Agenda and draft minutes
Venue: Committee Room 1, Town Hall
Contact: Hayley Hughes 01257 515151 Ext 5775
Welcome and apologies for absence
Covering the start of the meeting as Chair, Gary Hall welcomed everyone to the Chorley Public Service Reform Executive.
Minutes from the meeting of 18th July 2017 were agreed as a correct record with no matters arising. Actions raised were cleared as stated:
ACTION: Councillor Bradley to write to Chorley and South Ribble Clinical Commissioning Group to support the aim to drive pace of change in central Lancashire, with a true focus on early intervention and prevention, through the Our Health, Our Care Programme, offering ability to test activity as part of a new model through the Chorley Public Service Reform Partnership, highlighting concerns on potential delays to making change happen if linked to existing budgetary controls and wider timescales on the pan-Lancashire Sustainable Transformation Plans (STPs).
Note issued and part of agenda - Cleared
ACTION: Clinical Commissioning Group to provide an overview of the Primary Care Strategy to the next Executive meeting
This strategy is now Out of Hospital Strategy and to be discussed as part of agenda - Cleared
ACTION: The Executive were asked to pass any views on the approach to Evaluation to the PMO, and it was agreed that the presentation would be issued with the minutes from the meeting.
Presentation on evaluation approach issued to Executive, and evaluation completed and part of agenda - Cleared
Councillor Bradley then invited Vicky Willett to provide an overview of the evaluation for year two of the Chorley Public Service Reform Work programme.
This was supported by a summary document, and full evaluation report provided as part of the agenda pack.
Vicky advised that the evaluation covers work delivered from January to October 2017 in year two of the work programme, with the following objectives:
· A true test of co-location
· Development of work with primary care at scale
· Building Community resilience
· Supporting system wide transformation
An overview was provided on the four main workstreams, which were:
· Early intervention works
· Shared intelligence is essential
· Resilience starts in communities
· The Integrated Community Wellbeing Service provides a vehicle for leading and influencing the longer term wellbeing of communities
Out of Hospital Strategy Overview
Donna Roberts presented the Out of Hospital Strategy for the improvement of out of hospital care across Chorley, South Ribble and Greater Preston. The strategy supports the NHS five year forward view, looks to reduce pressure on GPs, and encompasses all out of hospital care. The strategy has a focus on localities, and for Chorley Central there are eight GP practices which have been grouped into two collaboratives. This does not necessarily fit with other geographical footprints such as wards, or service planning areas, but does logically fit with patients’ needs across the areas agreed and covers a population of around 30-50k.
The new models of care presented in the strategy are fundamentally based on locality and patient need with a focus on integration to ensure a holistic approach to meeting needs. Solution design events have brought in services which are wider than health and include how voluntary sector can support pathways, and sustainable care, supporting transformation to give the right care at the right time, and in the right place.
The strategy will influence how we make most effective use of workforce resource and skills, and will also link in with prevention strategy, which is in development.
A concern was raised on non-clinical staff being asked to action certain processes, and the need for training and legal liability to be considered. Donna gave assurance that recognised competencies have been developed and will be delivered as standard across all practices to ensure standardisation and that levels of competence are attained.
It was recognised that this strategy acts as a building block with the next steps of the public service reform partnership, and will create a number of opportunities, including GPs working in collaboratives and localities, linking closely with the prevention strategy.
It was noted that the GP collaboratives will not be “centralised hubs”, but have a shared approach on intelligence led demands in the locality to be aligned to wider services including statutory and third sector.
The Executive will continue to be kept up to date on how the strategy progresses.
Out of Hospital Work Programme and Governance Arrangements
Gary Hall advised that this item was for information to the Executive, and to note that the report provided indicates the complexity of the way in which the Sustainability and Transformation Partnership (STP) will be managed and reported. The CCG Steering Committee will be the decision making body which will report into the STP Board. It was noted that no timeframes are detailed, so localised activity, including that of the Chorley Public Service Reform Partnership, must maintain pace of change and deliver as this could inform and support further development of the STP, and support the health economies working together. Concerns have been raised that there is no representation of any district councils in the proposed governance structure.
Report was noted by the Executive.
Any other business
No other business was raised.
Tuesday 21st November 2017 at 16.00 Chorley Town Hall
Next meeting to be confirmed, which will link in with development of the delivery plan as discussed.