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CCG and council 'take leap forward' to join health and care budgets


City and Hackney clinical commissioning group (CCG) and Hackney Council are planning to pool their health, social care and public health budgets from 1 April 2017.

No immediate changes are expected for patients and existing services will continue over the next year.

New governance arrangements will be tested from April for areas where the partners think they can make a difference for patients by working together.

These 'big ticket items' include a single point of coordination for services, enhanced primary care, end of life care, self-care, making City and Hackney dementia friendly, and continuing health care.

The CCG and council are planning to set-up an integrated commissioning board for Hackney to make decisions on a pooled budget for the borough.

The CCG is also setting up an integrated commissioning board with the City of London Corporation.

Each board will be made-up of three councillors and three CCG representatives including a lay member. The majority of the CCG’s budget will go into these pooled funds.

A Transformation Board of leaders from local providers and commissioners, as well as Healthwatch Hackney, will make recommendations to the two integrated commissioning boards.

Pooled funds will be aligned in four care workstreams: unplanned care, planned care, prevention, early years/children. Each workstream is charged with improving local health outcomes.

Plans for integration have now been approved by the CCG’s governing body, Hackney Council and City of London Corporation.

The partners say they can deliver better health and wellbeing outcomes for residents by working closer together.

Hackney’s cabinet member for health, social care and devolution, Cllr Jonathan McShane told the February health in Hackney scrutiny committee that relationships between the council and the NHS locally had strengthened in recent years.

Cllr McShane said was there was now strong support for a leap forward in terms of integration.

Draft terms of reference for the integrated commissioning board in Hackney are available here. Terms of reference for integrated commissioning will be reviewed after six months.

More information is available in the report to scrutiny here and the CCG governing body papers here.


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