Presentations by the CCG and SCC
Minutes:
The Board received a presentation on Staffordshire CCGs commissioning intentions (CIs) for 2018-19, their development and alignment to HWBB and STP.
CCGs are required to publish CIs annually in order to communicate the priorities of commissioners and to facilitate a process of dialogue and collaboration with providers of healthcare services on how service change might be best implemented.
2018-19 is the second year of a two year contract between commissioners and providers which already sets the financial envelope, activity plans and commitments to be delivered. The CIs had been developed against a context of a complex and challenging environment: increasing demands and reducing budgets. The 2018-19 CIs were rooted both in the context of an overarching STP and a two year contract period.
Over half of the acute spend in Staffordshire is on residents over 65 years and this demographic is expected to increase by 7%. Strategic priorities centred on
· Focussed prevention – helping people stay healthier and independent by improving wellbeing and preventing illness
· Urgent and Emergency Care system – improving the quality of care by simplifying and improving access to it
· Enhanced primary and community care – reducing the need for hospital admission
· Effective and efficient planned care – to facilitate effective and expeditious discharge
The slides demonstrated the strong alignment between the HWBB Strategy, the STP and the NHS CIs.
In response, Board Members agreed that as the STP was worked through and CCGs were reshaped, there would be potential for significant changes in pathways.
The Board received a presentation on the County Councils Commissioning Intentions: Health and Care Plans 2018-19. The presentation provided a synopsis of the plans for next year on the Public Health and Prevention Programme; Care Commissioning; and Adult Social Work and Safeguarding.
There was a focus across the County Council on the digital offer and its application to every aspect of Public Health was being explored. The Care Commissioning market was challenged in Staffordshire as elsewhere. A revised Market Position Statement for each client group would be published and dialogue with all providers maintained and developed. The urgent care agenda was dominating the NHS and the County Council currently and a raft of additional services had been commissioned to help get people discharged from hospital more quickly.
Board Members discussed the detail of the CIs. The digital by default approach was a new one and generally members felt the move from a physical space to a digital world presented opportunities but needed to be managed and monitored. CIs would continue to reflect those who were not ready for the digital platform. It was important that there continued to be a coherent alternative, not just telephone. Some members expressed their concern over moving over too quickly to a reliance on digital. Another Member felt that digital could enhance independence where appropriate but the transition needed to be proportionate. Members agreed that this was a generational issue and that in time, digital would be the accepted norm.
RESOLVED – That the Board endorse the Commissioning Intentions for 2018-19 for both the CCG and SCC.