the Council of Isles of Scilly), along with the voluntary sector and other core partners involved in transforming the provision of health and care services across Cornwall and the Isles of Scilly for those we serve.
The recent announcement of the joint commissioning chief officer is all part of these wider plans.
Our current Transformation Board is proposed to re-form as the Health and Care Partnership Senate, which will meet in public, 4 times a year and will share accountability for an agreed set of health and care outcomes and impacts. The establishment of the Senate will provide extra clarity to decision making at a system level in a way which complements our existing sovereign boards and councils.
Through the Senate, the system will be publicly held mutually to account for better prevention and outcomes for people in Cornwall and the Isles of Scilly; making sure that wherever possible, care is provided as close to people’s homes and local communities as possible.
New formalised reporting arrangements will strengthen the voice of local communities with their representatives from our 14 Primary Care Networks (PCNs) via the 3 integrated care areas (north/east, central and west) therefore having their local clinical leadership voice at the heart of our decision making, along with the other core system delivery partners.
The Senate’s independent chair will also invite representatives from housing, the police, education and other key organisations and partners to aid and inform the Senate’s decision making. Formal decision-making responsibilities will still be retained by the separate sovereign board and council organisations in line with their more formal and statutory individual accountabilities.
We shall replace the informal system chairs and CEO’s leaders meetings with a more structured System Board with the view to driving shared system-wide accountability and to monitor system performance, as a partnership.
There will also be increased system assurance with the formation of 2 system-wide joint working committees (finance, resources and performance; and clinical and quality) comprising non-executive director and councillor representation, from across our system.
The partnership has also announced investment into the system’s need for extra leadership capacity and capabilities, to help drive forward the transformation programmes that will have material impacts on both patient pathways of care and driving more efficient use of resources of public funds. These plans include the appointment of a system transformation director, a lead for system-wide workforce planning and a lead for system communications.
Furthermore, the refocus of system-wide transformation programme boards will look to develop and drive forward new patient pathways of care/outcomes – more efficiently and will be supported by the enabling groups (estates, digital, workforce etc) all of which will start to be in place from the 1 April 2020. We will have a new group of programme board lead”, accountable as a system to both the System Board and to the Senate.
John Govett, system independent chair said: “Under our improved governance arrangements from April 2020 we will put in place a new partnership Senate and add our neighbourhood community clinical representatives and primary care/GP’s voices to the heart of our thinking. Additionally, we will reformulate our transformation system delivery programme boards and have new system joint working committees that utilise the skills of our systems non-executive directors and councillors. Thus, we are making good progress on our journey to an ICS accredited System.”
Mairi Mclean, RCHT chair said: “I welcome this new transparent way of us working together in the best interests of all our citizens. The inclusion of whole community representatives, especially those involved with the main determinants of health; education, employment, housing, police, social care and our hospitals, acute and community will ensure a whole person focus and more effective working in partnership.”
Barbara Vann, CFT chair said: “The inclusion of primary care with the Senate is a key step is making sure we really focus on the needs of our communities. The additional assurance provided through the joint working committees, with non-executive director and councillor representation, is a key development and will play an important role in providing robust challenge and accountability right across our system.”
Iain Chorlton, NHS Kernow chair said: “This move marks a marked changed in the way that we work together and govern our system-wide decision, where we will have new mechanisms to share responsibility and to drive system-wide performance. I believe, ultimately, this is the next significant step on our journey in making sure we are providing the very best standard of health and care for people of Cornwall and the Isles of Scilly now and into the future.”
Chair of Cornwall Council’s Health and Wellbeing Board and deputy leader Adam Paynter said: “These more structured joint working arrangements will make sure that the system works efficiently, ensuring that people’s care and support needs are met as close to where they live as possible.”
The first Senate meeting will be held on 18 June, 10.30am to 12.30pm, at St Austell and members of the public are invited to observe the meeting, and have the opportunity to ask a question.