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Agenda item

Merger CCG's - Report of CCG

Minutes:

Clare Henderson Director of Integration CCG, was present and made a presentation to the Committee, copy interleaved

 

During consideration of the presentation the following main points were made –

 

·         Pandemic has increased strength of relationships and ability to work as one system and highlighted health inequalities. As part of work to develop an integrated care system work is underway building on good practice seen in the pandemic response

·         Journey towards an integrated care service – In April 2020 the 5 CCG’s merged to form one CCG in line with the NHS long term plan. There are 32 thriving primary care networks across the area and continued to progress towards a more strategic approach to health commissioning. The next stage is to transition to an integrated care system

·         High level outline of White Paper changes – integrated care systems will become statutory organisations and responsible for strategic commissioning, duty to collaborate, reduced bureaucracy, population health, government will have power to impose capital spending limit on Foundation Trusts, NHS England will formally merge with NHS Improvement and be designated NHS England

·         Despite all the challenges of the last 18 months managed to build strong relationships and partnerships e.g COVID vaccination programme

·         Noted vision for an integrated care system in NCL, and what integrated care will mean for residents

·         Insights generated through engagement with residents will inform the development of NCL integrated care system, building on work already ion, in response to what they said was important. As an Integrated Care strategy committed to integration between system partners at place to improve outcomes for residents

·         5 borough partnerships key features – partnerships are maturing locally, COVID and acceleration of the ICS has furthered existing partnership working. Place based leaders are working together to shape the ICP roles, priorities, local structures and teams and ways of working

·         Each borough has a Partnership Executive in place, a delivery board,  a Task and Finish working group, and all partnerships are at the stage of information sharing, co-ordination, and collaboration around delivery, and partnerships are also generally working on aligning more staff/teams from their home organisations to this way of working

·         Noted development of place based partnerships,  and next steps to continue strengthening the system, key areas where working with partners, and engaging with  partners on the Systems Oversight Framework

Immediate next steps – working with borough partnerships on programme of engagement and system design and principles for collectively agreeing priorities, developing a NCL population health strategy, engagement with staff and residents on key aspects of integrated care and engagement with clinical and professional leaders to set a vision for clinical leadership in an ICS

·         Members expressed concern at the lack of accountability of the ICS and that the Government may seek to appoint people to the Board that were not representative of the local community

·         Discussion took place as regards mental health in the borough and how this would be improved, and it was stated that Islington had a good core model and measures were being taken to increase community mental health, and to at shared amongst the 5 NCL boroughs. In terms of accountability it was stated tthat discussions were still taking place, but it was not thought that private companies would be represented on the ICS Board, and that representations could be made that there should be local accountability

·         Reference was made to personal health budgets and the measures in place to make sure these were not exceeded and it was stated that this information could be provided to Members

·         Noted that it was felt that the ICS Board would be beneficial in focusing on how resources could be best utilised across NCL, such as work passports for nurses

·         Reference was made to the motion passed at full Council and that the concern of lack of local accountability should be conveyed to the Secretary of State and local MP’s

 

 

 

 

The Chair thanked Clare Henderson for her attendance

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