Agenda and minutes

Venue: Committee Room 3 - Council House. View directions

Contact: Liz Knight  Tel: 024 7697 2644 Email:  liz.knight@coventry.gov.uk

Items
No. Item

1.

Declarations of Interest

Minutes:

There were no declarations of interest.

2.

Minutes pdf icon PDF 76 KB

Minutes:

The minutes of the meeting held on 10th April, 2019 were signed as a true record. There were no matters arising.

3.

NHS Long Term Plan pdf icon PDF 101 KB

Report by Rachael Danter, System Transformation Director, Better Health Better Care Better Value, who has been invited to the meeting for the consideration of this item

Minutes:

The Scrutiny Board considered a report of Rachael Danter, System Transformation Director, Better Health Better Care Better Value concerning the NHS Long Plan. Health and care leaders had come together to develop the Long Term Plan to make the NHS fit for the future and to get the most value for patients out of the available funding. Rachael Danter, Andrea Green and Dr Sarah Raistrick, Coventry and Rugby CCG attended the meeting for the consideration of this item.

 

The report indicated that the plan had been drawn up by frontline health and care staff, patient groups and other experts. They had benefitted from hearing a wide range of views from 200 events and receiving 2,500 submissions from individuals and groups representing the opinions and interests of 3.5m people.

 

The Board were informed of the key things that local NHS organisations would be working on with their partners to turn the ambitions in the plan into improvements in services in Coventry and Warwickshire which included:

·  Making sure everyone gets the best start in life

·  Delivering world class care for major health problems

·  Supporting people to age well.

 

To ensure that the NHS could achieve the ambitious improvements for their patients, the Long Term Plan also set out how some of the challenges facing the NHS, such as staff shortages and growing demand for services, could be overcome. These included:

·  Doing things differently

·  Preventing illness and tackling health inequalities

·  Backing the workforce

·  Making better use of data and digital technology

·  Getting the most out of taxpayers’ investment in the NHS.

 

The report informed that Sustainability and Transformation Partnerships and Integrated Care Systems were now being asked to develop and implement their own strategies for the next five years. The strategy for Coventry and Warwickshire needed to set out how it was intended to take the ambitions from the Long Term Plan and working in partnership to turn them into local action to improve service and the health and wellbeing of the local communities, building on the work already undertaken. It was the intention to consult with employees, patients and local residents providing them with the opportunity to help shape what the NHS Long Term Plan means for the area and how services needed to change and improve.

 

The Board noted that between March and April Healthwatch Coventry and Healthwatch Warwickshire had undertaken a programme of engagement activity via online surveys, face to face meetings and focus groups, which sought the views of 795 local people about the provision of the services/ care currently provided. The output from this work along with other engagement activity undertaken by local authorities and the CCGs would be used to inform the production of the response to the NHS Long Term Plan - the next Coventry and Warwickshire Five year Plan. The report set out the time line which included production of the draft plan during the summer, engagement from September with publication of the Five Year Plan in November 2019. Members were offered the opportunity for  ...  view the full minutes text for item 3.

4.

Response to NHS Long Term Plan in Respect of Streamlining Commissioning pdf icon PDF 823 KB

Report of Dr Sarah Raistrick, Chair, Coventry and Rugby Clinical Commissioning Group (CCG) who has been invited to the meeting for the consideration of this item

Minutes:

The Scrutiny Board considered a report of Dr Sarah Raistrick, Coventry and Rugby Clinical Commissioning Group (CCG) which provided an update on the implementation of the NHS Long Term Plan in relation to the commissioning function of the CCG within Coventry and Warwickshire. Dr Raistrick attended the meeting for the consideration of this item along with Andrea Green, Chief Accountable Officer.

 

The report indicated that The NHS Long Term Plan, published in January 2019 set out how the NHS would move to a new service model in which patients would get more options, better support and properly joined up care at the right time in the optimal care setting. It set out:

·  How the NHS would strengthen its contribution to prevention and health inequalities

·  The NHS’s priorities for care quality and outcomes improvement for the decade ahead

·  How current workforce pressures would be tackled and staff supported

·  A wide-ranging programme to upgrade technology and digitally enabled care across the NHS

·  How to return the NHS onto a sustainable financial path.

 

The Plan stated that local NHS organisations would increasingly focus on population health, moving everywhere to Integrated Care Systems (ICSs) each covering a population of c1m by April 2021 growing out of the current network of Sustainability and Transformation Partnerships. These would have a key role in working with Local Authorities at ‘place’ level and through them commissioners would make shared decisions with providers on how to use resources, design services and improve population health. 

 

Every ICS would need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This would typically involve a single CCG for each ICS area. CCGs would become leaner, more strategic organisations that supported providers to partner with local government and other community organisations on population health, service redesign and LTP implementation. 

 

The Board were informed that Coventry and Warwickshire were on a journey towards becoming an ICS by 2021. The CCGs had set out to determine their response to achieving ‘streamlined commissioning’ with a 20% administration cost reduction during 2020. The governing bodies had asked for a transitional case for change to be developed. Initial consultation including briefings and engagement events for staff, GP members and governing body members had been held since December 2018. Other events were held with key stakeholders between March and May, 2019. The purpose of this activity had been to bring together a wide range of stakeholder views from across the locality.

 

The CCG had considered the transitional case for change at their meeting in May. In their discussions they were clear that, with the development of a single strategic commissioner, about 80% of the current CCG work would be aligned with ‘place’. (4 places – Coventry, Warwickshire North, South Warwickshire and Rugby). 20% of the current CCG activity would align with commissioning at a Coventry and Warwickshire level. The governing body made a recommendation to GP members that the strategic direction would be a merger of the three local CCGs subject to the development  ...  view the full minutes text for item 4.

5.

Work Programme 2019-20 and Outstanding Issues pdf icon PDF 90 KB

Report of the Scrutiny Co-ordinator

Minutes:

The Board considered their work programme for the new municipal year.

 

RESOLVED that the initial work programme for 2019/20 be approved.

6.

Any other items of Public Business - Andrea Green

Any other items of public business which the Chair decides to take as matters of urgency because of the special circumstances involved

Minutes:

The Chair, Councillor Clifford, informed the Board that Andrea Green, Chief Accountable Officer, Coventry and Rugby Clinical Commissioning Group (CCG) was leaving her current position in August to take on a new role in Stockport. The Board placed on record their thanks and appreciation for all work undertaken by Andrea over the past few years. They wished her well in her new job.