The Board to receive a presentation on Integrated Health and Wellbeing.

Craig McArdle, Head of Co-operative Commissioning and Nicola Jones, Commissioning Lead provided the Board with a presentation on the Integrated Health and Wellbeing programme.  It was reported that from the 1 April 2015, Plymouth City Council and NEW Devon CCG would be jointly delivering commissioning for Plymouth.  The draft strategies that underpinned the programme are currently being consulted on.  Integration is an on-going journey and has made some significant progress and the ambition is right.

In response to questions raised, it was reported that -

(a)           in terms of hospital commissioning there was some work to do to have a rounded position and have started discussions with the hospital on what integrated commissioning would mean for the hospital;

(b)          the governance of the CCG had not changed for this current year and how this model was reflected in the future may well change in terms of commissioning of secondary care activity;

(c)           the Integrated Commissioning Board (ICB) would have responsibility for hospital based services, the ICB has no delegated authority and would start to develop from April 2015 to consider all commissioning  for the Plymouth population.  There was a complexity for the CCG to make sure that South Hams and West Devon were not overlooked and in the strategies have brought together the areas we believe there would be early wins but have to be more rounded in terms of impact on the hospital;

(d)          fair shares was well-rehearsed in terms of the equity position across the CCG with the current formula there was less spend coming into the western locality and that was acknowledged.  The CCG has financial constraints and there was an awareness of the disparity in the funding lines with the CCG and this was being pursued;

(e)          the hospital was an integral part of the system and any shift in money across the system needs to be managed and any changes need to be worked through openly and transparently;

(f)            there was a communications and engagement plan in place but further contact to be made with Board members on how well this was working at the moment and to improve the plan to reach a wider audience;

(g)           we would have like to have pooled the whole budget but due to legislation aligned some of the funding but in terms of making commissioning decisions have a financial framework around the whole budget.  Conversations were taking place nationally around this.

Agreed that –

1.         The Health and Wellbeing Board note the update on Integrated Health and Wellbeing.

2.         The Communication and Engagement Plan to inform the wider public of the changes.

3.         The final Commissioning Strategies to be considered at the next meeting of the Health and Wellbeing Board following consultation.

4.         The Health and Wellbeing Board to a Champion of the Plymouth Ask, Plymouth Health Deal and Fairs Shares.

5.         That system changes does not destabilise other parts of the system.