Agenda item

Report of Rachael Danter, Coventry and Warwickshire Health and Care Partnership

Professor Sir Chris Ham, Coventry and Warwickshire Health and Care Partnership presented the joint report on the draft Coventry and Warwickshire Strategic Five Year Health and Care Plan 2019/20 - 2023/24, a copy of which was set out at the appendix to the report. The draft Plan was submitted to the Board as part of the current engagement process.

The report indicated that Sustainability and Transformation Partnerships (STPs) and Integrated Care Systems (ICSs) were required to create five-year strategic plans covering the period 2019/20 – 2023/24, setting out how systems would deliver the commitments in the NHS Long Term Plan. The NHS Long Term Plan Implementation Framework sets out an expectation that STPs/ICSs would bring together member organisations and wider partners as they developed and delivered the plans. A key principle was that the plans should be locally owned. Local systems were required to share a draft of their plans with NHS England / NHS Improvement regional teams by 27 September 2019. The regional team had since provided feedback on this submission. There was now the opportunity for local engagement prior to submission of the final plan, by 15th November 2019.

The draft plan was informed by a focused engagement exercise undertaken with staff groups across the system (an on-line staff survey), as well as targeted engagement with patients and carers undertaken by Healthwatch. It also drew on engagement activity with a range of public and community groups conducted by the CCGs and local authorities. The understanding of population needs outlined in the draft plan was drawn directly from the local joint strategic needs assessments. The plan had been developed by the senior responsible officers for each of the workstreams, with involvement from stakeholders across the system. Clinicians had been fully engaged in developing the plan and the supporting clinical planning templates.

The report referred to the current period of engagement on the draft Plan which commenced on 27 September and set out details of the engagement plan in place, which included opportunities for the plan to be considered and approved through formal governance arrangements within the NHS; formal and informal engagement with local authorities; and informal opportunities for awareness-raising and engagement on the content of the plan with key stakeholders, such as Healthwatch Coventry.

The Board noted the summary of the draft plan priorities as follows:

Prevention – Through a strategic and targeted approach to earlier intervention, we will make it easier for people to lead healthy lives and stay well for longer.

Population health – Focus on education, affordable and appropriate housing, stable employment, leisure opportunities and a healthy environment.

Primary care networks – Building on our ‘Out of Hospital’ programme by focussing on preventing ill health, supporting people to stay well and providing high quality care and treatment in the home.

Urgent and emergency care – Simplify our offer and deliver a fully integrated response so that the most appropriate care can be given as quickly as possible.

Mental health – Deliver a step change by focussing on prevention, early intervention, self-care, wellbeing and recovery. Services for children and young people are a particular priority.

Cancer – Identify more people at risk of cancer earlier and undertake more community-based screening. Treat patients more quickly.

Maternity and Children – Respond to the changing needs of women, babies, children and young people. Consider how to most effectively deliver better health outcomes, quality, and patient experience in the context of existing health inequalities.

Stroke – Implement a new agreed model of stroke care, ensuring best possible outcomes and patient experience.

Service improvement – Implement a number of system-wide schemes to remove waste and avoid duplication.

The Board noted that a number of NHS organisations represented on the Board were required to sign off the plan whilst other partners would be involved in its development and delivery. In order to give the Board an opportunity to formally comment on the plan, the Chair, Councillor Caan was requested to respond to the draft plan prior to the end of the engagement period.

Board Members raised a number of issues which included the role of NHS England in the process; how the productivity and efficiency savings would be achieved; the learning from local voluntary organisations who worked with disadvantaged residents; the importance of partnership working across the health and care sector including the involvement of local Ward Councillors; and an acknowledgment of the strong emphasis on prevention in the plan, which was a testament to the joined up work led by the Board.

Councillor Clifford, Chair of the Council’s Health and Social Care Scrutiny Board (5) reported on his attendance that morning at the Coventry and Warwickshire Joint Health and Overview Scrutiny Committee who had also considered the draft Coventry and Warwickshire Strategic Five Year Health and Care Plan 2019/20 - 2023/24.

RESOLVED that, having reviewed and commented on the draft Plan from the perspective of the wider health and wellbeing system:

(1) The process for developing and engaging on the draft Plan be noted.

(2)  The Chair, Councillor Caan, to respond to the draft plan prior to the final submission.