Appendix 1 Table 1 - Mental Health S75 Commissioning Budgets 2010-11 Service Cost 2011-12 Service Cost Service Area Service Provider Total £000s NHSW £000s WCC £000s £000s NHSW £000s WCC £000s Joint Homelessness Team WCC 2010/11 1,104 538.7 565.3 1,104 538.7 565.3 Day Care Service CNWL (incl Routes to Employment) CNWL 1,321.6 451.8 869.8 1,281.0 451.8 829.2 Home support Flexicare Westminster Mind 228.5 143.7 84.8 228.5 143.7 84.8 Daycare 526 Service Harrow Road Drop-In Westminster Mind 25.8 25.4 0.4 6.2 6.2 0.0 Daycare Sunday Lunch Club Westminster Mind 8.1 1.1 7.0 2.1 0.3 1.8 Carers Network Westminster Carers Network 38.8 23.0 15.8 39.2 23.0 16.2 Mental Health Floating Support Service 10/11 One Housing Group 11/12 Single Homeless Project 0.0 0.0 0.0 863.6 68.7 794.9 Advocacy Service Patients Council & IMHA Advocate for Mental Health 182.8 182.8 0.0 205.2 177.2 28.0 Daycare and Outreach Specialist service for African/Caribbean Service users OREMI 60.7 32.2 28.5 59.7 32.2 27.4 Kean Street Residential Registered Care to deregister 1/4/11 Look Ahead 1,015.7 798.8 216.9 1,011.4 505.7 505.7
Residential Rehabilitation services: Access is through referral by community services in the North and South of Westminster. These referrals are agreed by a Westminster Substance Misuse Services Panel. This is only for open to Westminster Eligible Service Users who are aiming towards abstinence; Detox: Access is through referral by community services in the North and South of Westminster. These referrals are agreed by the Westminster Substance Misuse Services Panel. They are only available for Westminster residents who are aiming for abstinence. Open Access: community services are available to all Westminster residents Tier 2/3 needing support for their substance misuse. Open access services include drop-in services, structured interventions and prescribing services. Needle exchange services: including pharmacy based and in open access services, are available to anyone who requests and is not subject to any residency criteria. Aftercare: is available for all Westminster residents on pathway to recovery. Residents can access the North and South Drug and Alcohol Services for access to education, training and employment through one to one key working sessions and relapse prevention groups. 4 RESOURCES & FINANCIAL PROCEDURES 4.1 Resources 4.1.1 For the 20011/12 Financial Year, the total value of the DAA Individual Services to be jointly commissioned by the Partners through Pooled Fund Arrangements is £9,448,400. 4.1.2 Tables 1-5 of Appendix 1 of this Schedule 4 show: the respective contributions of the Partners to the Pooled Fund, including external funding streams / income; and the agreed allocation of the Pooled Funds for the 2011/12 Financial Year. 4.2 Financial Planning 4.2.1 The Lead Commissioner(s) for the Council and the PCT will ensure that any matters relating to the joint commissioning/Pooled Fund Budgets that might have a material effect on income or expenditure are identified and reported to the Westminster Drug and Alcohol Action Team as the body responsible for monitoring the area considered when setting the required budget for the following Financial Year.
Table 1 – Commissioning Budgets – Sexual Health 2010-11 Service Cost 2011-12 Service Cost Service Area Service Provider NHSW £ WCC £ Total NHSW £ WCC £ Positive Self Management Living Well 152,480 152,480 - 152,480 152,480 - Advocacy & Advice Camden CAB 123,055 78,055 45,000 123,055 78,055 45,000 Counselling, Emotional and Peer Support Terrance Higgins Trust 62,325 62,325 - 62,325 62,325 - Children and Families Support Body & Soul 28,167 28,167 - 28,167 28,167 - 693,727 406,027 287,700 608,727 321,027 287,700 Homecare services Spot Purchased Various 32,400 32,400 32,400 32,400 Homecare services Block Contract Westlink Strutton Housing 125,300 125,300 125,300 125,300 High cost residential placements Various 170,000 85,000 85,000 85,000 85,000 Table 2 Care Management – Sexual Health
5.1.2 The commissioners in the Council and the PCT will meet on a quarterly basis with the Council Contracts Team to assess progress, receive provider monitoring reports, oversee the budget and address any issues. The commissioners will report performance exceptions and strategic issues to the Public Health Joint Commissioning Management Group on a quarterly basis, making recommendations for action as necessary. 5.1.3 An activity report and a financial monitoring report will also be received at each quarterly meeting of the Public Health JCMG. 5.1.4 The Public Health JCMG will be responsible for overseeing the Partnership Agreement as it relates to Public Health Services, co-ordinating reports to the Health & Wellbeing regarding commissioned services and to the Partnership Management Group on the performance of the Partnership Agreement and the impact of its services. 5.2 Performance management 5.2.1 A robust performance management framework will be maintained as part of the process for monitoring and review of the commissioned Public Health Service elements. 5.2.2 The contract or service level agreement for each service commissioned through this Agreement will include a number of key performance indicators developed through and agreed by the Public Health JCMG to enable evaluation of the commissioned service against the agreed Objectives. Performance against these KPIs will be monitored by the organisation with Lead Commissioner responsibility using their usual contract monitoring framework used from time to time and reported to the Public Health JCMG on an exception basis. The Public Health JCMG was required to develop a mechanism to evaluate the performance of the commissioning partnership per se, that is to evaluate the benefits to Eligible Service Users (for example, improve care pathways) and to the partner organisations (for example, reduced spend on contract management) that have accrued as a result of using S75 arrangements to jointly commissioning services. 5.2.4 This Schedule 7 shall be updated on an annual basis 5.3 Communication 5.3.1 The key contact with regard to the Service arrangements is the Lead Commissioner, which shall be the Public Health Consultant with lead responsibility for Westminster. Formal inter-organisation contact is through the following forums: Public Health Joint Commissioning Management Group meetings; Budget meetings.
Service Area Service Provider Total NHSW £k WCC £k Total NHSW £k WCC £k Tackling childhood obesity Various providers (LAA commissioned Gibbons and Dudley Bateup in Children's are key contacts) 150 150 6 6 Paddington Rec - outdoor fitness area LAA commissioned - Richard Barker project lead 35 35 35 35 Environmental Programme - voluntary sector energy efficiency LAA commissioned - Joe Baker project lead 40 40 8 8 Total Table 2 - Commissioning Costs 2010-11 Service Cost 2011-12 Service Cost Service Area Service Provider Total NHSW £k WCC £k Total NHSW £k WCC £k £'000 £'000 £'000 £'000 £'000 £'000 Commissioning 376 179 196 134 120 22
Al-Hasaniya Moroccan Women’s Centre Arabic Speaking Women’s Mental Health Project £5,000 Mosaic Community Trust Rights access to mental health services £6,517 Migrants Resource Centre ESOL for health £3,443 Migrants Resource Centre Health Inclusion Project £12,123 Westminster Befriend a Family Families Swimming Project £2,827 Open Age Link-up Westminster £2,988 PIP Pursuing Independent Paths Theatre Group Project £3,003 Westway Community Transport Westminster Health Link £8,689 Total £163,537
______________________ _______________ Signature Date _________________________ _____________________ Name (Capitals) Designation (Capitals) Section 256 Transfer Social Care Grant and Re-ablement Grant Appendix One - Finance Schedule 2011/12 Social Care £3,866,000 Re-ablement £ 648,000 Funding priority Current /new Impact on NHS Comments Amount £000 Re-ablement therapists Current Discharge and prevent readmission 3 FTE £120 Senior OT/Care Manager New Discharge and prevent readmission 1 FTE £45 Transition beds at Norton house New Shorten hospital length of stay Should reduce numbers going into residential care £45 Get Home Service New Shorten hospital stay and reduce readmissions Piloted in K&C at Chelsea and Westminster £52 Pace model additional nursing and therapy New Shorten hospital stay and reduce readmissions Multi disciplinary team £291 Telecare New Prevent readmissions Builds on existing service £95 re-ablement £648 Re-ablement team Current Discharge and prevent readmission 50% of costs of re ablement team £390 Prevention Strategy New Prevent hospital admissions. Improve general health and wellbeing Development of health and wellbeing older people hubs and outreach £150 Early discharge home care packages Current Shorten hospital stay Prevent delayed discharges Equivalent to 613 home a week £446 Housing 21 home care re-ablement team Current Reduce hospital readmissions 50% costs of team £414 Subtotal transferred money £1,400