Decision details

The Board received and noted a presentation.

The Board received a presentation from Tracey Cox, Chief Officer, BaNES CCG regarding the Sustainability and Transformation Plan (STP).  The following issues were covered and highlighted:

·  The Plan offered a shared vision for securing a sustainable local health and social care system.

·  The aims of the plan were to:

o  Improve the health and wellbeing of the local population

o  Improve the quality of local health and care services

o  Deliver financial stability and balance throughout the local health care system.

·  The five year plan was place based and drove the five year forward view.

·  Leadership, governance and engagement.

·  BaNES, Swindon and Wiltshire Footprint.

·  Challenges and positives of the Plan.

·  Place-based models of care.

·  Emerging design principles for BaNES, Swindon and Wiltshire collaboration.

·  Collaboration within the BaNES, Swindon and Wiltshire integrated model of health and care.

·  Current position and next steps.

A full copy of the presentation is attached as an appendix to these minutes.

Tracey Cox explained that it was important for the three different areas to work together to ensure a more strategic approach.  It was also important to balance the pace of change with public engagement.  Further public engagement work would be continuing after the end of June deadline and work would also take place to quantify the financial situation.  Organisations locally were already considering savings and efficiencies and the STP simply brought this more into focus.

The Chair noted the rapidly changing circumstances and stressed the positive aspects of working with local authorities.

Jane Shayler pointed out that there were concerns relating to the footprint of the Plan and how people would access services in the future.  People in the west of the BaNES area would normally travel to Bristol for specialist services and may be concerned that they would have to travel to Swindon or Salisbury instead.

Councillor Vic Pritchard stressed the importance of working together and forming a local interpretation.  It would be important to ensure that it is clear from the outset that people would still have a choice as to where they are treated and could continue to choose the Bristol area if this was their preference.

Bruce Laurence stated that there was already some excellent place based work happening locally and that this must be protected.  He was impressed with how Councils and the NHS were working together.

Councillor Tim Warren expressed some concern regarding the footprint and noted that if devolution was agreed then this could be challenging.  The Chair explained that these issues could be discussed further once the outcome of the devolution decision was known.

Alex Francis informed the Board that Healthwatch had held various meetings regarding public engagement and would be formulating an engagement plan to include key messages and strands.

It was RESOLVED to note the update.