1. DWAYNE JOHNSON Strategic Director, Communities Halton Borough Council Joint Chair of ADASS Older People Network

2. JOINT COMMISSIONING IN HALTON Background and Context  Established as a new borough in 1998 from Cheshire  Joint Review Audit Commission for Children & Adults in 2002 – ‘Not Serving People Well’  Senior Management changes  Political Re-direction/interest

3. JOINT COMMISSIONING IN HALTON  Political focus  New Management Team  Monthly meetings with Audit Commission and Care Quality Commission  Assistance from IDEA – Local Government Improvement & Development Team  Additional investment  Strengthened partnerships with Service Users, Carers and Voluntary Groups

4. JOINT COMMISSIONING IN HALTON  Classified as the best Adult Social Care Council by Care Quality Commission – awarded Excellent across all 7 categories  Won Government National Innovation Award  Invited to Downing Street  Strong stable workforce  Balanced budget  But ………………

5. JOINT COMMISSIONING WITH HALTON  Poor relationship with Primary Care Trust Senior Management  Arbitration on Continuing Health Care  Split PCT across 2 Boroughs  Investment  But ……………...

6. JOINT COMMISSIONING WITH HALTON 2011 The Future  Joint Priorities established with Clinical Commissioning Group (CCG)  CCG located with Adult Senior Operational Teams and Public Health  Integrated Management  Section 75 Agreement and new Partnership Agreement  Joint Commissioning and Procurement

7. JOINT COMMISSIONING IN HALTON Conclusion - Making it work  Leadership personalities  Joint priorities – personalities  Strategic vision – personalities  Agreed pathways and architecture – personalities  Making a difference – personalities  Partnerships – personalities  Political support – personalities ………………….. Personalities