Agenda and draft minutes

Rebecca Huddleston welcomed everyone to the inaugural meeting of the Chorley Public Service Reform Implementation Group, and apologies were noted. Members were thanked for the personal profile information, and everyone introduced themselves to the group.

Rebecca Huddleston advised that the Executive members of the Chorley Public Service Reform Partnership were asked to nominate a Chair, and Steve Winterson was proposed to take up this role, this was seconded by Pete Ashby and supported by the group. The role will be reviewed after a 12 month period. Members were asked to nominate themselves to the deputy Chair role, sending names to Hayley Hughes by COB 22.09.15. This role will then be appointed at the next meeting.

Action Point: Members were asked to nominate themselves to the deputy Chair role, sending names to Hayley Hughes by COB 22.09.15.

Steve Winterson covered the objectives of the meeting which were:

·         To have an understanding of role and purpose of the Implementation Group (Item 4)

·         To have an shared understanding  of the Chorley locality and existing activity (Item 5)

·         To have consensus on essential data sources (Item 5) 

·         To have a clear understanding of system demand (Item 6)

·         To agree next steps and activity required (Item 7)

Members were asked for any comments and observations on the Strategy presented in terms of the purpose, vision and role of the group. It was confirmed that the Strategy has been approved by the Executive Group, which is the board that sits above the Implementation Group level, and that this is set for three years. It is owned by the full partnership, and details of the activity involved to deliver the strategy are covered in the Outline Business Case and Action Plan.

Steve Winterson went through details of the briefing pack issued to members which covered locality based teams, multi-agency groups, Chorley areas of deprivation, and improvements to services. Observations from members were:

CCG - David McBride advised that due to patient choice, and circumstances, patients don’t always sit in particular localities, similar to the ones shown in the pack. Peer groups are being reviewed to take into account interactions with LCFT services.

LCC - Mel Ormesher advised that as part of the transformation at LCC the draft Corporate Strategy has been issued out to District Councils and partners (which is also available on the LCC Website), and this covers the approach to service delivery, which varies across services. Many services will be evidence based covering how people live, healthy lifestyles, employment, housing etc. It was noted that specific to Chorley, highlighted areas include young people, and elderly, although these are not in similar localities. Approach is similar to CCG in terms of integrated services at an individual level. LCC shifting from place based services, being more integrated, working to Marmot Review Principles.

Police - Charlie Cox advised that Police are reviewing structure looking at areas of risk and service demand, which will be considered from a number of data sources. Some elements are locality based, but some are Lancashire wide. The structure of neighbourhood teams will be part of this process, and the impact on local services needs to be understood.

Fire - Pete Ashby advised that the Fire and Rescue services are also going through transition, looking to double up the Southern and Central areas. Key elements include prevention teams, accidental fires, community safety, and high risk areas. It was noted that Fire and Rescue act as a supporting agency to service delivery.

LTHTR - Sarah James advised that LTHTR are looking at the provision of services in the district hospitals, how they are delivered and where they are located. The outcome of the review is expected April 2016. Chorley will be impacted by this review.

VCFS – Donna Hussain advised that the third sector she represents covers the Chorley area, and community development can happen in the localities covered in the brief, looking to cover gaps in services. There are a number of new initiatives coming through that impact Chorley which could be factored in.

LCFT – Jamie Waugh advised LCFT commissioned to deliver services on locality of Chorley, South Ribble and Greater Preston. There isn’t teams specific to residents of Chorley, but there are in-reach teams such as Integrated Neighbourhood Teams (INTs). 

CBC – Rebecca Huddleston advised that the Council operate within the borough footprint, and that the Indices of Multiple Deprivation for 2015, which provides statistics on local deprivation, is due to be published in September. Vicky Willett added that the work of the Public Service Reform partnership is not restricted to the council boundaries, and there is certainly flexibility to work beyond the borough boundary to maximise outcomes.

Steve concluded that a number of  ...  view the full minutes text for item 15.43

Vicky Willett explained that the Outline Business Case is the first step to support the strategy of the Chorley Public Service Reform Partnership.

Five portfolios have been proposed as part of year one. Key pieces of work for the Implementation Group are:

Integrated Locality Working

To have Public services delivered by a joint workforce, improving processes and behaviours based on a consistent understanding of locality, so that services are delivered in an integrated and coordinated system.

Group was asked for views on locality working, bringing in a consistent partnership pathway, five stages of access to services, objectives and action plan, and if there is a need to consider a particular geographical area or cohort of population.

Data and Intelligence

To understand multi-agency activity to extend and enhance intelligence towards developing a shared data system to support an integrated service model.

On data intelligence the group were asked to consider how we review what we already have, and are looking at in multi-agency groups, how we link to referrals and share intelligence picking up work from the Integrated Action Team and Information Sharing Agreement. Consideration of Digital Platforms and IT structures to share data.

The Executive Group have ownership of the three portfolios covering Partnership Oversight, System Leadership and Culture and Workforce.

The business case sets the scene for Chorley and shows pressures of demand, setting broad milestones and objectives. The group were asked to consider the action plan and take ownership of this. Much of the work will be completed outside the group and members will be expected to take actions set out.

With the view of delivering the two workstreams within six months, the group were asked for views of the business case which is summarised as:

CCG – Raised concerns on scale of ambition, and timescales to deliver changes across the full range of public services in the programme is looking to fully integrate services. Advised need to understand scope of initiatives across the system, and in terms of data sharing what is realistic and manageable for the group. Data sharing on End of Life Care is an initiative that could give some lessons learned to the group.

LTHTR – Agreed that localities could be problematic to focus on. Terminology used in the activities we go as a group is important e.g. what integrated will mean within a six month period may be understood differently. There is an opportunity for all organisations to have a presentation about the Public Service Reform work, which has been planned in a number of areas. It was also noted that the partnership is not starting from scratch in terms of initiatives on joint working, and there is experience of partnerships working together for some years across the borough.

In terms of ambition and pace of the programme, Steve noted concerns from members of the group and agreed to seek clarity from the Executive on the scale of the activity, and commitment required from the Implementation Group. Assurance that the business case  ...  view the full minutes text for item 15.44

Vicky Willett advised the group that high level actions to complete activity have been captured, with sub actions being taken outside the meeting. Some background work has been started in terms of looking at teams across localities, which needs to be worked on further.

How people access and use service pathways will form part of the Chorley Conversation, a public consultation, which is currently taking place, and results from this will feed into the work of the group.

The group were asked for views on the Action Plan and overall it was noted that organisations were going through a period of reviews within the organisations which would need to be understood and reflected in the work of the partnership.

A proposal was made on the focus of activity to look at integration and how this will work in 2-3 areas. The purpose of this focus and how this is measured is key, and from this a new model could be developed.

Suggestions of focus on Frail Elderly, Infant Mortality, Families and Deprivation were made.

A reference to how improve Smoking Cessation in a particular locality was given as a good example of how having an integrated approach worked well to give better outcomes, introducing an ongoing support function within the community.

It was agreed across the group for each organisation to identify 2-3 areas of focus, which cause the biggest risk/threat to demands in services, with consideration to geographical areas, age specific (Children/Adults/Elderly),  health conditions or wider determinants.

At the next meeting agreement will be sought on the areas of focus, which will provide the purpose, tangible activity, how this will be measured and delivered. The action plan will then be refreshed to reflect this discussion.

Action Point – Members were asked to consider and provide details of priority areas to Hayley Hughes by COB 22.09.15.

The next meeting will be held on 6^th October in Committee Room One, Chorley Town Hall. Start time planned for 16.00, however this needs to be confirmed with members.

Next meeting agreed as 6^th October 2015 at 2.00pm (note change of time).