Report and presentation attached.

Senior BHRUT officers explained that the Trust was currently halfway through a review of its clinical strategy. The strategy would not be developed in isolation and would be integrated with the overall system strategy across the local boroughs and a standing item on the clinical strategy had been agreed for future meetings of the Sub-Committee.

The strategy was underpinned by a number of priorities for change including

rising population growth and the need to increase digitisation of services. It was hoped to treat more day patients in order to avoid stays in hospital and to make more use of digital referrals and virtual wards fir outpatient appointments. The rust also had one of e largest maternity departments in the country and it was hoped to deliver more antenatal cate away from the hospital setting and closer to people’s homes. Public health work was also planned around ensuring women were healthy prior to pregnancy.

It was hoped to use digital services where appropriate to reduce outpatient attendance by 30%. It was accepted however that this would necessitate a change of mindset by patients. There was a shortfall of 50 GPs across the three BHR boroughs and it was accepted that this worked to increase numbers of A & E attendances. It was suggested that an update on GP recruitment in Havering could be taken at a future meeting of the Sub-Committee. Whilst 135 nurses had recently been recruited to the Trust from te Philippines.

It was accepted that it was important that primary care and community services were also involved in the Clinical Strategy and the Council was represented on the Integrated Care Executive Group. The relationship of BHRIT with the neighbouring Barts Health NHS Trust was also included within the clinical strategy.

It was agreed that the Trust would consider what performance indicators could be usefully brought to the Sub-Committee for scrutiny. This could for example include numbers of outpatients appointments and the average length of hospital stay.

It was further agreed that the BHRUT five year financial plan could be shared with the Sub-Committee at a future point.