Meeting documents

The NHS Shared Planning Guidance asks every health and care system to co-create an ambitious local blueprint to accelerate implementation of the Five Year Forward View – Sustainability and Transformation Plan (STP).  Buckinghamshire is part of a Buckinghamshire, Oxfordshire and Berkshire West footprint.

In January 2015, the NHS invited individual organisations and partnerships to apply to become ‘vanguard’ sites for the new care models programme, one of the first steps towards delivering the NHS Five Year Forward View and supporting improvement and integration of services.  In March 2015, the first group of 29 vanguard sites were chosen. 

There were three vanguard types:

·         Integrated primary and acute care systems;

·         Enhanced health in care homes; and

·         Multi-speciality community providers.

Members will receive a briefing on the progress on the STP to date as well as further information about the locality working model in Buckinghamshire – what it will look like and what new models are currently being developed.  What can Buckinghamshire learn from the vanguard sites?

Attendees:

Lou Patten, Chief Operating Officer, Clinical Commissioning Groups

Robert Majilton, Deputy Chief Officer, Aylesbury Vale and Chiltern Clinical Commissioning Groups

Sophie Payne, Head of Customer Experience and Communications

Papers and background documents:

1.    Update briefing – power point presentation

2.    Update on locality working/new models of care

a.    New Care Models: Vanguards – developing a blueprint for the future of NHS and Care Services

b.    Primary Care Strategy

c.    Frail Older Person Strategy

d.    Primary Care Home model – see link below http://www.napc.co.uk/control/uploads/files/1457539294~PCH_Story_Feb2016.pdf

e.    NHS England guidance on Multi-speciality Community Providers – see link below

https://www.england.nhs.uk/wp-content/uploads/2016/07/mcp-care-model-frmwrk.pdf

3.    Local planning for engagement – a brief summary of engagement intentions

The Chairman welcomed Ms L Patten, Chief Officer, Clinical Commissioning Groups, Mr R Majilton, Deputy Chief Officer, Clinical Commissioning Groups and Mrs S Payne, Head of Customer Experience and Communications.  Apologies were received from Mr Raj Bajwa.

The item was separated into three areas:

·         An update on the NHS Plan including the Sustainability and Transformation Plan;

·         New models of care;

·         The engagement exercise.

Mr Majilton took Members through his presentation and made the following main points:

·         There were 44 Sustainability & Transformation Plans (STPs) footprints across England largely based on patient flows into tertiary acute hospitals.

·         Buckinghamshire was part of the Buckinghamshire, Oxfordshire and Berkshire West (BOBW) ‘footprint’.

·         The STP was being developed "bottom up" and represented a small proportion of the Bucks health & care system.

·         The main plan was being developed locally across the health & care system – the Bucks ‘chapter’ built on work already ongoing.

·         The Bucks ‘chapter’ continued to progress Buckinghamshire’s health and care system approach to developing plans under the leadership of Healthy Bucks Leaders’ Group which included representatives from the Clinical Commissioning Groups, the Local Authority and the Hospital Trust.

·         Considerable transformation of NHS services nationally and locally was required to meet three identified gaps – health & wellbeing, quality and finance & efficiency.

·         The focus was on reducing spend on bed-based care into prevention and care at home.  It required a shift in funding from bed-base to community services.

·         The Plan built on the priorities identified in the Health & Wellbeing Strategy and the Joint Strategic Needs Assessment.  A number of programme workstreams had been set-up to deliver the specific aims of the Plan.

·         A Transformation Delivery Group had been set up to oversee the progress on the delivery of the workstreams.

·         There was a Thames Valley Urgent Care network which focused on reducing lengths of stay in Hospitals.

·         The Clinical Commissioning Groups commissioning intentions were around the delivery of transformation and new models of care; the delivery of integrated community based services around a cornerstone of sustainable primary care; collaborative provider model of local primary and mental health and secondary care and commissioning the iMSK service and exploring a new model of care delivery for the Diabetes pathway.

Ms Patten provided an update on locality working and new models of care.

·         The proposed new models of care built upon the Primary Care and Older People’s strategy.

·         People wanted more control over their care and wanted to be treated closer to home so this provided the focus for the health needs of the population.

·         The two CCGS were divided into 7 localities – Aylesbury Vale North, Aylesbury Vale Central, Aylesbury Vale South, Amersham and Chesham, Wycombe, South locality and Wooburn locality.

·         The community hub was described as integrated services tailored to the population.  GPs were determining their community hub size based on the health needs of their population which varied across the localities.

·         Providing care outside of the Hospital required a shift in resource which must be at scale and take costs out at the same time.  This would require additional investment in Primary Care and Community Services so that unplanned admissions would be reduced.

·         Each Hub would work within a Bucks network, sharing expertise.

·         Some services would be commissioned at a Bucks wide level thereby ensuring economies of scale.

·         The CCGs had signalled the collaborative provider commissioning intentions across Bucks which would see GPs and the secondary care providers working together to develop integrated care solutions for their local population.

Ms Payne took Members through the engagement exercise and made the following main points:

·         A comprehensive engagement plan for public, patients and key stakeholders was being developed.

·         The plan would be aligned with and informed by the BOBW footprint and neighbouring footprints (eg. Bedfordshire, Milton Keynes and Luton).

·         The engagement and communications process aimed to ensure that all key stakeholders and the public were provided with an opportunity to inform the conclusions reached during the development at local plans for health and care services.  The process would ensure transparency and prepare for any formal consultation.

·         Engagement would take place across the 7 localities and would, potentially, be followed by formal consultations dependent on the nature of the proposals.

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