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I'm Peter walker, I'm VCS rep on the Health and Wellbeing Board
And I'm just reporting back on a meeting held on july
the twelfth
It was a meeting
which is dominated by two issues primarily
one was issued connected with the clinical commission group of the processes
associated with
the establishment of the clinical commissioning group
and the other was
in connection with the relationship between the board and the
scrutiny
The Health and Social Care scrutiny commission on the council
just on that latter point. As a subcommittee of the council.
The Health and Wellbeing board
will be subject to
review by the scrutiny
committee, so
part of the discussion there was to begin to set out the ground prior
to the health well being board becoming
statutory
committee
in April next year
But first of all there was a
presentation
around the
effectively, the process for establishing the clinical
commissioning group and all the things it has to go to to get the approval of the
NHS commission board
to be a body
a functioning body to take on the commissioning of
clinical services locally
and it's one of those things that set out to many many steps
um... about what it needs to satisfy
in terms of
in order to get that approval
and part of that satisfaction
it needs to achieve for approval is
basically its relationship with Health and Wellbeing Board and
its participation in the Health and Wellbeing
Board and not least
the agreement with the Health and Wellbeing Board about the priorities that
have been set
by the clinical commisioning group
Now all this is slightly out of sync at the moment
because obviously the Health and Wellbeing Board hasn't formed a
Health and Wellbeing strategy yet
so it hasn't determined its priorities
but obviously
the clinical commissioning group, as in the NHS generally,
they have to set their priorities early
in order to set their budgets for next year
so i can say, well tell you what the
priorities for the clinical commissioning
group are for 2012/13
for the current year
and this intentions, well it's for 13/14 primarily
the 13/14 prioties are;
diabetes care; mental health;
urgent care avoidence;
frail elderly prevention and re-ablement;
dementia community services development;
and pain management. So they're the priorites so that the
being brought to the Health and Wellbeing Board mainly for information
in advanced of the strategy being formed
by the Health and Wellbeing board
and that strategy, as many of you will know,
is alpha consultation now
and, well the four, well not the actual strategy itself, the actual process for drafting the
strategy
and there will be a number of events most people can feed into
the development (of) that strategy over the coming
weeks and months
so going back to the authorization process
clearly there is a requirement for clinical commissioning to get this
authorisation in order to function
I'm not quite sure will happen if it doesn't get the authorisation
but it's going through the various steps to achieve that
part of that will be a 360ยบ appraisal
which will involve
input from the voluntary sector about how it's performing
however of course it's, I think a lot of the activity of the clinical commissioning
group
has been behind closed doors, in sense in within the physical confines of the
hospital and elsewhere
and so I think for a lot of people
it's still a bit of a mystery
so we wait to see what the outcome of that will be
however it is a train that is rolling and no doubt
it will be reach its destination in time
so that's really on the
clinical commissioning group's authorisation process
with the scrutiny commission
and effectively at the meeting, members of the scrutiny commission, the Health and Social care
scrutiny commission joined the board members
really to begin to have an exchange of ideas about
the scrutiny board will
performance function
alongside the Health and Wellbeing Board
and how those two bodies will interact
basically how they can work most effectively together
and i think
as i said, there's quite a, sort of
wide general discussion, again a lot people finding their feet
in this process particularly those
members of the board who are unfamiliar with the scrutiny commission work
but i think what
the outcome, conclusion of that discussion was
was the importance of communication and early communication
around issues which might be of concern to the scrutiny commission
to make sure there was basically
no surprises on either side, yes there may be contentious issues
but they need to be flagged up early on
so that they can be discussed
forewarned about, so it doesn't preempt
that there will be issues that the scrutiny commussion will want to look at it
but effectively
it's going to be done in the spirit of actually trying to constructively
achieve a good
a good communication
good outcome