Report of the Clinical Commissioning Group
The Associate Director of Communications & Strategic Partnerships outlined the report and presentation. She advised that public consultation Dec 2018 - March 2019 had informed the MPFT delivery plan to introduce Integrated Care Hubs (ICH) across North Staffordshire. The four hubs would be developed in Leek Moorlands Hospital, Bradwell Hospital, Haywood Hospital and Longton.
The Integrated Care Hubs (ICH) would be a single point of access to services with one referral form to integrate work already happening in the community. The ICHs were at this stage integrated models of provision to be rolled out prior to the building becoming a reality. The community and Members would have full involvement in developing the hubs.
The following comments and responses to members questions were noted:
· Members welcomed the report and were pleased that health colleagues were looking at future demand on services, which would potentially be a 17% increase by 2030.
· The ICHs would have flexible spaces which could be used for a range of uses, whether this be clinics or voluntary group usage.
· Voluntary sector services would be commissioned and paid for by MPFT.
· There was a need for community groups to share information protocols and take on board GDPR requirements.
· The small Public Health team within MPFT would link to ICHs. The demonstration of need for relevant services at local level was key and Public Health colleagues were bringing population health management data into design and modelling conversations.
· Referral to community services time improvement would be made by reducing the number of referral forms from GPs and looking at self-referrals for some services including digital use, to avoid accessing through GP in the first instance.
· Each individual community service currently had an internal referral process, the service was looking to cut out the internal referral process as the multi-disciplinary teams and clinics would be in one place.
· The need for consistency of care and treatment was highlighted. Members noted that there would be differences in spoke and hub models, depending on the area in which they were based and prevalence for service need.
· It was suggested by a member that District Councils covering Leek, Biddulph and Cheadle needed to set up a work group to understand the interaction between the areas in order to future proof the hubs and ensure that patients could still get to appointments. In particular travel, bus routes, activity data for each of the GP services in the area and current usage would be useful feedback to MPFT to understand and work through to help shape ICHs. The existing consultation data was considered valid; however, it was recognised that things had moved on and there was additional demand and backlogs for services.
· Member questioned what was planned in South Staffordshire. The living well model would be across all of Staffordshire, models would be rolled out and GP referral forms would be piloted in South of the County, but at this stage a building conversion in the South had not been discussed.
· There was additional demand relating to mental health issues and more hospitalisation of people who were not identified through community services.
· MPFT was working with public health on the modelling and looking at a range of data to consider activities, lessons learned and taking digital advances into account in the building design.
· It was clarified that this consultation would not re-open discussion on decisions previously taken to close hospital beds.