Agenda and minutes

This meeting was held in public at the suggestion of the previous Chairman to provide an update the Board regarding the Sustainability and Transformation Plan (STP).

The Worcestershire Leaders Board were invited to attend the meeting to receive the update.

No apologies had been received from Members of the Board.

Members of the Worcestershire Leaders Board (who were not also members of the Health and Well-Being Board) who attended were:

Adrian Gregson        Leader of Worcester City Council

Phil Grove                Leader of Malvern Hills District Council

Marcus Hart             Leader of Wyre Forest District Council

Jack Hegarty           Chief Excecutive of Wychavon and Malvern Hills

                   District Council

Sheena Ramsey      Chief Executive of Worcestershire City Council

Nina Woodford         Representing the Leader of Bromsgrove and Redditch            District Council

Jane Ball, Deputy Director of Strategy and John Burbeck, Interim Chairman from the Worcestershire Acute Hospital Trust also attended the meeting.

Sarah Dugan, Chief Executive, Worcestershire Health and Care Trust attended and presented the item on the Sustainability and Transformation Plan.

None

 Members of the public wishing to take part should notify Legal and Democratic Services in writing or by e-mail indicating the nature and content of their proposed participation on items relevant to the agenda, no later than 9.00am on the day before the meeting (in this case 9.00am on 10 March 2014). Enquiries can be made through the telephone number/e-mail address below.

A question had been received from Bryn Griffiths, Secretary of the Worcestershire Trades Union Council.

The Chairman read out the question:

In order to counter-balance the current excessive secrecy by which the Sustainability and Transformation Plan is being formulated and seemingly implemented, will the Board in the interests of transparency and democracy instruct that the submission to be emailed to Board members also be shared at the same time with all county councillors and with the public on the Council's website?

He answered:

As Chairman of the Health and Well-being Board, I can confirm that all papers and presentations discussed at public Board meetings will be available on the County Council website.    The general public and all county councillors can access the Council's website.

However, requirements for the submission due to NHSE by end June have changed since this was last discussed at Health and Well-being Board.  This will NOT be a final submission, but a draft in development. 

Sarah Dugan (CEO of Worcester Health and Care Trust) as  Strategic Lead for the STP explained that the STP Programme Board had met yesterday so there had not been the opportunity to distribute further information before the meeting and she was therefore giving a verbal update.

At the last Health and Well-being Board on 10 May the Chairman had suggested that this meeting be a public one to sign off the initial submission of the plan. Since that time the timescales had changed and the next submission would not now be made until 30 June, with further work needing to continue after that point.

The STP was fundamentally about implementing the 5 year Forward View across the Herefordshire and Worcestershire footprint.  At present planning was being done to see how value could be added by working together across the range of workstreams. Some workstreams were clinical such as with mental health, maternity and cancer and some were enablers such as IT, digital and workforce. All the workstreams from the different organisations would be included in the plan.

The STP Programme Board had decided on its top priorities which would need to be addressed to meet the Triple aim gaps of Health and Well-being; Care and Quality and Finance and Efficiency.

The Public Health Directors of the two Counties were leading on the Well-being aim. The Care and Quality gap was partly about addressing the special measures position of acute services but the issue would need to be re-solved by all organisations working together. This would then also result in improved outcomes for patients. Managing demand and doing things differently was important to manage the Finance and Efficiency gap.

After the next submission of the plan on 30 June there would be more engagement with the public patients and staff. Timeframes had been difficult with the amount of information and planning needed.

It had been recognised that a smaller number of priorities were needed to meet the triple aim gaps. These were not yet finalised but were likely to be:

·         Improving Health and Well-being – This would include increasing prevention work, improving resilience at community and personal level with self-care and maximising the use of digital solutions,

·         Developing multi-specialty community provider models – care would be redesigned and be based around individuals in their own homes. There was a real appetite for this work and lessons were being learnt from the pioneer work done in Holland and Sweden. Co-production was important so that patients could tell their story once and then carers would have access to that information,

·         Developing improved networks for secondary care services – Acute providers would be supported to get out of special measures and outcomes improved in areas where they were not as good as should be, such as with cancer, stroke, maternity and neo-natal care. Current arrangements were being reviewed to see whether they were being done at the correct level or whether it was necessary to bring in specialists from further afield even though  ...  view the full minutes text for item 377.

Public meetings (All at 2pm)

·         13 September 2016

·         1 November 2016

Private Development meetings (All at 2pm)

·         12 July 2016

·         11 October 2016

·         6 December 2016