Agenda item

Janet Cree, Managing Director, H& Clinical Commissioning Group provided an update on the Sustainability and Transformation Plans (STP), setting out key evidence by the submission date, which was 30^th June.  Outlining briefly the main work, covering three delivery areas and categorising nine priorities, it was explained that this would be delivered over three boroughs, identifying actions in each one. These would also be planned with input from local working groups and with representatives from the CCG.  It was noted that the key delivery area was radically updating prevention and early intervention and progress generally will be reviewed at national level, with a report back to the CCGs collectively.  Janet Cree concluded by saying that the STP would continue to evolve.  

Councillor Lukey enquired about the November deadline and Chris Neil, Whole Systems Director (LBHF) confirmed that this had now become adjustable.  He also explained that there was new guidance about public consultation plans, highlighting concerns amongst local authorities about the democratic deficit and noting that this was not implied.  Janet Cree responded that they were waiting on national guidance.  The draft documents were not yet ‘public’.  Noting the correlation or overlap with the STP, they had used the local HWB strategy as a delivery vehicle.  Local work had formed around the strategy and will feed into the STP, becoming part of the same workstream. 

Councillor Lukey reaffirmed the Council’s strong focus on public engagement and consultation but acknowledged that this would not be possible until the document became public.  Moving forward, Councillor Lukey sought assurance that there were no references in the draft to the current debate on Charing Cross A&E services or the number of beds, voicing her concern that this discussion was occurring without local involvement.  Vanessa Andreae, H&F CCG, explained that there was a consolidation of strategies and this would not develop with that level of detail without local involvement.  Janet Cree confirmed that there was clarity in the language used and that any reviews as to the number of beds will be clear. 

Councillor Sharon Holder,  Lead Member for Hospitals & Healthcare enquired at which point the STP would finally be signed off.  It was noted that this would not be before The Leader, Councillor Stephen Cowen attended the next London Councils meeting and LBHF would be involved in further discussions on this.  Chris Neil added that the process could be viewed from the base case but there was also a need to view the STP, locally and regionally. 

Moving the discussion forward, Chris Neil provided an update on the Joint Health and Wellbeing Strategy 2016-2021.  Referring to the survey data on the first page, January 2016 saw the strategy being refreshed and the STP amended. In March, Chris Ham, Chief Executive, The Kings Fund looked at integrated healthcare systems and on 24^th May, there was a half day development session attended by stakeholders, NHS, public health providers and which was also attended by Councillor Holder.  Engagement was important as a precursor to full public consultation. 

Chris Neil went on to outline the timetable for consultation, with discussion and feedback by 10^th July, and a public consultation period of 14 weeks, with final strategy approval by the Board on 16^th November.  With reference to the Joint Strategic Needs Assessment (JSNA) on page 3 and the wider determinants of health on page 4, the workshop held on 24^th May discussed the close alignment of thinking on co-commissioning, for example, and the importance of technology and digital tools.  Continuing, page 5 of the document referred to the priorities for delivering high quality health services, whilst page 6 outlined radical upgrades in prevention and self-care on independence work and capacity building.  Joined up, frontline care, with clear access pathways was an important point.  Chris Ham spoke in terms of public whole health approach, one that was more holistic and viewable across the systems, therefore able to move to increasingly preventative applications. 

Stuart Lines, Deputy Public Health Director, commended the work undertaken on refreshing the strategy and the opportunity to revitalise key priorities for example, life expectancy and improving aspirations. Councillor Lukey added that targeted work would require evaluation and was keen to ensure that this would extend beyond adult social care.  Vanessa Andreae suggested that it would be helpful to numerically align the priorities to avoid confusion and Chris Neil concurred with this approach.  It was noted that the engagement process was timed to coincide with the summer holidays and part of the autumn term, and that it was important to encourage this.  Councillor Holder reiterated that evidencing the format that the engagement took was essential for future analysis and auditing.  Chris Neil confirmed that the consultation feedback would broadly inform the final draft and that further discussion on the strategy would include the Board.  Continuing the discussion around consultation and engagement events,  Councillor Sue Macmillan, Cabinet Member for Children and Education commented on the level of public awareness, identifying what was working well and how to build on this, together with the need to make it relevant to the people. 

Members of the Board considered the timeframe and agreed that the initial date for responses to the draft should be moved forward to 5^th July to allow sufficient time to present it to the CCG governing body.  Chris Neil agreed to slight amendments on the timetable and the Board commended the draft as a well-articulated document presented in an accessible language.

RESOLVED

1.    That the content of the draft strategy, with the proviso that the date be moved forward to 5^th July, as set out in Appendix 1, for public consultation, be agreed and approved;

2. That the 14 week period of public consultation on the draft strategy, from 20 July to 27 October 2016, be approved subject to minor amendment;

3. That further community engagement in the north, central and south of the borough during the public consultation period, be undertaken;

4. That, subject to the findings of the public consultation, a revised final Joint Health and Wellbeing Strategy, be considered for approval at the meeting on 14 November 2016; and

5. That the update on the Sustainability and Transformation Plans, be noted.