Agenda item

6.1Ian Ayres, Accountable Officer, NHS WK CCG gave a presentation which provided the CCG’s perspective of the key drivers for change in the health service (and social care) arena; new requirements for planning and delivering services 2016 -2021; priorities and new models of care; local financial framework and the wider policy context.

6.2 Mr Ayres outlined the new requirement on health service stakeholders to establish stronger collaborative partnerships to deliver financial stability in the healthcare system based on the reversal of the separation of the commissioning and provider functions (which had been the thrust of healthcare policy and practice for more than 20 years) and development of new service models. Across the country, 44 planning ‘footprints’ (defined geographic areas) are now the focus for the creation of a ‘place based’ Sustainability and Transformation Plan (STP) that sets out the steps for delivering balanced finances for the whole system by 2021. STP must be submitted by June 2016. Each organisation in the system must also produce a 1 year Operational Plan that relates to the overarching STP. Operational Plans must be submitted by April 2016. Mr Ayres highlighted the financial challenges facing the NHS including delivering £22billion efficiency savings. ‘System leaders’ have now been agreed in each of the ‘footprint’ areas. The planning footprint is Kent and Medway. The system leader is Glen Douglas CEO, Maidstone & Tunbridge Wells NHS Provider Trust.

6.3  Mr Ayres outlined NHS England’s objectives for 2016/17 – which placed strong emphasis on tackling inequalities, addressing poor outcomes, driving improvements in quality of care and experience of care, and prevention of ill health and support for people to live healthier lives. Mr Ayres emphasised that the role of the Health and Wellbeing Board and contribution of partners across the local authorities in West Kent and community sector was vital in delivering these ambitions and the local priorities expressed in the Health and Wellbeing Strategy and West Kent profile. Mr Ayres also explained that the CCG was committed to working with KCC on the Integration Pioneer framework.

6.4  Mr Ayres concluded his presentation by directing Board members to pp10-12 and 14, 15 of the accompanying presentation which reflected the national context and the CCGs local priority themes, population groups and financial matters:

·  Nine must do’s for 2016/17  NHS England Planning Guidance

·  Planning Priority Themes (including working with local councils; Frailty; Dementia; avoiding the need for Urgent Care – which links with WK HWB work streams around self-care, social prescribing and the Frail and Elderly

·  NHS WK CCG allocations and Draft Financial Framework

6.5  Points shared in discussion included:

·  Caution, not to underestimate the scale of challenges facing the NHS (£22bn savings) as this has never a requirement

·  Need for the public to better understand that hospital/health services will look radically different in the future

·  Devolution is another factor of which to be mindful

·  Acknowledgement of the scale of challenges facing health and other partners and particularly in light of local appreciation of the change in the character of local populations,  plans for housing growth/spatial planning matters

·  CCG has new role in the commissioning of primary care services and an invitation will be extended for a representative from the WKHWB to sit on the CCG Primary Care Committee

·  Need to discuss opportunities for ‘cross-fertilizing’ workforce at grass roots level/consider opportunities for better use of workforce

6.6  The Chair thanked Mr Ayres for his presentation and reminded members of the need to reflect on the relationship between the issues highlighted and WK HWB responsibilities.ACTION: BB