The Board will be provided with a presentation and invited to have a discussion on the NHS Success Regime.

Jerry Clough, NEW Devon CCG provided the Board with an overview of the Success Regime.  It was reported that –

(a)          the Success Regime was being overseen by the 3 regulatory bodies, NHS England, Monitor and the Trust Development Authority;

(b)          the Success Regime was announced on 3 June 2015 as part of Simon Steven’s speech to help the NHS to recover against the backdrop of the forecast deficit for 2014/15 and 2015/16;

(c)          Devon was identified as an area and follows on the from the 5 Year Forward View to tackle challenges and ensuring that the healthcare system is sustainable;

(d)          external support to take forward the level of transformation identified for the significant financial challenge in the Devon and Plymouth;

(e)          across the system we have a combination of financial and performance challenges which is why we are a system that would benefit from the Success Regime;

(f)           we need to ensure we have the right leadership behaviours in place to tackle the challenges ahead.

The following comments were made -

(g)          that it was important for the new Programme Director (when appointed) to have discussions with the Health and Wellbeing Board and the council on how the interaction of the Success Regime with local systems would happen.  Making sure the system in Plymouth interacts with the Success Regime but not in a way that derails or centralises a single response but builds on what we have done locally; 

(h)          only one meeting taken place with the regulators from the Success Regime and the need to balance the focus on NHS and the impact and opportunity around systems but not sure how this would develop;

(i)           the hospital works with two systems Plymouth, Devon and Cornwall as a provider of tertiary services and Cornwall not yet part of the Success Regime.  If we plan services for the longer terms we need to look at this.  The financial challenges and performance around A & E or time waiting for operation for example both locally and nationally were very significant and suggest an increased focus on the shorter term financial improvement that would get a greater focus and the skill to ensure we build on a sustainable system.  This was a challenge but also a great opportunity to make it this as good as it can be for the local population; 

(j)           the university offer their support and would be interested in working in this area both as the largest provider of healthcare professionals and innovation that build on the productivity gap;

(k)          the Community Transformation Partnership has picked up these issues and Plymouth was well sighted in the western locality certainly in terms of the services Plymouth Community Healthcare provide.  The Partnership was helping shape the Success Regime for Plymouth area.

Agreed that the Health and Wellbeing Board would welcome an early discussion with the Programme Director of the Success Regime.