Agenda and minutes

Apologies for absence were submitted on behalf of Councillors L Tostevin (Darlington Borough Council), J Chaplow (Durham County Council), R Cook, G Hall and R Martin-Wells (Hartlepool Borough Council).

There were no substitutions.

There were no declarations of interest.

To receive and approve the minutes of the meeting of the Durham Darlington and Teesside, Hambleton, Richmondshire and Whitby STP Joint Health Scrutiny Committee held on 8 November 2017 – Copy attached.

The minutes of the Joint Committee’s meeting held on 8 November 2017 were agreed as a true record and there were no matters arising.

The Committee will receive a verbal update from Alan Foster, Durham Darlington and Teesside, Hambleton, Richmondshire and Whitby STP lead officer which will cover the following issues:-

·                     Ongoing engagement between with the Chief Executives and Leaders of local authorities in the STP footprint and what the relationship is between that group and this Joint Health Scrutiny Committee;

·                     Potential timeframes for the development and commencement of formal consultations in respect of the STP and associated service proposals;

·                     Governance and the role of the CCG Joint Committee and the committee of Foundation Trusts;

·                     Cross STP boundary work within the North East;

·                     The development of an Accountable Care System and associated governance arrangements.

Alan Foster, Durham Darlington and Teesside, Hambleton, Richmondshire and Whitby STP lead officer, provided a verbal update which on the development of the STP and the Accountable Care System for the North East and Cumbria.  The key elements of the update and subsequent discussions are summarised as below.

•           Winter pressures and operational issues have been the focus over the past 3 months and so strategic work has not developed as fast as previously envisaged

•           Engagement and dialogue is continuing with a broad range of strategic partners, including local authority chief executives, Clinical Commissioning Groups (CCG), Mental Health Trusts, the Ambulance Services, Directors of adult social care and public health.

•           More work is needed to build a narrative that outlines exactly what it is that the STP is trying to achieve and how it will do it.

•           The previous approach, which had been developed through the Better Health Programme, did not engage widely enough with or find support from the public and local politicians.  As such, a new way forward is needed.

•           CGGs have developed Joint Committee arrangements to help progress the development of proposals for services changes that are over an area larger than an individual CCG footprint.

Alan Foster then said that there had been some correspondence following on from a meeting in Darlington with local authorities in the STP, which outlined a development plan which had 14 workstreams.  The intention had been to share this more widely but sickness and Christmas had prevented this.

A quick summary of the 14 workstreams was provided although it was noted that they had yet to be formally agreed by the CCG Governing Bodies.  It was anticipated that this should be achieved by the end of January 2018. The STP Workstreams were:-

1.         Cancer survival rates – compliance with the 2 week rule and the 62 days diagnosis to treatment rule;

2.         Demand management – finding alternative ways of dealing with demand that does not need to come into hospital and which can be better managed in different settings;

3.         Learning Disability and mental health – achieve nationally set goals, such as parity of esteem for Mental health services;

4.         Neighbourhoods and communities – applying what has been learnt from what has been done in the upper dales and other rural areas about out of hospital care;

5.         Acute sector – development of a blueprint for hospital services;

6.         Pathology – more efficient delivery of services.  This is largely an operational issue but crucially important for quick and effective diagnosis;

7.         Prevention – this is being led by the Director for Public Health from Newcastle but engages all DPHs across the STP footprint;

8.         Urgent and Emergency Care – learning lessons from pilots about how we can better manage bed space;

9.         System development – sharing innovation and good practice;

10.       Digital Care – how greater used of digital technology can increase efficiency;

11.       Estates – how the NHS estate can be used better and exploring opportunities  ...  view the full minutes text for item 5.

None.

None.

To be confirmed.

The next meeting was due to be held in either Darlington or Redcar with an anticipated date of late March or early April 2018.

DH – 22 January 2018.