Agenda item
DELIVERING INTEGRATED SYSTEMS - PRESENTATION
- Meeting of Tower Hamlets Health and Wellbeing Board, Wednesday, 26th July, 2017 6.30 p.m. (Item 5.1)
Minutes:
Ms Radley provided a presentation on the Health and Wellbeing Board Strategy 2017-20, specifically on developing an integrated system. In doing so, she explained the intention to deliver better health services through partnership work. Her presentation also covered the following points:
More People Saying
· “I have easy access to information, advice and guidance which helps me to find what I need”
· “It’s easy to get help from my GP practices and I can contact my Care Coordinator whenever I have questions”
· “There are different people involved in supporting me but everyone listens to what I want and helps me to achieve my goals.”
Tower Hamlets Together
· Our integrated health and social care partnership for the borough (in NHS terms an “accountable care system”.
· Tower Hamlets Together Health & Wellbeing Board – position as high level board overseeing the partnership and adopt branding – clear democratic accountability for the partnership.
· Implications for the role and remit of the Board – Paper to September Board.
· Tower Hamlets Together governance structure under this – borough focus on integrated health and social care – streamline.
· HWB development session – shared vision and governance (to be re-arranged).
· Development of joint commissioning within this framework – Director of Integrated Commissioning.
· East London Health & Care Partnership, Transforming Services Together (subsidiarity).
· Locality focused health and social care delivery model.
Shared Vision
Key elements are:
· Arranging care around the person
· Tackling poverty /deprivation
· Care closer to home
· Task – to restate the vision in simple terms
Community Engagement
· Tower Hamlets Together engagement activity to date
· THT Engagement Forum
· Community commissioning work on community contract in CCG
· Co-produced local strategies e.g. carers, older people
· Developing the measures around the effectiveness of co-ordination
· Needs to be clear how this happens at all parts of THT – public engagement and co-production
· Providers – we need to get the networks right
· Locality Integrated Care Boards – review of role
Fully integrated health and care system
· New Joint Role – Director of Integrated Commissioning
· Joint Commissioning – the culture changes needed to achieve this
· Transparency around total spend and contractual arrangements
· Define what “accountable care” means to us in TH – accepting it is NHS language and has no single definition – focus on a collaboration which aims to address our local issues within a clear financial envelope
· Future of the alliance contract model within the CCG
· Consolidation/alliance versus provider plurality and diversity
Culture Change
· Focus on individuals and outcomes
· Tiered model – what are we doing to support different parts of the population
· OD programme – how do we get the right measures
· Trust and confidence in staff taking the right decisions close to the front line – support when people make a mistake
· Getting the measures – bringing together how each organisation tracks
· Overall measure of satisfaction?
· Feedback to services – how do we make this a system wide approach?
· What is key to delivering culture change? Single point of access?
· Sufficient focus on adult social care
Further Reflections
· Single registration? A part of the picture. Primary care single process around registering for primary care. Making every contact count.
· c30 people who wanted to engage – link into THT Residents Forum
· Re-run the diagnostic around ‘Stepping Up to the Place’
· Communications – joined up enough?
· Devolution opportunities?
The Chair described the proposals as risky and said that it was important that it was made clear where accountability would rest.
Dr Sam Everington, Chair of the Tower Hamlets Commissioning Group, congratulated Tower Hamlets Council for their work in this area and stated that, from a national perspective, the Council was ahead of the game.
Members noted the presentation.