The Board received from the Head of Strategic Planning, Havering Place based Partnership, NHS North East London a presentation on the Havering Place based Partnership Interim Health and Care Strategy.

The Havering Place based Partnership brings together the NHS, local government and providers of health and social care services, including the voluntary, community and social enterprise (VCSE) sector, Care sector, residents and communities. It is noted that the primary purpose of the Partnership is to review and respond to the needs of local people, and improve the delivery of care and support to them to meet these needs in a way that is meaningful to them. 

It was stated that the Partnership has a formal Sub Committee with delegated authority from the NHS North East London Integrated Care Board for certain key decisions on local budgets and local to Havering decisions on health and care. The formal sub committee and wider partnership will primarily focus on the key factors that influence health and care of local people, including key wider determinants of health such as lifestyle factors and housing.

The Partnership and Sub Committee will work alongside the Board driving the key needs of local people as set out in the Joint Strategic Needs Assessment (JSNA) which is currently undertaking a refresh.

It was noted that the Health and Wellbeing Board will have a slightly wider scope than the Partnership Board focusing alongside the JSNA and Health and Wellbeing Strategy on the wider elements of the council.

It was mentioned that a proposal is in development which will set out the relationship in more detail and will be presented to the Board.

It was stated that the partnership is in the early stages of development but has strong buy in from partners and is committed to better meet the needs of local people and in particular to reduce health inequalities.

The Board was informed that local ‘neighbourhood’ teams of health and care staff were being developed to work closely with the community and voluntary sector and primary care networks and GP practices working together in their areas to improve the way that care is delivered to local people.

The interim strategy highlighted the key priorities for the Havering Place based Partnership in 2023/24. NHS North East London is in the process of a restructure which includes the establishment of a new team at place for Havering structured around the life course approach set out within this strategy.

The Partners intend to integrate commissioning of health and care in Havering as much as possible to ensure that services are seamless. Services will be commissioned around the needs of local people including the wider determinants of health and deliver value for money. The service will be overseen in terms of impact by the Board who will ensure that the Local Health and Wellbeing strategy and the needs set out within the Havering Joint Strategic Needs Assessment are embedded in the Partnership work as part of a Population Health Management approach. It is envisaged that the Havering Place based Partnership will drive forward the changes needed and oversee their roll out.

It was stated that culture will be a key enabler for the delivery of both the interim and five year strategy. This is both culture within our communities and building community resilience and building a positive working environment within Havering where all staff feel engaged and empowered to effect positive change and improvement.

It was mentioned that the strategy aligns with and compliments the NHS North East London priorities as set out in the Interim Strategy as well as the following cross cutting themes: Tackling Health Inequalities; a greater focus on Prevention; Holistic and Personalised Care; Co-production with local people; Creating a High Trust Environment that supports integration and collaboration; and Operating as a Learning System driven by research and innovation.

The report outlined the following four main priorities for the Partnership:

-       The Havering Place based Partnership vision, and life course approach

-       The initial priorities of the Place based Partnership and joint Integrated Team for 2023/24, and their initial aspirations once the team is in post

-       A draft terms of reference for the proposed group to be established to oversee delivery of the strategy which will report progress to the Place based Partnership and Havering Health and Wellbeing Board

-       A draft project plan for the proposed development of the full Havering Place based Partnership strategy from April 2024 – March 2031. This will be developed once the full integrated team is in place, and Board members will be kept updated on progress.

Members of the Board congratulated the service for putting together a comprehensive report. The Board discussed how to effectively monitor the delivery of the strategy.

The Head of Strategic Planning responded that the priorities will enable Partners to deliver the aspirations detailed in the report for each life course. It was explained that data leads for both the NHS and Local Authority are working together to develop a dashboard which will help to monitor progress against the aspirations.

The Board noted and endorsed the Havering Place based Partnership Interim Health and Care Strategy in particularly the initial priorities for the Integrated Team at Place.

The Board are to receive further updates on progress once the Integrated Team is in place including monitoring of impact and development of the five-year strategy aligned to the refreshed Joint Strategic Needs Assessment.