Cornwall Partners in Care hold weekly briefings with Cornwall Council and Cornwall Partnership NHS Foundation trust. These meetings involve Jonathan Price (Joint Director Adult Care and Health for Cornwall Council and NHS Kernow) and Phil Confue (Chief Executive of Cornwall Partnership NHS Foundation trust), as well as David Smith (CPIC Chairman) and representatives from the CPIC Committee.
Daily update - 21st May 2021
The meeting today took place between Jonathon, Val, Kate Alcock and Mary Phil and myself . Keith Cheeseman attended the first item. We discussed the following;
1/ Keith talked about his role as Interim Service Director for ASC Transformation since he took up his post nearly 7 months ago. It is primarily to review and improve the "back office" function to make it more efficient, and fit for purpose with a target of 50% savings on costs. This will involve simplification of processes and greater automation through IT investment. It should also facilitate greater "self service" for example by providing a "portal" which Providers could access. The timescale is for this work to be completed within the next 5 to 6 months,and Keith agreed to attend CPIC forums to discuss this and to determine issues of concern.
2/ Questions were asked about Health and Council interface which Kate said would improve as a result of joint contracting arrangements. David also asked when Client Contributions for domiciliary care were likely to be taken over by the Council. Jonathon confirmed that this was still on the agenda, and was more likely to be considered when systems had become more automated, as at the present time manual arrangements made this onerous. Phil suggested that monitoring systems at Provider level could be developed to provide a seamless interface with the Council. Mary stated that a lot of finance issues were due to poor communication with families and Keith confirmed that he was looking at improving communication between Social Workers and families at the first point of contact. Phil asked why there is a Saturday start day on Purchase orders as there is a requirement for a manager to undertake a client assessment on the first day, and this is difficult as there is less staffing at weekends. Keith agreed to look at this.
3/ The issue of a Covid memorial will be revisited after the Summer.
4/ David raised CPIC funding moving forwards, and Jonathon asked for a proposal which could take the form of sponsorship funding.
5/ Phil stated that there were continued expectations that Care at Home capacity could be constantly expanded which is not sustainable. Jonathon thought that over time demand could reduce, but acknowledged that expectations need to be reduced alongside increased reablement capacity.
6/ The upcoming G7 Summit was increasing capacity pressures and Jonathon suggested a scheme to pay Care Homes some form of retainer to keep beds available as a "back up" if there are capacity issues. Kate will be working on a protocol and agreed to involve David and Mary. Jonathon also stated that there is a proposal to provide a temporary workforce to help deal with additional pressures, although accommodation requirements will need to be resolved.
7/ Jonathon stated that the new Portfolio Holder was Dr Andy Virr who was keen to support the sector. His current job role would need to be restructured so that in a couple of months time he could be available to meet up with the sector. It was confirmed that Kate Shields Chief Executive of RCHT had been appointed to the post of CE for the new Integrated Care System.