Agenda item

To consider an update on NHS Central London and NHS West London Clinical Commissioning Groups’ commissioning plans.

Paper to follow.

3.1       The Chairman introduced the item and stated that the purpose of the meeting was for the NHS Central London and NHS West London Clinical Commissioning Groups (CCGs) to inform the Board of their commissioning plans for Westminster in respect of delivering the North West London Sustainability Transformation Plan (STP).

3.2       Chris Neill (Interim Deputy Managing Director, NHS Central London CCG) then presented the report. He advised that because of the introduction of the STP, contracts for service delivery needed to be agreed by 23 December. The contracts would be of two years’ duration and the report sought to explain how the STP was aligned to the Joint Health and Wellbeing Strategy (JHWBS) and how the STP would be delivered. Chris Neill advised that both NHS Central London and West London CCGs would then put together business plans in January and February 2017 to provide further details on implementing the STP. Members noted the delivery areas setting out the STP’s priorities, the Board’s priorities and the local priorities identified within Westminster as set out in the report.

3.3       During Members’ discussion, the Chairman emphasised that it was important to explain to Westminster residents what changes would be made to services during implementation of the STP, including changes to financial allocations for specific services. In addition, the STP should demonstrate how the commissioning plans aligned to the JHWBS. Members concurred that more details on the financial spend for services in Westminster from NHS Central London and NHS West London CCGs would be desirable in order to demonstrate how the commissioning plans aligned with delivering the STP locally. It was noted that the CCGs would be able to provide details of the value of the contracts to be agreed.

3.4       In reply to issues raised by Members, Chris Neill advised that the work on financial planning across North West London was not yet broken down into individual boroughs, however Westminster was taking the lead on the finance stream. He acknowledged that the way the information was presented within the individual CCGs in the North West London STP had presented varied and NHS Central London CCG had focused on explaining how the STP would be delivered.

3.5       Dr Neville Purssell (NHS Central London Clinical Commissioning Group) added that the STP was designed for North West London overall and in the case of Westminster, a lot of work was based around the JHWBS refresh and the STP’s delivery areas were in congruence with the strategy. He stated that the STP was addressing the areas identified in the JHWBS and there was more work to be done in providing information such as financial details.

3.6       Members acknowledged that there had been effective joint working between the Council, the CCGs and other partner organisations in putting together the JHWBS. In order for the Board to support NHS Central London and NHS West London CCGs’ commissioning plans, Members requested that the CCGs provide details of the value of the current contracts, including the spend from the last year, and how the value of these contracts would change as the STP was being implemented. The Board also requested that more information be provided in respect of the delivery plans, including providing information to residents on the changes they will see to services. Members concurred that an explanation of some of the more complicated terms in order that residents could understand and the language used would be beneficial in making the document accessible to residents. The Chairman welcomed any further comments from Members on the commissioning plans to be fed back to NHS Central London and NHS West London CCGs by no later than 20^th December.