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Bolsover District Council
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The MJ is the magazine that will help you to come up with practical solutions to everyday issues in this changing landscape. Every week The MJ publishes the latest news, features, editorial and industry comment on the following key issues: Management * Legislation * The White Paper * The Lyon's Report * Regional government * CPAs * Business * Finance * Education * Adult and Children's Services * E Government * And much more ... )" border Closer working between councils and primary care trusts, especially in adult care, is essential against a backdrop of tight budgets. Sheilah Moore describes her own county council's joint projects with its local PCT.
Buckinghamshire CC Buckinghamshire Primary Care Trust (BPCT) are putting their heads together to improve health, wellbeing and local services for the people of Buckinghamshire.
Shared council and BPCT priorities, as set out in the Buckinghamshire sustainable community strategy, are delivered in partnership by the county and PCT through the LAA.
Building on the well-established relationship between the county and the PCT, a joint meeting between the council's cabinet and the PCT board has been set up to discuss matters of mutual importance, such as financial pressures, new ways of working, the council's transformation programme and the PCT's recovery plans on a tri-annual basis.
A memorandum of understanding between the two organisations is in the process of being developed which will formalise this agreement to work together to deliver local, person-centred health and social care services.
In the context of wider partnership working, BPCT is also represented at CADEX, the meeting of local authority chief executives, to contribute to the development of the strategic agenda for the public sector in Buckinghamshire, to support the political process, manage the partnership arena, network, share information and good practice.
The county, district council and PCT policy officers group provides business support to CADEX.
The council and BPCT have formal joint working arrangements in delivering services to both adults and children, with joint commissioning leads and pooled budgets for mental health and learning disability services and most recently, a pooled budget for commissioning child and adolescent mental health services (CAMHS).
Formal partnership agreements now in place include:
* a Section 75 agreement setting out lead commissioning arrangements and a pooled budget for learning disabilities, with the council being the lead commissioner on behalf of the PCT
* a Section 75 agreement detailing lead commissioning arrangements and a pooled budget for adult mental health, with the PCT taking the lead
* joint posts being established, which are accountable to the assistant director of commissioning at the PCT and the service manager, strategic commissioning the council for physical and sensory disability, older people and older people mental health
* a Section 75 agreement in place for delivery of community equipment services
* a Section 75 agreement to pool council and BPCT child and adolescent mental health budgets, and for Buckinghamshire to delegate the council's social care functions, insofar as they relate to CAMHS, to Oxfordshire and Buckinghamshire NHS Foundation Trust
* a joint children and young people's commissioning group leading the way on significant transformational change, as is evidenced by the new, joint-commissioned CAMHS service. A joint pooled budget manager for CAMHS will soon be appointed.
Commissioning priorities include:
* joint commissioning strategies developed for mental health, learning disability and older people. These have been signed off by the PCT board and the council cabinet member. A physical disability strategy is currently out for consultation. The PCT and Buckinghamshire also work together through a joint commissioning strategy for children and young people's services, agreed through the Children and Young People's Trust
* the commissioning and decommissioning priorities in these documents forming the work priorities of the commissioning team, and these being translated into the service plan for adult social care
* the integration of services and delivery of the priorities, supported by shared management arrangements. Joint management groups are the formal arrangements we have in place for monitoring the delivery of the objectives in the commissioning strategies and the Section 75 agreement
* the adult commissioners group having strategic oversight of the delivery of these agreements.
Joint working arrangements have benefited local people by providing greater flexibility through pooled budgets, making financial savings though joint purchasing and allowing more creativity in the way services are provided.
The council is embracing its role as a health improvement organisation, and is committed to working with the PCT to improve health and wellbeing in Buckinghamshire.
There is recognition that both organisations have different, but complementary, roles to play, and can bring different skill sets to address local challenges.
The PCT and health services play an instrumental role in treating people when they are ill, but the broader determinants of health are more important in assessing who becomes ill and who stays healthy. Promoting health and wellbeing is central to the local authority's role.
The council is committed to making a significant contribution to health and preventing ill-health, in areas such as encouraging active lifestyles, education, employment and economic growth, planning for future growth and development, community safety and enforcement, public transport and waste management.
The jointly-appointed director of public health (DPH) provides leadership and a streamlined approach to health improvement across the council and the PCT.
The role and profile of the joint DPH has developed significantly since her appointment in 2007, now being fully embedded into the council structure and business.
The DPH sits on both organisations' management teams and reports to both the local authority and PCT chief executive.
The county and BPCT's effective working relationship occurs within the context of wider partnership arrangements.
The Bucks Strategic Partnership (BSP) is the LSP for the Buckinghamshire area.
The BSP has five thematic partnerships - the healthy communities partnership, adult commissioners, economy and environment, safer and stronger communities, and children and young people, which are key in terms of supporting partnership working and shaping the BSP agenda.
The aims will be to:
* progress this is in the current economic climate, and deliver tangible outcomes for the people of Buckinghamshire
* oversee the mapping of health improvement work across the county
* facilitate the submission of funding bids for healthy communities projects
* raise the profile of the healthy communities agenda
* secure funding for the delivery of training around developing the health improvement skills of partner's workforce.
Adult commissioners is another thematic partnership of the BSP, with responsibility for targets in the LAA relating to older people.
With representation from senior managers at the county and the PCT, adult commissioners also oversees the older people's partnership board, the learning disability partnership board, the mental health partnership board, the scheduled care leadership group, and the unscheduled care leadership group.
Sheilah Moore is a policy officer at Buckinghamshire CC.
Additional information:
About youth mental health - Our Work : Headstrong. Helping Young
Beyondblue: the national depression initiative - Young people
Press Office Young people's mental health ignorance a real cause
Social and emotional wellbeing in primary education
Three young people with mental health issues talk about their
National Statistics Online - Product - Mental Health of Children
Intute: Health and Life Sciences - Full record details for Mental
Mental health disorders common in young adults: survey , Health
Young people & mental health
Headroom, Mental Health for Young People
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