DWAYNE JOHNSON Strategic Director Communities Halton Borough Council

DWAYNE JOHNSON Strategic Director, Communities Halton Borough Council Joint Chair of ADASS Older People Network

JOINT COMMISSIONING IN HALTON Background and Context § Established as a new borough in 1998 from Cheshire § Joint Review Audit Commission for Children & Adults in 2002 – ‘Not Serving People Well’ § Senior Management changes § Political Re-direction/interest

JOINT COMMISSIONING IN HALTON § Political focus § New Management Team § Monthly meetings with Audit Commission and Care Quality Commission § Assistance from IDEA – Local Government Improvement & Development Team § Additional investment § Strengthened partnerships with Service Users, Carers and Voluntary Groups

JOINT COMMISSIONING IN HALTON § Classified as the best Adult Social Care Council by Care § § § Quality Commission – awarded Excellent across all 7 categories Won Government National Innovation Award Invited to Downing Street Strong stable workforce Balanced budget But ………………

JOINT COMMISSIONING WITH HALTON § Poor relationship with Primary Care Trust Senior Management § Arbitration on Continuing Health Care § Split PCT across 2 Boroughs § Investment § But ……………. . .

JOINT COMMISSIONING WITH HALTON 2011 The Future § Joint Priorities established with Clinical Commissioning Group (CCG) § CCG located with Adult Senior Operational Teams and Public Health § Integrated Management § Section 75 Agreement and new Partnership Agreement § Joint Commissioning and Procurement

JOINT COMMISSIONING IN HALTON Conclusion - Making it work § Leadership personalities § Joint priorities – personalities § Strategic vision – personalities § Agreed pathways and architecture – personalities § Making a difference – personalities § Partnerships – personalities § Political support – personalities …………………. . Personalities