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Agenda item

Agenda item

SUSTAINABILITY AND TRANSFORMATION PLAN

 

To receive a report from Sarah Prema, Director Strategy and Implementation, Leicester City Clinical Commissioning Group  providing information on the development of the Sustainability and Transformation Plan (STP) for Leicester, Leicestershire and Rutland. 

 

A presentation on the Sustainability and Transformation Plan Checkpoint Submission is also attached.

 

Minutes:

Sarah Prema, Director Strategy and Implementation, Leicester City Clinical Commissioning Group presented a report that provided information on the development of the Sustainability and Transformation Plan (STP) for Leicester, Leicestershire and Rutland.  Members also received a presentation on the Sustainability and Transformation Plan Checkpoint Submission.

 

It was noted that the STP was a place based plan to accelerate the implementation of the Five Year Forward View required in the NHS Planning Guidance 2016/17 – 2020/21.   The STP covered all areas of CCG and NHS England commissioned services including specialised services and primary medical care.  The plan also covered the better integration with local authority services. 

 

The Better Care Together programme would form an integral part of the STP and Leicester, Leicestershire and Rutland were ahead of many areas of the country in developing the BCT programme.

 

In developing the STP each area has to show how they are going to ensure sustainability in the following areas:-

·         Health and Wellbeing

·         Improving care and quality

·         Ensuring financial sustainability

 

The feedback from NHS England on the initial submission in April had been positive and further work was ongoing to develop where LLR can go further on the three areas listed above.  A detailed submission has to be submitted to NHS England by 30 June 2016 and this will be based upon both the BCT Programme and the STP emerging priorities. 

 

The emerging priorities for the STP were:-

 

·         BCT Phase 1 service reconfiguration.

·         Public sector efficiency.

·         Prevention.

·         Urgent and emergency care.

·         Mental Health.

·         Integrated place based community teams.

·         Primary medical care.

·         Digital technology.

·         Public sector estate.

·         Health and care workforce.

·         LLR place based system approach.

 

These priorities would be developed by the 6 STP work-streams of:-

 

·         Improving health outcomes and independence.

·         Delivering care in the right place.

·         Making better use of resources.

·         Integrated place based teams.

·         Resilience in primary care.

·         System leadership.

 

It was expected the STP would not be finally approved until late autumn.  As part of this process the pre-consultation business case for the BCT was being refreshed.  As a consequence, public consultation on BCT could not start until this business case had been approved.

 

Following questions from members the Director Strategy and Implementation commented that:-

 

a)         There was patient participation involvement through the BCT Programme and the Chair of the Patient Participation Group would be in attendance at the meeting on BCT referred to earlier in the meeting.

 

b)         There was a transformation fund available for 2017/18 to reconfigure services; but access to this was dependent upon producing satisfactory plans.

 

c)         BCT and STP provided an opportunity to work with community and voluntary sector groups to contribute to health service provision especially within the prevention strategy.

 

In response to the Chair’s question on how the Board can add value to this work, it was noted that the demand on the acute sector from city residents was higher than other areas of LLR and the Board’s should be involved in assisting to stem the demand and ensuring the plans for public consultation were robust.  The Chair commented that the Board were looking at ‘prevention’ as a topic and recognised that the response to this issue in the city was different to that in the county and that it needed to involve a multi-agency approach.

 

Healthwatch indicated that they would welcome being involved in discussions with the community and voluntary sector groups.

 

The Local Policing representative referred to the ‘Braunstone Blues’ initiative with Blaby District Council to deliver a healthier, safer and more secure community.   In addition to offering advice on safety and security issues the multi-agency team also offer help with loneliness, anxiety, depression and dealing with antisocial behaviour.  The scheme could be rolled out elsewhere.

It was recognised that the commissioning system did not operate that allowed mutual risks to be shared by multi-agency initiatives.

 

RESOLVED:

1)         That the development of the Sustainability and Transformation Plan for Leicester, Leicestershire and Rutland be noted.

 

2)         That the Board’s involvement in the developing issues for STP be considered further at a development session.

Supporting documents: