Agenda item

To receive a report submitted on behalf of the Lincolnshire Sustainability and Transformation Partnership on the Integrated Community Care Portfolio and the progress made in four of the key programme areas: neighbourhood working; the GP Forward View; the 'Integrated Accelerator Programme'; and other work realted to data modelling, business change and integrated care.  This report was written by and will be presented by Sarah-Jane Mills, Chief Operating Officer, Lincolnshire West Clinical Commissioning Group. 

The Chairman welcomed to the meeting Sarah-Jane Mills, Chief Operating Officer, Lincolnshire West Clinical Commissioning Group and Kirsteen Redmile, Lead Change Manager, Integrated Care, STP System Delivery Unit.

The report circulated provided the Committee with an update on the implementation of the Integrated Community Care portfolio; and the progress that had been made in four of the key programme areas: Neighbourhood Working, GP Forward View, the Integrated Accelerator programme; and the KPMG and Optum commissioned work.

The Committee was advised that the ambition for the Lincolnshire system was for care to be provided in the community unless there was a clinical need or value for money reason that care and treatment should be provided in an acute hospital setting.  It was noted that Neighbourhood working was an essential element of the Lincolnshire Sustainability and Transformation Partnership, as it allowed equity of services to meet the demographic needs of the residents of Lincolnshire.  It was noted further that the Neighbourhood working approach was now being implemented across the whole of the County with 10 Neighbourhood leads having been appointed.  The Committee was advised that over the last six months the Neighbourhood leads and GP practices had been working closely with their communities and staff working in the area to agree key areas of focus which would have the greatest impact.  Page 125 of the report provided the Committee with details of the key focus area of the individual Neighbourhood Teams.

The Committee was also advised that during the last year other key pieces of work had been progressing which would provide the foundation for integrated community care, these included: Library of information and Services; Local Area Coordination; and Personalised Care and Support Planning.

During discussion, the Committee raised the following points:-

Councillor C L Burke advised the meeting that he was a Board Member of the YMCA; and had also been a former housing manager for young people.

·         That more needed to be done to integrate mental health services with other health services;

·         Extended GP Services - Confirmation was given that extended access to GPs had been rolled out across Lincolnshire from 1 October 2018. It was further highlighted that there had been good usage of the service and that patients had been happy to travel to other GP practices for their appointment as part of the extended access;

·         A question was asked as to whether the system had good working relationships with other organisations such as the YMCA and homelessness charities.  The Committee was advised that the Lincoln City South, Lincoln South and Lincoln North Neighbourhood Teams all had good working relationships with key partners; and

·         One member enquired whether there was adequate capacity to cope with the holistic approach.  Confirmation was given that there were adequate resources, these just needed to be used in a different ways.

The Chairman extended his thanks to the presenters for their attendance.

RESOLVED

1.    That the update on the Integrated Community Care Portfolio be noted and that further updates be received in due course.

2.    That details of the planned workshops be circulated to members of the Committee.