Agenda item
Health and Social Care Integration
Presentation from the Tower Hamlets Clinical Commissioning Group and the London Borough of Tower Hamlets (Jane Milligan & Karen Sugars presenting)
The report summarises the context, background and developments of Integrated Care in Tower Hamlets, with consideration to the impact this will have on patients and health and social care services in Tower Hamlets. The report details the Tower Hamlets Integrated Care programme and the work of the Tower Hamlets Integrated Provider Partnership..
Minutes:
Karen Sugars (Acting Service Head, Commissioning & Health) and Jane Milligan (Chief Officer, Clinical Commissioning Group), were in attendance to present their report in relation to the Health and Social Care Integration. They reported the following –
- there was a rising population across East London and Tower Hamlets in particular;
- spending restrictions in Health, long term deficits in Barts Health and CSR were likely to be challenging;
- large reductions in council budgets, including social care;
- need to continue to improve outcomes for our citizens, whilst exploring transformation, efficiency and integrated services;
- Integrated Care puts people in control to co-ordinate and have services delivered to achieve the best outcomes;
- the Integrated Care
Programme helps –
- to shape the local health economy around the patient;
- by changing behaviours across the system;
- by developing the provider landscape
- the creation of primary care provider
- the “Integration Function” developed in 2013/14 was a way of assuring the CCG that providers were able to work together;
- arranged around a
number of key principles
- clinical governance and shared standard operating procedures (SOPs);
- clear joint work on operations, pathways, SOPs and resilience;
- joint communications and engagement;
- high quality and shared data and reporting; and
- development of shared care records.
- Tower Hamlets
Integrated Provider Partnership (THIPP) has –
- Four partners – TH GP Care Group, Barts Health, East London FT and TH Social Care & Public Health
- One Vision
- Partnership delivery
Members considered the presentation and commented as follows –
- that patients were managed proactively with monthly ‘GP practice’ meetings where nurses, GPs etc. would go through each patient in detail and discuss the individual cases.
- that 60% of patients die in hospitals, but most patients prefer to go home and want to die at home with family, especially within the Muslim community where burial takes place within 24 hours. It is better for families to be close to their loved ones and it is also better financially.
- that the link to housing in relation to THIPP should be explored
- that the issues raised should be highlighted during the planning application stages of the process, where plans can be scrutinised and demographics and needs looked at together with the Local Authority. Planning powers could be used to assist the future housing approach and deal with the issues raised.
- the Overview and Scrutiny Committee were also looking into the links between housing and health and the opportunities in relation to available land and proposed plans for future housing.
- that the issues raised are very important in relation to the ‘wrap around’ care and the accommodation and GP surgeries should be monitored to ensure that the right provision of care was being offered.
Somen Banerjee (Interim Director of Public Health), stated that the housing issues have been raised previously and that there is an opportunity for Housing Associations and the Health & Housing Group which has been established to look at the opportunities.
Jane Milligan (Chief Officer, CCG) commented that there are pilot programmes within housing looking at the issue raised, with wrap around patient care including footwear checks, suitable accommodation etc. There needs to be more care for the mental and physically challenged community as far as suitable accommodation is concerned. Housing Associations are re-designing and supporting the housing approach e.g. Key Workers Scheme that previously existed for local workers and similar schemes should be established again in the future.
RESOLVED THAT -
- the presentation and report be noted.
- Jane Milligan (Chief Officer, CCG) provides the Health Scrutiny Panel with an update in relation to the housing and health link pilot programmes that are being established.
Supporting documents: