Agenda item

(To receive a report from the Lincolnshire Sustainability and Transformation Partnership, which updates the Committee on the progress that has been made in the collaborative design and implementation of Integrated Neighbourhood Working)

The Chairman welcomed to the meeting Kirsteen Redmile, Lead Change Manager – Integrated Care, STP System Delivery Unit.

The Committee gave consideration to a report from the Lincolnshire Sustainability and Transformation Partnership (STP), which provided an update on the progress that had been made in the collaborative design and implementation of Integrated Neighbourhood Working.  The report highlighted the key successes and the links to the GP Forward View programme.  The Committee was reminded that Integrated Neighbourhood Working was one of the four priorities in the Lincolnshire Sustainability and Transformation Partnership.

In guiding the Committee through the report, particular reference was made to the national context behind Integrated Neighbourhood Working; the four characteristics that make up a Primary Care Home; the Lincolnshire context; Integrated Neighbourhood Working – 2017 onwards; Better Care Funding; and Integrated Neighbourhood Working Programme; and the progress made to date.

The Committee was advised that each Neighbourhood had identified a GP lead to support their local programme.  It was noted that Phase 1 sites had plans in place; and had identified their next steps to ensure that by 1 April 2018; they would all have to be able to start to demonstrate Integrated Neighbourhood working in their area; and Phase 2 sites would start to implement planning and delivery of Integrated Neighbourhood Working from 1 April 2018.

It was noted that the progress of each Neighbourhood was being managed through the Countywide Learning and Development Forum and that each area was accountable to the Integrated Neighbourhood Working Strategic Group.

It was highlighted that the report was not a statutory consultation item within the scope of the 2013 Regulations; this was because the direct service impact on patients in terms of accessibility of services was not substantial enough to warrant a statutory consultation.

Detailed at Appendix A for the Committee's was a copy of the 'Neighbourhood House'.

The Committee had also received two further supplementary reports prior to the meeting, which provided details of the outcomes and impact on individuals who had been supported through the Integrated Neighbourhood working; and a making a Difference Case Study from the Gainsborough Neighbourhood Team.

During a short discussion, the Committee raised the following issues:-

·         How the patient experience would be affected.  The Committee was advised that the introduction of the Integrated Neighbourhood working would be a positive experience for the patient.  The two supplementary reports provided confirmation that this was the case;

·         The need for any structure to be clear.  Acceptance was given that any changes would need to be communicated very clearly to patients;

·         The need to ensure that all GPs become involved.  It was noted that some GPs were more engaged than others; and that there was particular challenges in the east of the county and also Gainsborough.  The Committee was advised that East Lindsey District Council had been involved with Neighbourhood Teams since 2013.  Officers confirmed that the district councils had a role to play with regard to Integrated Neighbourhood working;

·         Some members still expressed concern at the lack of consultation that had taken place.  The Committee was reminded that a lot of engagement and participation events had taken place in relation to Lincolnshire Health and Care, the predecessor of the STP;

·         A question was asked as to whether GPs were aware of the voluntary mental health organisations that were able to assist them and ease the pressure on services.  The Committee was advised that GPs were aware of these organisations; and that the Gainsborough case study was a good example;

·         The Committee was advised that Sleaford at the moment was work in progress.  Details relating to Phase 1, and Phase 2; and the three key roles that were identified as a must for each neighbourhood to have were shown on page 52 of the report presented;

·         Some members agreed that a progress further report should be received by the Committee in 3 to 6 months' time and that a plan should be provided to identify the Integrated Neighbourhood areas and their designation.  The Committee was also advised that work was ongoing across county boarders, as some Lincolnshire residents received their health care out of county;

·         Vanguard – The Committee was advised that there were 50 Vanguards across the country delivering the new care model as part of the Five Year Forward View;

·         The Grantham integrated working solution.  The Committee was advised further details of the model to be adopted was shown on page 57 of the report; and

·         Developer and Planning Contributions for NHS Provision.  The Committee was advised that this item because of its wider ranging implications had been passed to the councils Overview and Scrutiny Management Board to consider as a future scrutiny review.

RESOLVED

That the Integrated Neighbourhood Working report be received; and that a further progress report be presented to the Committee in six months' time.

The Committee adjourned at 12:55pm and re-convened at 2.00pm.

Additional apologies for absence for the afternoon part of the meeting were received from Councillors M T Fido, Dr M E Thompson and Dr B Wookey (Healthwatch Lincolnshire).