Agenda item

Integrated Care Partnership

The Council co-chair the Integrated Care Partnership, which aims to coordinate a variety of health providers, the council and other health and wellbeing services around the whole needs of each person. The Board will discuss the ICP’s future draft priorities.

Minutes:

Councillor Coleman referenced the Chief Medical Officer for England, Chris Whitty’s recent comment on the amazing, collaborative social care and health work undertaken with local authorities which should not be lost and could be built upon.   Lisa Redfern indicated that the Integrated Care Partnership (ICP) reflected a similar ethos and explained that in her role as co-chair, together with Philippa Johnson, significant work had been undertaken to provide a foundation on which to develop five key areas for focus and as set out in the report. 

 

The relationships built during the past year in responding to the devasting impact of the pandemic could not have been achieved without a strong willingness to work together with a shared sense of purpose.  The purpose of a centrally placed ICP was to meaningfully drive forward a local agenda and this had been difficult to achieve to date.  The ICP board had recently been joined by Dr Nicola Lang who could not only offer empirical expertise on population health but as had been evident throughout the pandemic, was able to build strong relationships with colleagues an external partners.

 

 Philippa Johnson added that the key priorities had been informed by inclusive engagement workshops with primary care networks and residents.  At the same time, an evidenced based approach would be used to address health inequity.  Dr Lang commented that this aligned with well with a Public Health focus on wider health determinants (poor housing, access to education and employment) coupled with strong community engagement.

 

 

 

Commenting on the formation of relationships that had resulted from the response to the pandemic, Jim Grealy welcomed the establishment of the Integrated Care System (ICS) and felt that despite how remarkable this had been it was not sustainable without an institutionalised and formal framework offered by an ICP. The ICP and local decision making at a borough level would help inform the wider ICS and redress the balance of power.  Councillor Coleman agreed and referenced the fifth priority which was the development of an ICP with primary care networks located at the heart of local communities. An important part of this was to ensure that residents were engaged and listened to throughout.

 

Merril Hammer concurred that health inequalities needed to be a central priority but emphasised the importance of incorporating co-production within work of the ICP and more critically, the inclusion of the patient voice to directly inform and determine priorities.  On a final point she encouraged health colleagues to not talk about patients but “people” or “residents”. 

 

Toby Hyde reflected on his experiences of establishing ICPs across North West London and how they unfortunately did not always manage to succeed in capturing the excellent expertise and knowledge of board members and cautioned that there was much to be learned from this.  He reported that Imperial clinicians were keen to work with GPs and the local community to help improve health outcomes for H&F residents and that a way of managing this strategically should be considered. He welcomed the report but suggested that it could go further by identifying measures so that outcomes translated into benefits for residents and offer greater accountability and transparency at the same time.  Sue Roostan responded that the CCG was developing the scope of their work to include clinical input within this through engagement with clinicians and that this could help inform clinical outcomes.

 

Jackie McShannon welcomed the report and the discussion points. However, while the needs of children and young people were challenging and complex, they could be more centrally and explicitly included.  Acknowledging this and earlier points, Lisa Redfern confirmed that they had considered the inclusion of more meaningful local priorities and how to improve evaluation measures.  Young people were key and had been explicitly referenced within the full ICP report which could be provided, but it had been necessary to distil and broaden priorities.  Incorporating the patient voice was essential in formulating the work of the ICP and it would also be helpful to have a more co-ordinated approach to incorporating clinical input.

 

Councillor Coleman welcomed opportunities to develop engagement effectively within the framework of strategic coproduction, together with the support of organisations such as Healthwatch. He emphasised the critical importance of reaching out to the community in new ways to help shape and inform local health services.

 

RESOLVED

 

That the Board noted the report and commented on the draft priorities and areas of focus.

Supporting documents:

 

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