Agenda item

Caroline Farrar (HCP Managing Director) presented an update on the Hammersmith & Fulham Health and Care Partnership’s 10 Year Health Plan. She explained that the plan was designed to address the fact that services were becoming more unsustainable. The plan recommended three key shifts – from hospital to community, from analogue to digital, and from sickness to prevention.

Caroline Farrar acknowledged that it was a time of significant change in the NHS, with changes to the operating model at national, regional, and Integrated Care Board (ICB) levels. There were still some questions around how these changes would be delivered, but she said there were real opportunities too. She said the Health and Care Partnership would take the rest of the financial year to solidify their thinking and develop plans and noted that the Health and Wellbeing Strategy may have to be revisited as that came into focus.

The Chair thanked Caroline for the update. She said the Council was very keen to be involved in any preventative pilots.

Jacqui McShannon (Executive Director of People’s Services) asked what attention was being given to children and young people and how the integrated neighbourhood approach could be used to bring services to children and young people.

Caroline Farrar said the plan was intended to be a whole population approach. She noted that at a workshop last week that brought together colleagues from Health and the Integrated Care Board to explore prevention work aimed at keeping young people out of crisis. She noted there were other elements such as the Children’s Social Care reforms that partners needed to work through together.

Jacqui McShannon said she understood there was new health guidance around multi-disciplinary approaches and asked if that was something health colleagues were thinking about. She said she was keen for children and young people to be high on the agenda and said there were opportunities to be creative going forward.

Caroline Farrar said she had not seen the guidance yet but had recently attended the Families First for Children Pathfinder to learn about the work being done to better connect local authority and health services to ensure professionals were responding early to situations, keeping children safe and supporting their development.

Councillor Natalia Perez asked how the Partnership was envisaging the shift from analogue to digital. Caroline Farrar said a lot of the focus in the plan was on the NHS app, which she felt was very easy to use but said many people were still not aware of it. She said there needed to be a focus on digital exclusion. She also highlighted new technologies such as ambient voice technology and artificial intelligence but noted there were clinical governance questions around their use. She noted that the partnership was also looking at how to make the most of their data and improved analytics to identify opportunities.

Navneet Willoughby (Central London Community NHS Healthcare Trust), in response to Jacqui McShannon’s earlier question, said as a provider of children’s services in H&F, she fully supported the Partnership’s work and noted there were groups formed to look at performance management and strategy. She also acknowledged the point about the focus often being on adults over children and wanted to reinforce support for children and young people.

The Chair said consideration should be given to adding a schools or education representative to the Board.

ACTION: David Abbott to follow up

Sue Spiller raised the issue of digital inclusion and noted that some people not using digital pathways felt they were getting a worse service. The Chair said the Council’s preferred approach to digital exclusion was to support people to enable them to access digital services.

RESOLVED

1. That the Health and Wellbeing Board noted the update.