Coventry Warwickshire Integrated Care System Governance

Coventry and Warwickshire Integrated Care System - Functions and Decisions map This sets out the Governance arrangements that support collective accountability between partner organisations for the whole system NHS England (NHS E) Performance manages and supports the NHS bodies working with and through the ICS. Care Quality Commission (CQC) Independently reviews and rates the ICS. REGULATORY Provider Collaborative Health and Wellbeing Boards (HWB) Coventry and Warwickshire Integrated Care Board (ICB) Coventry and Warwickshire Integrated Care Partnership (ICP) Partnerships of health and care providers working together at scale across the whole of the ICS to improve how effectively and efficiently services are run. Responsible for developing and agreeing the integrated care strategy for the ICS to ensure it meets population health and care needs. There are two Health and Wellbeing Boards: one for Coventry and one for Warwickshire. They set the health and wellbeing strategies for the local area. Board responsible and accountable for meeting the health and healthcare needs of the population. Care Collaboratives (Place based Partnerships) TRATEGY Membership: Chaired by the Chair of the ICB , Deputy Chair(s) are the Chairs of the Health and Wellbeing Boards, Chief Executive of the ICS , Local authorities, Healthwatch , Universities, Voluntary sector. The Health and Wellbeing Boards will meet up to 3 times a year as an Integrated Health and Wellbeing Forum to support the ICP to meet its aspirations and plans for the health and social care system Membership: Independent Chair, Non Executive Members and Partner Members nominated from NHS Trusts, Local Authorities and Primary Medical Services Care Collaboratives will operate at a smaller footprint and is where partnership working and integration between the NHS, communities, local authorities and the VCSE will happen at our 4 Places; Coventry, Rugby, South Warwickshire and Warwickshire North Board is supported by Committees and sub-committees It is a Joint Committee of the ICB , Coventry City Council and Warwickshire County Council Primary Care Networks (PCNs) Primary Care Networks bring together GPs and other primary care services such as community pharmacies to work at scale and provide a wider range of services at a local level ASSURANCE and DELIVERY DELIVERY STRATEGIC

Coventry and Warwickshire Integrated Care System FOCUS: Coventry and Warwickshire Integrated Care Board The Coventry and Warwickshire ICB is chaired by Danielle Oum , full membership of the Board can be found on our website along with meeting dates and papers and information on Committees of the ICB [About Us - Happy Healthy Lives] The ICB meets on a bi-monthly basis with the meeting held in public The ICB has the following key functions: 1. Developing a plan having regard to the ICP strategy and allocating resource to meet the health and healthcare needs of the population 2. Establish joint working arrangements with partners that embed collaboration as a basis for delivery within the plan 3. Establish governance arrangements to support collective accountability for whole system delivery and performance 4. Arranging for the provision of health services, transformation, development of Primary Care Networks and working with VCSE sector partners to put in place personalised care for people 5. Leading system implementation of people priorities 6. Leading system wide action on data and digital This means that decisions relating to these functions will be made by the ICB or by one its committees. Key Decision making areas for the ICB will be: 1. Regulation and Control 2. Strategy and Planning 3. Finance, Commissioning and Contracting 4. Partnership Working 5. Quality and Safety (including Safeguarding) 6. Operational and Risk Management ICB Committees - The key ICB Committees are as follows; Remuneration Audit Quality, Safety and Experience Commissioning , Planning and Population Health Finance and Performance People Multi-ICB/NHSE Joint Commissioning

Coventry and Warwickshire Integrated Care System FOCUS: ICB Committees reporting to the Coventry and Warwickshire Integrated Care Board Finance and Performance responsible for Providing assurance to the Board that the system and its partners are financially sustainable, meeting their financial targets and performing well enough to achieve system goals and ambitions. Remuneration responsible for Deciding appropriate remuneration, fees , allowances and terms of service for the Chief Executive and Executive Directors including all aspects of salary and provision for other benefits including pensions, arrangements for termination of employment including redundancy and other contractual terms. Reviewing pay, terms, and conditions for the most senior staff below executive director level and Partner Members of the Board Commissioning, Planning and Population Health responsible for Receiving assurance regarding the development of the system commissioning arrangements, including ICB Strategic Commissioning, Care Collaborative commissioning at Place and the development of Primary Care Networks. Enabling Members to make collective decisions on the review, planning, commissioning and procurement of primary care services within the ICB area under delegated authority from NHS England. Overseeing the development and the maturity of primary care networks and care collaboratives in using population health management information to drive decision making. Non Executive Remuneration Panel responsible for Deciding appropriate remuneration , fees, allowances and terms of service for the Non executive members including all aspects of salary Review as required the Non Executive Members performance. Audit responsible for Providing the ICB with an independent and objective review of the adequacy and effective operation of the organisation s overall internal control system including its financial systems, financial information and compliance with laws, guidance, and regulations governing the NHS. The Committee is authorised by the ICB to investigate any activity within the ICB. People responsible for Supporting and monitoring the strategic development of the health care workforce across the ICS and providing assurance to the Board. Considering issues and risks relating to the broader People Plan. On behalf of the ICB, it will review key workforce performance issues and review workforce-related strategic risks Quality, Safety and Experience responsible for Ensuring that the quality and effectiveness of commissioned services are continuously improved, in a way that makes a real difference to the people using them. Good quality oversight, management of risks, sharing intelligence and working with regulators. A focus on population health and system quality priorities and outcomes e.g., across pathways/settings with particular emphasis on reducing inequities in access, experience, and outcomes. Multi-ICB/NHSE Joint Commissioning responsible for The joint commissioning of Specialised Services With NHSE/I and the joint Commissioning of Primary and Prescribed Dental Services, Primary Ophthalmic Services, Pharmaceutical and Local Pharmaceutical Services with the other Integrated Care Boards within the West Midlands.

Coventry and Warwickshire Integrated Care System FOCUS: Coventry and Warwickshire Integrated Care Partnership The Coventry and Warwickshire ICP is a joint committee of the ICB and with Coventry City Council and Warwickshire County Council and is chaired by Danielle Oum full membership of the Board can be found here [ICB Board Members - People - Happy Healthy Lives] The ICP meets up to four times a year with the meeting held in public Meeting dates and papers can be found here [ICB Board Meetings - Happy Healthy Lives] The ICP has the following key responsibilities to: Build bottom-up from local assessments of needs and assets identified at place level, based on joint strategic needs assessments Set the integrated care strategy for the system while encouraging places to set their own strategy and decision making Be focused on health and social care outcomes and reducing inequalities Have regard to the NHS England& improvement Mandate and any guidance issued by Department Health Social Care Consider a joint workforce plan, including the NHS, local government, social care and Voluntary Community and Social Enterprise sectors Form strategies which are ambitious and challenging and enable integration and innovation Champion inclusion and transparency. Facilitate joint action to improve health and care services and to influence the wider determinants of health and broader social and economic development. Promote public engagement and collaboration Key Decision making areas for the ICB will be: 1. Strategy and Planning 2. Partnership Working The ICP will operate a collective model of accountability, where partners hold each other mutually accountable, including to local residents

Coventry and Warwickshire Integrated Care System FOCUS: Health and Wellbeing Boards of Coventry and Warwickshire The Coventry Health and Wellbeing Board is chaired by Councillor Kamran Caan full membership of the Board can be found here [Health and Wellbeing Board Coventry City Council] it meets quarterly and in public. The Warwickshire Health and Wellbeing Board is Chaired by Councillor Margaret Bell , full membership of the Board can be found here [Health and Wellbeing Board Warwickshire County Council] Meeting dates and papers can be found by following the links above. Health and Wellbeing boards are Statutory Committees of the respective Local Authorities The Health and Wellbeing Boards have the following responsibilities The overall purpose of the Health and Wellbeing Boards are to provide leadership and direction for the health and social care economy in the county of Warwickshire and within the city of Coventry, leading to improving health and wellbeing of the local populations and reducing health inequalities. Duties of the Board includes: providing a strategic influence over commissioning decisions across health, public health and social care; involving democratically elected representatives and patient representatives in commissioning decisions, alongside commissioners across health and social care; providing a forum for challenge, discussion and the involvement of local people; undertaking the Joint Strategic Needs Assessment (JSNA) and developing a joint strategy for how these needs can be best addressed. This will include recommendations for joint commissioning and integrating services across health and care; and driving local commissioning of health care, social care and public health and create a more effective and responsive local health and care system.

Coventry and Warwickshire Integrated Care System FOCUS: Care Collaboratives (Our Place Based Partnerships) The arrangements for the Care Collaboratives are described in our Care Collaborative Development Plan [Insert link once link available] In 2022/23 will be a consultative forum, with no legal powers or delegated authority Currently there are two Care Collaboratives one covering Coventry and one covering the footprint of Warwickshire in line with Council boundaries Makes recommendations to ICB Board and partner boards as appropriate. Inputs into the ICP for the development of the Integrated Care Strategy. Brings together a wide range of partners and stakeholders. The Care Collaboratives will in 2022-23 1. Develop an in-depth understanding of local needs 2. Connect with their local communities This means that Care collaboratives until such time as they have matured will make recommendations to the Board of the ICB Key areas of responsibility for the Care collaborative will be: 1. Developing plans that meet the ICB s annual plan and the ICPs Integrated care Strategy 2. service delivery and transformation. 3. population health management. 4. promote health and wellbeing. 5. quality, finance, performance and improvement. 6. Partnership Working 7. Quality and Safety 8. Operational and Risk Management

Coventry and Warwickshire Integrated Care System FOCUS: Provider Collaborative The arrangements for the Provider Collaborative in the Coventry & Warwickshire ICS in in development with the ICS Executive Group. Provider Collaborative is responsible for Providing joint system leadership to transform, and to address provider quality and efficiency by working together at scale (across the whole ICS or a large part) with a shared purpose and effective decision making arrangements. Provider Collaborative plan, deliver and transform services address unwarranted variation and inequality in access, experience and outcomes across wider populations, Improve resilience and ensure that specialisation and consolidation occur where this will provide better outcomes and value for money and will make decisions on efficiency for example through shared back office functions or diagnostics. clinical pathway standards and standardisation with advice and guidance from our Clinical Executive and Clinical forum. Potential NHS service changes and make recommendations to ICB. shared opportunities for example; best use of estates.

Coventry and Warwickshire Integrated Care System FOCUS: Primary Care Networks The arrangements for the Primary Care Networks are as follows Within Coventry and Warwickshire there are 19 PCNs 3 in North Warwickshire, 7 in South Warwickshire, 1 in Rugby and 8 in Coventry Each PCN has a locally nominated Clinical Director who may be a GP, general practice nurse, clinical pharmacist or another clinical professions working in general practice A Primary Care Network has the following functions Primary Care Network (PCN) Roles Primary Care Networks (PCNs) are a key part of the NHS Long Term Plan. A PCN consists of a group of GP practices working together, to improve and build upon core of primary care services, to enable a greater provision of care and to meet the changing needs of the community. PCNs serve communities of up to 50,000 people they are small enough to provide personal care but large enough to have impact Watch a short animation that explains the concept of PCNs and how this new way of working enables health and other services to work together to provide better access for patients - Click HERE PCNs are created by way of a directed enhanced service as part of the General Medical Service (GMS) contract and will make decisions on Local implementation plans in respect of the national PCN service specification Local implementation plans in respect of supporting recruitment, embedding and retention of new additional roles. New Enhanced Access arrangements for example embedding the use of total triage and remote consultations Local implementation plans in respect of all other elements of PCN funding including PCN Clinical Director funding.