Issue - meetings

To receive an update on plans between the Clinical Commissioning Group (CCG) and Council to move to a single commissioning structure.

10:55am – 20 mins – Tracey Cox and Jane Shayler

Tracey Cox, Chief Officer of B&NES CCG, gave an update regarding the Integrated Care Partnership.  The following matters were covered in the presentation:

·  Sustainability and Transformation Partnerships, Integrated Care Systems (ICSs) and Integrated Care Organisations are different ways of delivering integration.

·  ICSs are key to sustainable improvement in health care by creating more robust cross-organisational arrangements to tackle the systemic challenges facing the NHS.

·  The role and membership of the ICS Partnership Board (which is a sub-group of the Health and Wellbeing Board).

·  Progress so far – there is no shared consensus on a “vision”.  However a key theme of a recent event was “we want to get on with it” with a strong desire to generate a plan for action.  There was also agreement that B&NES is a workable footprint in terms of size and geography.

·  An initial set of draft principles that the Leadership Team may wish to adopt in order to guide their actions and behaviours.

·  Actions identified at the Leadership Event e.g. .targeting specific areas such as “stranded and super stranded patients”, resource sharing and having honest conversations where needed to facilitate collaborative working.

·  The vision set out in the Health and Wellbeing Board draft statement of intent is “One Health and Wellbeing system that enables people to live happier, healthier lives.”

·  The Draft Statement of Intent sets out three clear aims:

o  Shared leadership of a sustainable health and wellbeing system which is innovative and affordable.

o  Ill health is prevented.

o  Putting people at the heart of reform.

·  Next Steps:

o  The CCG to identify some dedicated transformation capacity to support the development of ICS arrangements.

o  A further meeting of the ICS Board to progress actions and confirm the vision.

o  Priority actions – development of a Memorandum of Understanding and mapping of organisational activities in priority areas of Frailty, MDT working and stranded patients.

James Scott stressed the importance of getting on with this, in particular the actions relating to stranded patients which was a major issue for the RUH.

Andrew Smith stated that the work appeared to be quite reactive, needs a more integrated approach and noted that it would be helpful to link in with existing projects.

Tracey Cox confirmed that a gap analysis was taking place to address these concerns.

A copy of the presentation slides is attached as Appendix 1 to these minutes.

RESOLVED: To note the update regarding the Integrated Care Partnership Board.