Agenda item

Briefing Note of Univeristy Hospital Coventry and Warwickshire (UHCW)

The Health and Social Care Scrutiny Board (5) received a briefing note of University Hospital Coventry and Warwickshire that provided an update on Coventry’s National Neighbourhood Implementation Programme - summarising the population health diagnostic, the neighbourhood and Integrated Neighbourhood Team design, progress to date (including Wave One delivery), and the key milestones and decisions expected through 2026–2027. A briefing paper and presentation were attached as Appendices to the briefing note.

The Cabinet Member and Deputy Cabinet Member for Public Health, Sport and Wellbeing, and the Cabinet Member and Deputy Cabinet Member for Adults Services attended the meeting for this item of business.

The Chief Strategy and Transformation Officer, the Community Clinical Integration and Transformation Lead, the Public Health Consultant, Clinical Operational Manager, Professional Lead for Nursing, and Coventry and Warwickshire ICB also attended the meeting for this item of business.

The Coventry National Neighbourhood Implementation Programme was designed to reduce health inequalities by shifting to a locality?based, proactive model of care. The Population Health Management diagnostic showed that a small percentage of the population had the most complex needs and use of services, demonstrating significant variation in need and outcomes. The neighbourhood model, Integrated Neighbourhood Teams, and the Coordination Hub aimed to improve access, continuity, and coordination of care for those with the highest levels of vulnerability, multimorbidity, and unmet need.

Neighbourhood geographies highlighted patterns of deprivation, long?term conditions, and service utilisation that vary across the city. The programme’s structure - bringing together primary care, adult social care, community health, acute services, and VCSE partners - intended to address these inequalities at a hyper?local level. It would require investments in digital enablement, estate improvements, and workforce development, essential to ensuring that all neighbourhoods could benefit from the model equally.

The programme also had the potential to reduce health inequalities by strengthening community engagement, improving pathways for urgent and emergency care users, and ensuring that people with the most complex needs receive coordinated, relational and place?based support.

The presentation covered the following:

·  NHS 10 Year Plan, NHSE National Neighbourhood Guidance and Neighbourhood Health Partnership Framework

·  Background to the National Neighbourhood Health Improvement Programme

·  The issues the programme aimed to address – a Population Health Management Approach

·  Emerging Neighbourhood Health model

·  Implementation progress to date

·  Measuring progress

In considering the briefing note and the presentation the Board discussed issues, asked questions and received responses from officers and the Cabinet Members and Deputy Cabinet Members on matters including:

·  This was a Partnership Programme and was the next step for Coventry whose existing work to reduce health inequalities aligned with the requirements of National Guidance

·  The Neighbourhood Health Delivery Pro-active Model of Care was at the forefront of the Programme

·  Through the Population Health Management diagnostic, the impact on individuals and care homes was now evident

·  The Programme wouldn’t just focus on the usual health indicators but would also include a local focus – offering neighbourhood delivery to the Coventry population in which community engagement was key

·  The Programme would be aligned with the work of Family Hubs, the Better Start in Life Programme, and Community Mid-wives and Health Visitors. This joined-up working is on-going

·  A Health Inequalities Working Group had been established   

RESOLVED that the Health and Social Care Scrutiny Board (5):

1)  Notes the content of the briefing paper and presentation by University Hospital Coventry and Warwickshire attached as Appendices to the briefing note.

2)  Had no further recommendations for the Cabinet Member or partners.

3)  Requests that an Annual Report on the progress of the Programme be submitted to the Board and that this be added to the Work Programme accordingly.