Welcome and introduction

1. Welcome and introduction Cllr Robert Evans Care Services Portfolio Holder

2. Format for the session

3. Context to the review • Changing local structures and arrangements • Legislative changes • Significant financial constraints • Enhancing involvement and empowering users and carers • Adopting a more proportionate approach to engagement

4. Purpose of the review • To ensure that the partnership arrangements in place across the borough for adult and children’s services are: • fit for purpose • provide best value for money • remove duplication • outcome focused

5. The review: findings and outcomes Terry Parkin Executive Director: Education, Care and Health Services

6. Method of review • Used four methods:

7. Findings (1): questionnaire, interview, desktop review • 16 (21%) formal responses using the review questionnaire • Responses also received from: • Experts by Experience (XbyX) • Voluntary Sector Reference Group • Interviews held with representatives from: • Bromley Clinical Commissioning Group • London Borough of Bromley • Metropolitan Police Service • NHS London • other partners

8. Findings (2): questionnaire, interview, desktop review • A number of strengths were identified • A number of areas for improvement, including: • too many different partnership bodies focused on similar issues leading to • duplication of information • silo-based working and decision making • significant demand on staff time • partnership bodies often struggle to evidence that they monitor how they are making a difference, and some have “lost their way” • barriers to partnership working include resource and financial constraints

9. Findings (3): benchmarking exercise • All partnership bodies should: • be ‘task focused’ • seek to achieve outcomes within a specific time frame • link to strategic direction set by Health and Wellbeing Board • be managed and driven within the principles of key performance and project management techniques • consist of appropriate representatives at an appropriate level from appropriate organisations • ensure the role of the user is strengthened and empowered

10. Principles underpinning the recommendations • Ensuring appropriate structures are in place • Making the best use of available resources • Ensuring organisations are appropriately engaged in partnership activities • Ensuring each partnership body has: • clear purpose and scope • appropriate membership • clearly defined action plan • delivery targeted to outcomes

11. Recommendations (1) • To make the Executive Director for Education, Care and Health Services the accountable link between the Borough’s Health and Wellbeing Board and the new partnership arrangements • To bring together the Education, Care and Health Services partnership arrangements into a single, coordinated framework • To create Stakeholder Conferences for adult services and for children services to meet twice a year to actively involve partner agencies and service users in shaping business planning and priorities for the future

12. Recommendations (2) • To encourage particular partnership groups to look at options of becoming user led self-funding bodies • To develop virtual service user panel(s) which bring together service users, families and carers, and existing partnership group members, to gather views and consult with people on specific services or issues for services, and enable users to shape service development • For the partnership forums to become time limited with clear terms of reference focused on delivering projects and tasks identified as priorities for the Borough

13. Recommended framework

14. Impact • Some partnership groups will continue for a defined period as ‘time-limited project groups’ focused on finalising and delivering existing projects • For many partnership groups the current support and resource arrangements will be removed • The stakeholder conferences, time limited project groups and virtual panel(s) will better target limited resources to engage with service users and service user representatives

15. Interactive session:Putting the proposals into practice Terry Parkin Executive Director: Education, Care and Health Services

16. Supporting us to put the proposals into practice • To what extent do the new arrangements ensure that the voice of service users are heard? • Are there any service users we have missed out? • What one piece of advice would you give us to help implement this new framework properly?

17. The next steps Lorna BlackwoodAssistant Director: Commissioning

18. Actions underway • Developing draft Terms of Reference for the • stakeholder conferences • time limited project groups • virtual panel(s) • Developing procedure for the commissioning of Task and Finish Project Groups • Planning for the impact on current commissioning and contractual arrangements • Reporting outcomes and recommendations to the Care Services and Education PDS Committees, and Executive

19. Timeframe: overview Task and Finish Groups Online service user panel Time

20. Question and answer session Cllr Robert Evans Care Services Portfolio Holder

21. Contact us Michael Watts Senior Partnerships and Planning Officer London Borough of Bromley Tel:  020 8461 7608 E-mail:michael.watts@bromley.gov.uk Web:www.bromley.gov.uk