Agenda item

(1) Presentation by Andy Hardy, Chief Executive of University Hospitals Coventry and Warwickshire on the Coventry and Warwickshire Sustainability and Transformation Plan Submission

(2) Harnessing Voluntary Sector Resources in System Transformation – Report of Stephen Banbury, Chief Executive of Voluntary Action Coventry

The Board received an update from Andy Hardy, University Hospitals Coventry and Warwickshire on the latest position regarding the Coventry and Warwickshire Sustainability and Transformation Plan Submission. The Board also noted a report from Stephen Banbury and Rob Allison, Voluntary Action Coventry on harnessing voluntary sector resources in system transformation.

Andy Hardy, Chair of the Sustainability and Transformation Programme Board, set out the background to the development of the Sustainability and Transformation plan referring to NHS Five Year Forward View from Simon Stevens, Chief Executive of NHS England published in October 2014 which highlighted a potential funding gap of £30b. In response to a commitment to provide an additional £8b to support services, savings of £22b would be required from efficiencies and new ways of working. Responses were sought from local health providers as to what services were needed to support their local populations. In December, 2015 NHS England announced that each area was required to develop a Sustainability and Transformation Plan. These plans aimed to bring together NHS Clinical Commissioning Groups and providers, such as hospital trusts, as well as local authorities and social care to develop footprints to improve the health and wellbeing of the population; the quality of care provided; and the NHS finance and efficiency of services.

Reference was made to natural footprint for Coventry and Warwickshire where over 95% of care was provided within the locality. A Programme Board was established and membership was highlighted. The following four priorities were identified:

·  Paediatrics and Maternity

·  Mental Health

·  Musculoskeletal services

·  Frail elderly

To drive the work forward, these were split between in and out of hospital programmes.

The Board were informed that the initial deadline for the submission of the plan was June 2016 however this had now changed and the final submission date was September, 2016.

Attention was drawn to all the partnership work that had already taken place and to the importance of ensuring that the prevention agenda was a key theme.

Members raised a number of issues arising from the briefing including:

·  The links with the West Midlands area

·  An acknowledgement of all the work to be undertaken and difficult decisions to be made

·  The risks and challenges associated with the plan

·  The opportunities for patient public involvement

·  The opportunity for partnership working with the two local universities to provide appropriately skilled and trained staff

·  The importance of wider organisations working together to protect Coventry residents against mental health problems and to improve social care in the city

·  The financial resource to support the prevention agenda.

The Board noted a report from Stephen Banbury and Rob Allison which informed how the Voluntary Sector could support sustainability and transformation emphasising the importance of ensuring that the voluntary sector was engaged in having the right conversations at the right time with the right organisations within the right footprint. This would mean better outcomes for both patients and carers.

Voluntary Action Coventry had moved from a bridging to a catalyst role in harnessing resources across the public and voluntary sectors using multi-sector problem solving workshops. The Board noted the success of the recent adult mental health workshop which involved 15 Charities, the CCG, the City Council, UHCW and West Midlands Police who engaged in building awareness of preventative services and agreed quick win actions to promote collaborative working. Detailed information was also provided on the frailty workshop held in March 2016 including successful actions.

Reference was made to an event held in May, 2016 which enabled sectors to consider system transformation, the Sustainability and Transformation Plan, Connecting Communities and integrated place-based working.

The next steps for Voluntary Action Coventry included working on a joint voluntary sector briefing on the Sustainability and Transformation Plan to continue to prepare the voluntary sector providers for more targeted involvement and also liaising with the City Council and the CCG prioritise issues for future workshops. 

Members of the Board raised a number of issues arising from the report including the opportunities for interacting with the different faith communities; how to utilise the best services provided by volunteers; and the intention to engage with the voluntary sector in the near future on the Sustainability and Transformation Plan.

RESOLVED that the update on the Sustainability and Transformation Plan and the report on the role of the Voluntary Sector be noted.