Presentation from Andrea Green, Coventry and Rugby CCG and Adrian Stokes, NHS England
Minutes:
The Board received a presentation from Andrea Green, Coventry and Rugby CCG and Adrian Stokes, NHS England on the development of Integrated Care Systems in the West Midlands, and in particular for Coventry and Warwickshire. Andrea Green, Adrian Stokes and Rachael Danter, NHS England, attended the meeting for the consideration of this item. The issue had been discussed at length at the Board’s workshop which had taken place earlier in the day. Councillor Abbott, Cabinet Member for Adult Services attended the meeting for the consideration of this issue.
The presentation provided an explanation of why Integrated Care was the way forward, referring to the Five Year Forward View which set out the vision for future of the health and care system having the triple aim of improving the health and wellbeing of the population and care quality while living within the budget. The next steps for the Five Year Forward View set out the vision to ‘make the greatest move to an Integrated Health System in the western world’. Integration needed to happen at all levels of the system to meet the triple aims and deliver the best care for patients.
The presentation highlighted what Integrated Care meant for the STPs in the West Midlands. The West Midlands wanted to create local integrated care systems in which NHS organisations worked together to take on devolved responsibilities, working closely in partnership with Local Authorities and Voluntary Care Services to meet the needs of their local populations. STPs were working towards being designated as ‘shadow’ integrated care systems meaning that national and regional support to work more closely together would be secured. To be designated as a shadow integrated care system, STPs would need to demonstrate baseline capabilities to take on additional responsibilities and freedoms of an integrated care system. Work was beginning with the national programme team to pilot the national integrated care system development programme to develop these capabilities.
The Board were provided with a potential roadmap to become an Integrated Care System, which included the option of participating in the aspirant ICS development programme.
Working with the System Transformation Group from NHS England, a local development offer had been set up which was open to all health and care systems in the West Midlands. It would be based on
· Effective leadership and relationships, capacity and capability
· Track record of delivery
· Strong financial management
· Coherent and defined population
· Focused on care redesign
The programme would be overseen by a Programme Steering Group. A project plan was now being developed in close relationship with the national Commissioning Capability Programme (CCP). It was the intention to run a twin track programme so the STP would benefit from both the national CCP offer and the aspirant integrated care development programme.
RESOLVED that:
(1) The content of the presentation on developing integrated care systems in the West Midlands be noted.
(2) The Board accept and support the introduction of an Integrated Care System, Members being encouraged by the work undertaken to date.
(3) The Board’s concerns relating to integration and responsiveness for the Coventry and Warwickshire footprint to be taken into account by the partners leading the new system.
(4) The Board noted that work was still required to determine the vision and timescale for the introduction and implementation of the Integrated Care System in Coventry and Warwickshire.
(5) The Board supported the suggestion of having two or three main priorities to commence the introduction of the Integrated Care System, with members being given the opportunity to influence these proposals via this Board, the Joint HOSC or the Health and Wellbeing Board.
(6) It is recommended that attention be paid to the style of leadership fronting the local Integrated Care System which should be consensual.
(7) Further update reports on progress be submitted to future meetings of the Board as appropriate.