Agenda item

Purpose: The Berkshire West Clinical Commissioning Group (CCG) to provide an update on activities and commissioning plans, including development of the Integrated Care System (ICS).

The Chairman welcomed Belinda Seston and Amanda Lyons from the CCG and asked they provide their update.

Belinda advised that she is the Interim Director of the Place Partnership in place of Katie Summers who is on a secondment. She made the following key updates:

·       Hampshire Hospitals are modernising their hospital programme. She is involved in that along with Nigel Lynn. They will consider any wave effects of the new build on West Berkshire residents. 

·       There has been an access fund to increase GP activity. Additional appointments were made. 

·       There are conversations around a hospital discharge service. Susan Parsonage, chief executive of Wokingham Borough Council, will be leading on that.

·       Dr Tracy Daszkiewicz, Public Health Director for Berkshire West, is taking the lead on the response to the Ukraine crisis.  She is being supported by Julian Emms. They are developing a task group.

·       Due to covid there has been a significant impact on elective care. The main initiative is to reduce number of patients waiting more than two years. Very soon there is will no patients waiting over 104 weeks and there will be further work to bring that down further.

Amanda Lyons gave an update on ICB and ICS development. The transition to the ICB as a statutory organisation is subject to royal ascent but they are still working toward 1^st July. They have a 12-18 month transition roadmap on both the technical set up of the ICB (the architecture) and are also looking at the developmental areas of the ICS and some of the key enablers.

The ICB architecture looks at the governance between the place-based partnerships and the ICB and the ICP. The ICP being the partnership organisation which includes Local Authority members and the ICB being the NHS statutory body. It also includes that technical and functional integration. It looks at the formation of the board and the how it will interact as the NHS with the region and also taking into account the February Integration White Paper. This is organised and under control for 1 July 2022.

The ICS development aspects are more forward looking. This includes the Provider Collaboratives and the place-based partnerships. They are starting to think through the ICS Strategy and how it fits with Health and Wellbeing Board strategies. What public engagement needs to take place. There are some key enablers which are different to how the CCG’s would have functioned. There is real focus on:

·       Digital and data – connectivity across the ICS footprint

·       Clinical and profession leadership – patient pathways (preventative through to leaving the care of the NHS).

·       Diversity and inclusivity of staff and culture. How they tackle inequalities and learning from each other.

·       Assurance to give that outcomes are achieved.

Councillor Bridgman welcomed Belinda to the Health Scrutiny Committee. He clarified that Julien Emms is the CEO of Berkshire Healthcare and that Councillor Linden is on the JHOSC for BOB. Councillor Bridgman will be the representative for West Berkshire on the ICP. They are waiting for a working group meeting to be set up on how the ICP operates going forward. They are very interested in the PBP aspect and on where the statutory role of the CCG on health and wellbeing will lie. There will be a role for Scrutiny going forward in relation to BOB and the PBP within it. Councillor Bridgman also noted that the relationship with the CCG and CHC (continuing health care) is on James Kent’s list of things to look at.

Councillor Moore asked for clarity regarding the ICP / ICB / ICS and also on Provider Collaboratives. Amanda advised:

·       ICB (Integrated Care Board) is the NHS statutory body which will fulfil the statutory responsibilities that the CCG would have previously had.

·       ICP (Integrated Care Partnership) is the partnership board which incorporates the Local Authority and other partners. It sits alongside the ICB.

·       ICS (Integrated Care System) the umbrella of the ICB and ICP.

·       Provider Collaboratives is a terminology which captures any arrangement when one or more NHS body choose to cooperate to deliver something. For example Tier 4 CAMHS. It is not a statutory legal entity and is about how they will work together in partnership.

The Chairman thanked Belinda Seston and Amanda Lyons for their attendance and their updates.