The purpose of this report is to give an overview of the progress update on health and social care integration in Tower Hamlets, including (i) An overview of developments within the Northeast London Sustainability and Transformation Partnership (STP) arising from the NHS Long Term Plan; (ii) Successful service transformation to deliver integrated health and social care in Tower Hamlets; (iii) Changes to the borough based partnership Tower Hamlets Together and local governance arrangements; and (iv) Future proposals for enhancing integrated health and social care delivery in the Borough.. The questioning on the main points of the discussion on the report may be summarised as follows.

The Sub-Committee:

v  Was advised that the system has undergone some significant change recently, especially at the CCG and system levels, due to implementation of requirements set out in the NHS Long Term Plan.

v  Observed that the first part of the report focused on the direction, achievements, and ambitions of the THT Partnership, with the second part outlining the new structures that are now in place.

v  Was informed that THT partnership pools together £760 million across partnership and Council’s contribution is estimated as £120 million

v  Requested to have breakdown of the budget and overspend to review and discuss further

v  Noted that THT is a formal subcommittee of the Health and Wellbeing Committee

v  Noted that with regard to its role in this area that it has a responsibility to ensuring that health services are held to account at the local level and are answerable to local communities. These include requiring representatives of NHS organisations and providers of NHS services to attend meetings to provide information from NHS organisations about their commissioning or providing strategies, plans, budgets, and activities.

v  Noted that an integrated care system in Tower Hamlets will improve patient outcomes and ensure quality care at the minimum necessary cost.  It will also provide more responsive, coordinated, and proactive care and to enable high-quality care that responds to patient/service user needs rapidly in crisis situations.

v  The integrated health and social care system will also empower patients, users, and their carers; enable patients and service users to live independently and remain socially active; establish education and self-care programmes for patients; and personalise care to patients’ and service users’ needs and preferences.

The Chair Moved and it was RESOLVED to:

1.            Thank all those attendees for their contributions to the discussions on the integrated health and social care system in Tower Hamlets; and

2.            That these discussions would form the basis of any feedback to be submitted regarding the integrated health and social care system in Tower Hamlets.

3.            Request that THT meetings to be listed on the Council calendar with agenda to be made public

4.            Request that the Committee be provided with a breakdown of the council’s contribution to THT budget with a better understanding of overspend to review and discuss further