Report of NHS Staffordshire and Stoke-on-Trent Integrated Care Board
Minutes:
Paul Edmondson-Jones, Chief Medical Officer & Lynn Miller, Portfolio Director provided a report and presentation on the Integrated Care Partnership (ICP) Strategy. The Committee were advised that the ICP was a partnership of senior leaders across health, local authorities, voluntary sector, and other agencies to provide a united voice and single integrated strategy focusing on improving the overall health of the population.
It was reported that the Health and Social Care Act 2022 gave new statutory powers to Integrated Care Boards and Integrated Care Partnerships. It was also reported that the strategy will help to address local challenges including increased demand, longer waiting times, fragmented services, workforce issues and the significant financial deficit.
The Committee noted the following comments and responses to questions:
· This strategy was an overarching strategy across the whole of Staffordshire with a focus on people and communities, whereas there are a number of Health and Wellbeing Strategies which are covering particular groups in particular areas within Staffordshire. The ICP strategy would underpin Health and Wellbeing Strategies and re-enforces them with a focus on health and social care across Staffordshire.
· There was a statutory mandate to produce the Integrated Care Partnership Strategy by 31 March 2023. The work and engagement with partners would be ongoing.
· There would also be a Strategic 5-year joint forward plan which would break the strategy down and highlight how the outcomes would be delivered.
· The strategy will remain high level.
· There was a need to adopt a different approach centred around the key themes, the Five Ps:
o Prevention and Inequalities
o Productivity
o Personalised Care
o Personal responsibility
o People and Communities
· The relationship between the NHS and the Councils was important in the delivery of the strategy with policy/ cultural changes to focus on the residents needs first. The NHS and Council were working closely with District and Borough Councils with a focus on health inequalities and prevention. Primary Care Networks were engaging with District and Borough Councils to understand how they work with each other.
· Healthwatch had been engaging with the ICS, they were involved as part of the ICP and part of upper tier Place discussions with the City and County Council and had started to look at the relationship between housing and health, homelessness and hospital discharges.
· Partners had been working better together since the COVID pandemic with joint work such as the vaccination programme. The Fire service had also provided a fall service.
· Women’s Health strategy was important; The ICS would be looking to recruit someone to lead on the women’s strategy and women’s health.
· In relation to ‘Growing Well’ priority, there was a need to determine the root cause of some of these issues and to look at the age boundaries to plan through the system and look at what is best for the individual. In the past 5 years there had been an increase in SEND needs.
· A Primary care network strategy was being developed to provide alternatives to accessing GPs and increase access to other appropriate primary care professionals.
· Any outcomes from the strategy needed to be measured to ensure the plan was making a difference. The statutory body for developing and implementing the strategy was the ICP supported by the ICB. The reporting systems will be brought back to the Committee alongside the strategic 5 year forward plan.
· The importance of public perception on the outcomes as a result of the strategy was highlighted. Members want residents to see tangible outcomes.
· The role that Primary prevention in schools could have on the delivery of the aims of the strategy in areas such as healthy eating, lifestyle, tackling childhood obesity, to prevent secondary prevention later in life such as diabetes and high blood pressure.
The Committee agreed to consider the following questions and feedback by 1 March 2023:
1) Do you think the 5 key current priorities are right?
2) Do you think the existing ICP Partner priorities are right?
3) Do you think the Health Inequalities “Plus Groups” are right?
4) Have you suggestions for key specific groups to engage with?
5) Would you like any further information or opportunity to engage?
Resolved - That (a) the Health and Care Overview and Scrutiny Committee receive the initial Integrated Care Partnership Strategy update.
(b) the Committee consider the following questions and feedback by 1 March 2023:
1) Do you think the 5 key current priorities are right?
2) Do you think the existing ICP Partner priorities are right?
3) Do you think the Health Inequalities “Plus Groups” are right?
4) Have you suggestions for key specific groups to engage with?
5) Would you like any further information or opportunity to engage?
Supporting documents: