Paper BOD 212017 Strategic Partnerships Report Dominic Hardisty

Paper – BOD 21/2017 Strategic Partnerships Report Dominic Hardisty, Chief Operating Officer February 2017 Caring, safe and excellent

Adult Services Partnership BCC Section 75 Progress/Developments in Last Quarter Key Objectives for Next Quarter • Completion of the work to bring in the out of hours AMHPs into the S 75 (to join the long standing inclusion of the day time AMHP service) creating one 24/7 AMHP • Pilot the new operating framework into Mental Health practice ( visiting Cambridge where this is in place) Service within the S 75 in Bucks. • Engaging with the work to develop the new operating framework within Adult Social Care. • Creation of new Social Care Pathway for placements and social care only cases • Develop relationships with new leadership team in adult social care. . OCC Section 75 • Section 75 agreement remains in place • New schedule of JMG meetings confirmed for this year • New Schedule of pre JMG meetings agreed • Refresh of annual objectives to be confirmed for performance and finance schedules • Implementation of Action plan to address issues identified in the recent audit and develop the business process within the S 75 • Identify savings for 17/18 and review impact on service provision IAPT Oxon (PML/Mind) • Contract with OCCG (5 years) signed • Key national targets met • Ensure we remain on track to deliver contractual and national targets • Sub-contracts with PML and MIND being drawn up and to be signed in quarter Healthy Minds Bucks (Richmond) • Planning to expand work with Richmond Fellowship in Bucks as we have put a bid in (with CCG) for work with DWP proposing to work with job centre staff aiming to recognise people with MH issues • Ensure we remain on track to deliver contractual and national targets Live Well Stay Well Healthy Minds Bucks (Bucks Healthcare) • Way Forward with (BHT) • Development of Live Well, Stay Well contract with BCCG with a view to further rollout of the programme across the county • Working with Parkwood to deliver the Live Well, Stay Well programme • Sub-contracts with Parkwood, BHT and CV Health to be drawn up and signed in the quarter Caring, safe and excellent • Agreeing priorities for new year

Adult Services Partnership Progress/Developments in Last Quarter Key Objectives for Next Quarter Relate Bucks • Formally accepted across from CCG to Oxford Health in contractual terms • Head of Service reviewing contract performance OMHP Oxon (Mind, Response, Restore, Connection FS, Elmore) • Agreement to make MIND information workers and Connection FS worker posts permanent in AMHTs • Recovery College funding being met from Directorate budget as no additional funding for this project (£ 250 k per annum to Restore who host it) • Response Project 10 now fully operational, positive impact reducing delays in Oxon wards by moving on 10 patients (cost £ 100 k) • Response CEO chair of PMG • Operationalising project work-streams which will now feed into the OMHP SMT • Single point of access work-stream should be completed this next quarter (delayed from previous report) • Recovery College new prospectus to be published • OCCG commissioners will attend first PMG this quarter Urgent Care Mental Health (SCAS and TVP) • SCAS mental health nurse scheme now established at ambulance control • Street Triage with TVP fully operational in both counties (two centres in Bucks and one in Oxon) • Both successfully working with TVP in providing appropriate mental health crisis response • PIRLS and EDPS both providing 24 hr care liaison psychiatry within BHT and OUH hospitals – bid for investment to provide CORE 24 model developed • Both meeting their response targets and both being seen positively by acute provider colleagues • Feedback from Trust reps at A&E Boards to Exec team. • Develop calm suites • Refurbish 136 suites Caring, safe and excellent

Adult Services Partnership Thames Valley and Wessex Forensic Network (OHFT, Response, Southern Health NHS FT, Dorset Trust, Isle of Wight NHS Trust, Solent NHS Trust, Berkshire NHS FT , Central & Northwest London NHS FT) Partnership with Restore (Patients’ shop at Littlemore) Caring, safe and excellent Progress/Developments in Last Quarter • • New Care Model application successful following interview Initial network meetings / workshop complete (August & Sept) Initial reviews of data conducted Further meetings with NHS England (region and centre) to agree actions/next steps. • Discussions had regarding ensuring there is ongoing patient participation in staffing the shop. • Patient feedback provided to Restore regarding the interview process and that patients would prefer not to be interviewed in a group. • Agreement made with the Restore CEO that out of county patients can attend the Restore shop prior to funding being agreed. • Quarterly meetings held between Restore and OHFT forensic staff with a view for ongoing monitoring of all attendees. Key Objectives for Next Quarter • Board approval for New Care Model started in ‘shadow form’ from 1 st October (with no financial risk, excluding TCP patients) • Full due diligence to validate and reconcile patient and financial information • Further network meetings (Monthly) • Establish governance arrangements for NCM • Conduct initial reviews of patient cohort to prioritise pathway developments and actions • Review contracts with NHS England to agree actions and changes • Promote the opportunities provided by the shop, to the patients, at Ward Community meetings. • Information from quarterly meetings feedback to FSM regarding attendance, individual progress and funding.

Children’s & Young People’s Services Partnership Progress/Developments in Last Quarter Key Objectives for Next Quarter Barnardo’s in Buckinghamshire CAMHS • Staff finishing CYP IAPT Enhanced Evidence Based Practice course, strong supervision established from OHFT staff to Barnardos staff. • To develop mechanisms to ensure that Buddies are available for assessments to improve the pathway for CYP. Barnardo’s in Oxfordshire and Banes • Partnership established through tender process • Develop clear roles and functions to add best value. Beat in Buckinghamshire CAMHS • Contract ending 1 st July. Training sessions delivered across Bucks and Oxon, not to the standard that we would expect. • Work alongside Beat to improve training sessions for June 17 Response • Developed Partnership to deliver innovative service model within the localities through 7 different organisations • Establish detailed roll out plan and which will be embedded in strong OH governance. strong governance Local Safeguard Children’s Boards Oxfordshire Buckinghamshire Wiltshire Swindon Ba. NES Youth Offending Boards Oxfordshire Buckinghamshire Wiltshire Swindon Ba. NES Caring, safe and excellent • Consultation with Board members following Wood report to determine focus and structure of local Boards • Increased requirements for performance data and audits • Impact assessment and planning due to reduction in youth justice funding, and reduction/reconfiguration of services in Local Authorities and Police • Consider potential for cross border Executive functions • Refine service delivery and key objectives in all affected areas

Older People’s Services Partnership Progress/Developments in Last Quarter Key Objectives for Next Quarter Acute (OUH) • Operational - Updated choice policy agreed and implemented for Oxfordshire • Operational – continue joint work on choice , rehabilitation pathways and patient flow through community hospitals to ensure consistency of approach across all settings (acute and community hospital) Acute (RBBH) • Delivery of MIU and GP OOH at Henley Townlands working smoothly. • RACU successfully launched in January • Continue monitoring of RACU service Various SLAs (OUH) – • AHP • Radiography • Community hospital medical cover • Positive feedback from medical colleagues on CQC improvement actions for community hospitals (e. g. pain assessment documentation) • Strengthened quality review processes working well (OUH medical cover for community hospitals) following learning from Sis • Clinical audits and review as planned Age UK Oxon • Generation Games are working with OH falls service to develop and deliver a range of exercise programmes focusing on strength and balance to reduce risk of falls • Continue to review opportunities for directly managing contract for exercise programmes to reduce falls risk GP Federations (Oxfordshire) • Agreement in place with all Oxon GP federations to explore joint enterprise model to deliver full multi-disciplinary primary care (fruition of locality / neighbourhood integration) to maximise support to patients and reduce pressure on GP and community workforce • Define options for organisational form; and proposals to shift support to primary care neighbourhoods / localities Hospices (Oxfordshire) • Agreement in principle to explore joint pathway for Eo. LC domiciliary care for patients receiving Fast Track CHC funded care. OHFT to employ staff ; develop local pathway with hospices to maximise support to patient and family. • Continue to review as part of development of ILT support team Caring, safe and excellent

Key Corporate Partnerships Partnership CLAHRC Progress/Developments in Last Quarter • Patient experience based co-design in early intervention in psychosis services (EBCD in EIP): Healthtalk module is progressing well: Fauzia Knight (post doc) is now in post and will be undertaking the work to produce the module. Key Objectives for Next Quarter • CLAHRC Symposium likely to take place in the Autumn. • Preventing falls and fragility fractures: Slippage in the project is due to a key staff member leaving to take up a studentship. This has been discussed with the Theme Lead and the project and associated funding re-phased. New appointment is underway • Optimising Treatment for Mild Systolic hypertension in the Elderly (OPTi. MISE): Additional funding has been secured from the NIHR School for Primary Care Research to perform concurrent qualitative and economic evaluations which has resulted in a change to the milestone dates. The project lead is aware that CLAHRC funding ends on 31/10/2018. The project is on target to meet the revised milestones. • Blood pressure self-monitoring for the management of women during pregnancy with chronic hypertension: a feasibility study (OPTIMUM-BP) PHASE 2 : Project ahead of schedule. Recruitment began in January 2016 NIHR Clinical Research Facility • Full CRF application to renew and expand facilities further to OUH has been submitted, including video. No requirement for an interview • Waiting to hear back whether application has been successful. NIHR Biomedical Research Centre • Full BRC application and video have been submitted to NIHR. Preparations continue for interview to held in July. • OHFT bid was successful and now implementation plan will be developed Caring, safe and excellent

Key Corporate Partnerships Partnership Progress/Developments in Last Quarter OUHT. OHFT Joint Research Office • Work is continuing trying to establish methods of working across organisations. Milestones have been revised due to delays with national HRA processes and results form CRF and BRC applications will not be available until Sept 2016 which will impact on this going forward Caring, safe and excellent Key Objectives for Next Quarter • Work ongoing to establish ways of working now there are 2 BRCs in Oxford.