Jersey Care Model (FOI)

​Request

As per the answer to the following written question:

Written question to the Minister for Health and Social Services by Deputy I. Gardiner of St. Helier

Could you please provide copies of the following items listed as ‘achieved deliverables’ of tranche one of the Jersey Care Model (JCM) programme:

• Communication strategy
  
• Co-designed commissioning strategy
• Co-designed workforce strategy
• Acute services strategy review
• Nutrition and dietetics service strategy including bariatric pathways and services
• Intermediate care strategy
• Co-designed end of life pathways
• Health and care pathway design specification for procurement
• Hospital discharge support specification
• Co-designed governance structure

Please also supply any information held on the deliverable listed as ‘working with general practice to design better primary / community services’.

Response

A

Communication strategy

Please see attachment JCM Communications Strategy

B

Co-designed commissioning strategy

This is currently a policy under development and is in its final stages of review. Article 35 of the Freedom of Information (Jersey) Law 2011 has therefore been applied.

The process for development of the strategy has included co-design workshops with partners through the year which is being written up into a final document for consultation.

The document drafting will complete in 2021. Approval from the consultation process is planned for January 2022.

C

Co-designed workforce strategy

This is currently a policy under development. Article 35 of the Freedom of Information (Jersey) Law 2011 has been applied.

The process for development has included consolidation of various island wide workforce strategy events into a strategy for health and care.

A co-design workshop was also held with partners to validate key themes and a final document produced for consultation, issued to stakeholders on in December.

The document is awaiting final comments and approval from the consultation process, expected to be in January 2022.

D

Acute services strategy review

The review has been undertaken; however, this has not resulted in one document. 

The outputs have fed into the Ambulatory Care Strategy which is currently a policy under development and will be available in the first half of 2022. Article 35 of the Freedom of Information (Jersey) Law 2011 has been applied.

E

Nutrition and dietetics service strategy including bariatric pathways and services

A Consultant was appointed for Bariatric Care in 2021. 

New pathways and process are being formulated to support the service development. 

Included in the attachments are the bariatric service description and pathways. 

The supporting nutrition and dietetics element is policy under development whilst the preventative and educational elements are finalised and included in the attachments. Article 35 of the Freedom of Information (Jersey) Law 2011 has been applied.

Please see attachment Bariatric Pathways 2021

Please see attachment Bariatric Service Description

F

Intermediate care strategy

Please see attachment Intermediate Care Strategy 2021

G

Co-designed end of life pathways

This is currently a policy under development. Article 35 of the Freedom of Information (Jersey) Law 2011 has been applied.

The process for the co-designed development of the pathways has involved multiple workshops with stakeholders through 2021. Final workshops in late November were postponed to January due to COVID-19 and the ability to convene in-person workshops.

The final pathways are targeted for approval in Q1 2022.

H

Health and care pathway design specification for procurement

Please see attachment Specification for Professional Services for Pathways Development

I

Hospital discharge support specification

The service specification for the Discharge Support service is policy under development until it is agreed between the commissioning team and the service provider. Article 35 of the Freedom of Information (Jersey) Law 2011 has therefore been applied.

The specification is currently in late-stage draft and on plan for approval in January 2022.

J

Co-designed governance structure

Please see attachment JCM Governance structure

K

Please also supply any information held on the deliverable listed as ‘working with general practice to design better primary / community services’

Throughout 2021 Health and Community Services (HCS) have been working with the Primary Care Board and the Jersey Doctors on Call (JDOC) Board to enable GPs to participate in JCM design and delivery. GPs are involved in:

• Clinical and Professional Advisory Forum
• Pathway development
• Future commissioning arrangements
• Development of community and intermediate care projects
• Development and delivery of overnight / Out of Hours model of care with:
• Jersey Ambulance Service
• Family and Nursing Home Care (FNHC) Overnight Nursing and Rapid Response & Reablement Services
• HCS medical services
• Jersey Doctors on Call for overnight medical cover
• Service design with HCS community unscheduled / secondary care services 
  

Article applied

Article 35 - Formulation and development of policies

Information is qualified exempt information if it relates to the formulation or development of any proposed policy by a public authority.

Public interest considerations favouring disclosure:

• disclosure of the information would support transparency and promote accountability to the general public, providing confirmation that the necessary discussions have taken place
• disclosure to the public fulfils an educative role about the early stages in policy development and illustrates how the department engages with parties for this purpose
  

Public interest considerations favouring withholding the information:

• in order to best develop policy, officials need a safe space in which free and frank discussion can take place – discussion of how documentation is presented and provided is considered as integral to policy development as iterations of documents are demonstrative of the policy development process
• the need for this safe space is considered at its greatest during the live stages of a policy
• release of the information at this stage might generate misinformed debate. This would affect the ability of officials to consider and develop policy away from external pressures, and to advise Ministers appropriately
• premature disclosure of this information may limit the willingness of parties to provide their honest views and feedback. This would hamper and harm the policy–making process not only in relation to this subject area but in respect of future policy development across wider departmental business
  

Taking into account the various factors, the Scheduled Public Authority decided in favour of withholding the information.