Agenda item

To receive the annual report of the Integrated Care Partnership Strategy.

The Board received a report which presented an interim care strategy, setting out how the assessed needs of the population could be met by the Integrated Care System (ICS).

Danielle Oum (C&W ICS) introduced the strategy on behalf of the Integrated Care Board (ICB) and recognised that a lot of the officers present had been involved in the development of the strategy, with work taking place in a relatively short timeframe and as a result of a fairly comprehensive engagement programme involving key stake holders, community and partners.  She described it as an alliterative process, the basis of a forward plan which would be worked on. It was noted that this had not been published yet, so this was the opportunity to make any suggestions or comments.

Danielle Oum referred to this being a new way of working for everyone and felt that the mission statement signed up to was a powerful ambition, encouraging individuals to take ownership of their own health and focus services where they were needed. The strategy set out the agreed priorities and she asked those present to consider what the HWBB would need to see with a Warwickshire focus, on a regular basis to ensure this was moving in the right direction of travel.

Councillor Judy Falp, representing Warwick District Council, welcomed the inclusion of priority 1 ‘Prioritising prevention and improving future health outcomes through tackling health inequalities’ which she hoped would go some way to individuals avoiding admission to hospital.

Councillor Roodhouse referred to the financial strain and challenges and queried the powers available to give support.  He did not want to just note reports and recognised that the prevention agenda was something that had committed investment. Councillor Roodhouse recognised the role of District and Borough Councils in the process and queried how the HWBB may address the pressure being put on NHS England.  He queried the powers that the Board had and how the discussions could culminate in actions for the benefit of residents.

Dame Stella Manzie (UHCW) noted the progress made and felt the key was a sharp focus, revisiting priorities and ensuring all individual organisations were aware of these.  She highlighted the need to ensure joined up working, thinking in multi-directional ways whilst continuing to deliver services under pressure.  Dame Manzie also reminded the Board that it was important not to spread officers too thinly, maintaining focus and embedding prevention.  She referred to the Improving Lives project which should change pathways for elderly people and those specifics could then be reported back.

Mannie Ketley highlighted the connection with her presentation reiterating that clarity was important to avoid micromanaging at Place level.

Chris Bain (HWW) recognised the amount of work that had gone into the strategy.  He felt that the connection with communities was needed with a system that was becoming more complex.  He advised that Healthwatch’s concern was where the patient’s voice could best be heard and in what form.  He queried the consultation mechanism and felt that to be effective, the process had to continuous and build trust and confidence. This communication would assist with early warning signs, from seldom heard groups such as working people.  In addition, he noted that the voluntary sector had to be heard and he was not sure that the relationships between tiers and bodies was sufficiently clear.

Councillor John Holland addressed the meeting, highlighting the system put in place by parliament and reminding the meeting of the JSNA process.

Russell Hardy (SWFT and George Eliot Hospital NHS Trust) reinforced the points made by Chris Bain and added his support to the progress being made.  He expressed his thanks to everyone involved and commended the engagement with citizens, which he hoped would continue in a structured and consistent manner.  Russell Hardy went on to make comment on the delivery plan and emphasise the prevention and inequalities agenda, whilst noting the political interest in the topic.  He reiterated the desire to share intelligence and not duplicate engagement, whilst maximising the work of the voluntary sector.

The Chair addressed the meeting and advised that the Board’s role was to ensure its own strategy was in line with the processes being discussed and she proposed that a short paper be submitted to the next meeting.  She reminded the meeting that the development of the ICB delivery plan was really important and needed to be monitored alongside the Warwickshire strategy.  She recognised that there was a lot of work already on this agenda but felt that there were gaps that needed identifying.  Councillor Bell wanted to ensure that the patients’ voice would be taken on board and would rely on Healthwatch to bring this to the Board’s attention so that it could be listened to and taken note of.  She hoped that future agendas would reflect the issues that were important to residents and would enable the Board to focus its efforts.

Diane Whitfied (Coventry & Warwickshire Partnership Trust) reinforced the concerns raised regarding clarity around the financial envelope, alongside the need for delivery of realistic and transparent messages to communities.

Councillor Roodhouse firmly supported the comments made regarding money and asked if the mapping exercise could include an additional column with figures in, enabling transparency and understanding in the community.

Having considered how the Board could contribute to the delivery of the strategy, how impact and success measures could be shared through regular reporting and how the ICS might inform further development of the HWBB’s strategy, the Board

Resolved that the draft Integrated Care Strategy for Coventry and Warwickshire 2022 be noted, along with the feedback on the draft strategy ahead of publication.