Agenda item

(To receive a report and presentation from Sarah Furley (STP Programme Director) which provides the Board with an update on the delivery of the Sustainability and Transformation Plan)

Consideration was given to a report by Sarah Furley, STP Programme Director, which provided the Board with an update on the delivery of the Sustainability and Transformation Plan.

John Turner, Chief Executive Officer of Lincolnshire East CCG, introduced the report having taken over as the Senior Responsible Officer for the STP following the retirement of Allan Kitt.  It was recognised and acknowledged that the requirements of the STP had not, previously, been conducive to partnership working but that this position had improved and all partners were now working towards an integrated health service.

The STP was now in the mobilisation phase for those aspects of the STP which could be moved forward to enable service provision in homes and personal settings if it were both appropriate and safe to do so.

Sarah Furley, STP Programme Director, explained the priorities and mobilisation of the STP which utilised and built upon the NHS operational plans, submitted in December 2016.  The five key priorities for 2017/18 were highlighted to the Board, all of which had accountable measures attached to them:-

1.    Integrated Care including Neighbourhood Teams and Urgent Care;

2.    Operational Efficiency Solution;

3.    Prescribing across the system and for all care groups;

4.    Planned Care including Demand Management, MSK, Repatriation and elective care bed optimisation and pathway redesign; and

5.    Mental health Out of County Placements

The three main areas of work currently ongoing included the previous Lincolnshire Health and Care (LHAC) programme, operational efficiency and the care portal.

At 11.50am, Dr V Bhandal left the meeting and did not return.

It was anticipated that the investment needed would become clear within the next three to six months.

During discussion, the following points were noted:-

·       It was noted that the County Council continued to oppose the STP in its current form but that this view had been omitted from the document.  Unless changes were made to the document, the position of the County Council would not change.  It was acknowledged that the opinion of the County Council had been taken into consideration although this had not been specifically included within the report but the Board was assured that all concerns raised by the County Council, and by the public, were being considered and worked through to provide a solution suitable to all;

·       Concern was raised in regard to the current financial deficit and that the five priorities given did not appear to include finance.  The Board requested regular updates in relation to the financial considerations of the STP and the current deficit position;

·       The running costs of the NHS estate was cause for concern with a reported £208m backlog of repairs for United Lincolnshire Hospitals NHS Trust.  It was acknowledged that the STP was working alongside the One Public Estate programme which would also give consideration to the estate;

·       In relation to workforce, a lot of good work had taken place in Lincolnshire and Midlands and the East Region with a considerable amount of modelling done.  However, the Board remained concerned about the staffing turnover within the Trusts in Lincolnshire;

·       The consultation process would require consideration by the NHS internally, followed by NHS England both regionally and nationally and therefore the timetable would be guided by these factors.  It was hoped that the public consultation would be opened by the end of this calendar year or early into 2018.  The Board was assured that this would not prevent engagement and discussions with partners up to that point.  It was not possible, given the consultation process to be followed, to give definite consultation dates;

·       The Governance Structure provided at Appendix A to the report was not clear to the Board and also gave cause for concern; and

·       The Board were keen that the needs of Lincolnshire were given priority as well as those requirements of the NHS nationally.  It was felt that this element of local need was currently missing from the STP.

RESOLVED

1.    That the STP priorities be noted;

2.    That the progress to-date be noted; and

3.    That regular updates be added to the Work Programme of the Lincolnshire Health and Wellbeing Board.

At 12.20pm, John Turner left the meeting and did not return.