Agenda item

UPDATE ON INTEGRATED CARE PARTNERSHIP (PREVIOUSLY ACO) LOCALITY BOUNDARIES AND STP

Report attached.

 

Alan Steward/Barbara Nicholls/Ade Abitoye/Ian Tompkins

 

14:10

Minutes:

   

 

A representative of the Sustainability and Transformation Plan (STP) team confirmed that a more simple and transparent narrative explaining the proposals was in the process of being developed. A meeting of communications leads from all organisations involved with the STP (including the Council) had been arranged for 26 January. A memorandum of understanding re STP governance had also been circulated. The STP had started working on establishing a community council and had also developed linkages with the Healthwatch organisations. A political leadership group was also being considered.

 

The Director of Communications and Engagement indicated he would like to attend the Board regularly and was also happy for his contact details to be circulated to the Board.

 

It was hoped that governance arrangements for the STP would be confirmed by April 2017 and that the focus would be on partnership working and local control from partner bodies. The STP was linked to the procurement of NHS 111 services across North East London and work was also in progress with the London Ambulance Service.

 

Councillor Ramsey felt that there may not be enough governance involvement from Councils with for example only one Local Authority representative on the STP Board. A Leader’s Committee had been suggested but Councillor Ramsey felt that there was less understanding of the STP amongst Leaders of Boroughs not involved in the Integrated Care Partnership (ICP) work. The STP representative noted these concerns.

 

It was accepted that more detail was needed in the STP documents of work in the non-ICP areas covered by the plans. The Council Chief Executive felt there were some common themes across all the ICP boroughs but that Havering was further ahead in a number of areas. A report on STP governance would be brought to the next meeting of the Board.

 

The Healthwatch Chair added that local residents wished to be certain that people running services would still be in control of these under the STP. It was also felt that changes of names such as the ICP were confusing for members of the public. It was also accepted that the branding of the STP needed more work and that stronger linkages should be established with areas such as Essex, Epping Forest and the City of London.

 

The Board of the Integrated Care Partnership was chaired by the Cabinet Member for Health in Barking & Dagenham. Councillor Brice-Thompson also attended these meetings and a representative of Healthwatch was also present. The locality boundaries had been drafted and the Health and Wellbeing Board would be invited to agree these at a future meeting. Priorities for the locality areas included children’s health & social care and urgent & emergency care. The benefits and challenges of each locality area were currently being investigated and it was hoped challenges could be solved at the locality level where possible. Progress in Havering would be reported on at the next ICP board meeting.

 

An Integrated Commissioning Board had been established and the Transforming Care Partnership Board could be used to test out joint commissioning across the pathway. It was agreed that housing, jobs etc were critical to prevention of health problems and the self-care of residents. Links had recently been established between housing officers and NELFT’s talking therapies teams.

 

The Director of Public Health added that, with reduced budgets, it was difficult to focus on prevention but existing contacts could be used to improve this. Public health worked closely with BHRUT and the local CCGs on selected clinical pathways.

 

Councillor Ford felt that wellbeing was key and that areas such as children’s centres and healthy eating should be considered as part of a focus on the wider determinants of health. The CCG chief operating officer agreed, feeling that it was important to use existing resources in a more effective way.

 

It was also felt that there should be more of a focus on prevention in the STP in order that the public health message could be spread more widely. The Marmot Report also focussed on giving children the best start in life and there was a need to focus more on tackling health inequalities which were likely to rise in Havering.

 

The Board noted the update.

 

 

 

 

 

 

Supporting documents: