Halton CCG Interim Integrated Working Arrangements

Letter from Dr Andrew Davies, Interim Clinical Chief Officer, NHS Halton Clinical Commissioning Group explaining the new interim arrangements between Halton CCG and Warrington CCG.

Re: Interim Integrated Working Arrangements Update

Further to my recent communication with regards to the interim arrangements in respect of my role as Clinical Chief Officer for NHS Warrington CCG and this extending to cover the interim accountable role at NHS Halton Clinical Commissioning Group (CCG) for an initial interim period of 12 months, I am writing to provide you with an update. NHS Halton CCG and NHS Warrington CCG have shared a Chief Finance Officer since April 2017 and more recently have agreed to share the role of Chief Nurse following the retirement of the Chief Nurse at NHS Warrington CCG. 

Given this and the fact that Halton and Warrington CCGs already have a long established working relationship and that we share the same main acute provider Trust, community and mental health providers and a number of clinical pathways it made sense to explore the potential for a single interim integrated Management Team function serving both individual CCGs.

Since March 1st 2018 both CCG senior management teams have been meeting together to discuss where we do things twice that could practically be done once, for example elements of contract management, data analysis and communication and PR. 

The outcome of these discussions and a review of the roles and portfolios of the two Senior Management Teams have concluded with a proposal and agreement in principle that we will start to work as a single interim integrated management team function. 

I would like to reassure you that this is about working collaboratively with the sharing of roles to support both individual CCGs to deliver on their strategic objectives.  We also believe that this provides a real opportunity to build upon the work both boroughs already do together and make best use of the expertise, knowledge and skills across both CCGs. 

This proposal has the support of each individual CCG Audit Committee, which is the Governance Committee that oversees and seeks assurance regarding the discharge of statutory duties. In terms of next steps, following formal approval from both individual Governing Bodies, the single interim integrated management team arrangements will take effect from 1st June 2018.

Whilst roles such as Corporate, IT, Estates and Finance will be shared we will be retaining two separate Chief Commissioner roles, that will focus solely on the individual boroughs in line with the population based needs.

We fully acknowledge that there are distinct differences between both Halton and Warrington and the developments in each borough around place based commissioning will remain to be a key focus of the individual Chief Commissioner roles.

It is not unusual for CCGs to share management and functional roles and a number of CCGs in the Cheshire and Merseyside area have shared single management functions since they were authorised and established.

The new interim integrated management team will be larger than both the former individual management teams and a lot of work has been done to understand the portfolios and ensure that each role has the capacity to manage across both individual CCGs.

We are confident that these interim joint working arrangements will have a positive impact and that the working relationships across both boroughs will benefit local people as we bring together our expertise, knowledge and skills.

Members of the management team from both CCGs are looking forward to working together more closely to address the challenges, and make best use of the opportunities as collective and individual health and social care systems.

Finally, as always if you have any questions please let me know and I am more than happy to answer them.

Yours sincerely

Dr Andrew Davies

Interim Clinical Chief Officer

NHS Halton Clinical Commissioning Group


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