Regular update reports to the Health and Wellbeing Board are attached:

i.               Shropshire Care Closer to Home

             A report is attached.

                   Contact: Lisa Wickes, Head of Out of Hospital Commissioning and Redesign,
                   Shropshire CCG

ii.              The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

             Report to follow.

iii.             Future Fit

             Report to follow.

             Contact: Phil Evans, STP Director, Telford and Wrekin CCG

       iv.        Better Care Fund, Performance

                   A report is attached.

                   Contact: Penny Bason, Shropshire Council / Shropshire STP

v.              Healthy Lives

A report is attached.

Contact: Val Cross

i.        Shropshire Care Closer to Home

Barrie Reis-Seymour Programme Lead introduced and amplified the Shropshire Care Closer to Home update (copy attached to the signed Minutes).  He confirmed that the Phase II Model for case management had been agreed by the Governing Body in August.  It had been agreed to go ahead with the pilot demonstrator site despite lack of progress on the Alliance Agreement and expressions of interest had been requested by 25 January 2019. 

The Programme Lead confirmed that a Communications and Engagement Working Group had been established and that each provider had a Lead Communications Officer who sat on this Group.  He also confirmed that STP Digital support was now being received.  The IT Task and Finish Group continued to look at data and IT infrastructure requirements including data sharing, information governance requirements and the development of a shared care plan. 

The Programme Lead reported that the Phase III concept models had been designed and shared with the Programme Working Group for feedback by the end of January before engagement with wider stakeholders through a number of workshops.  Feedback would be collated in April when the final proposed models would be appraised by the CCG.

The Chairman suggested that it would be helpful for elected Members to know when the workshops would be taking place in their areas and in response to a query, the Programme Lead confirmed that the Council’s Communications Lead Officer did attend meetings of the Communications and Engagement Working Group.

The Programme Lead informed the Board that the JSNA software tool shared by Professor Rod Thomson had provided a wealth of information about the population which could be incorporated into the design allowing checks to be made in 5/10/15 years to ensure it was sustainable, fit for purpose and met the needs of the population.  It was felt that the current care closer to home design was spot on with current needs.  However, it was vital to develop the fifth stage of step up community beds, which required further work to identify changes required to ensure the service remained fit for purpose and was sustainable.

ii.       The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

Phil Evans, STP Director introduced and amplified the STP Programme update (copy attached to the signed Minutes) which highlighted the NHS 10 Year Plan. The STP Director gave a short presentation (copy of slides attached to the signed Minutes) which covered the following areas:

·           The NHS Long Term plan - what the future looks like;

·           Timeline – what outputs were expected and by when;

·           System approach;

·           Quantitative diagnostic;

·           Population Health Management Flatpack;

·           Next steps for Shropshire, Telford and Wrekin STP;

·           Performance and Transformation reporting requirements;

·           Governance Structure.

In response to a query, the SPT Director reported that the STP was a complete refresh as the previous plan had no buy in.  The engagement would be very broad with each organisation involved in writing their own part.  Although the Long-Term Plan was a nice aspiration and backed up other work being done in Shropshire, it was felt that a degree of realism was required about what could be achieved within the constraints of the timescale.  Members of the Board were concerned that the timescale did not give enough time to undertake a meaningful re-write whilst ensuring that a broader system approach was taken into account and that all of the work across Shropshire and Telford were aligned.

Concern was raised at the lack of engagement with this Board as it was felt that a plan could not be developed unless all key groups had the opportunity to feed into and agree it.  The STP Director confirmed that the intention was for all key groups to sign off on the plan.

iii.      Future Fit

The STP Director introduced and amplified the Future Fit update and gave a short presentation (copy of slides attached to the signed Minutes) which covered the following areas:

·           Summary of consultation results;

·           Reflections on consultation response rate;

·           Summary of responses and key themes;

·           Developing the Decision-Making Business Case;

·           To date and next steps;

·           Considerations, recommendations and mitigations;

·           Meeting of the Joint Committee to consider the Decision-Making Business Case;

·           Development of the Integrated Care Shadow Board

The STP Director confirmed that all documents and appendices would be available to the public via the website that day.  In response to a query, the STP Director confirmed that public transport and planned care had been included in the consultation.

iv.      Better Care Fund, Performance

Penny Bason, STP Programme Manager, introduced the Better Care Fund Performance update report (copy attached to the signed Minutes) which provided an update on the progress of the Better Care Fund (BCF) including current BCF performance (Appendix A) and Draft Q3 BCF return (Appendix B).

Gail Fortes Mayer reported that the BCF had moved forward a lot this year and that the majority of the national metrics had been met however the non-elective admissions target had not been met in Quarter 2 and was in danger of not being met in Quarter 3.  The Quarter 3 return also highlighted performance against the 8 High Impact Changes, implementation of the Red Bag Scheme and the Annual Review of the BCF programme.

In relation to the non-elective target, it was reported that a number of things had contributed to the rise and that a dedicated piece of work was being done to understand this. Regular updates would be provided to the Board.

Finally, the STP Programme Manager informed the Board that the Integrated Community Services team had been named team of the year, Adult Services at a recent national event.

v.       Healthy Lives

Val Cross, the Healthy Lives Coordinator introduced and amplified her report (copy attached to the signed Minutes) which provided the Board with an update on the Healthy Lives programme.  She highlighted the activity taking place in four of the programme areas (Healthy Conversations/Make Every Contact Count (MECC) Plus, Musculoskeletal and Physical Activity, Diabetes and Cardio-Vascular Disease and Social Prescribing).

The Healthy Lives Coordinator drew attention to the three levels of Healthy Conversations/MECC Plus training which had been developed. She reported that 91 learners had received Level 1 and 2 training and that further training was booked for the following week. 

Turning to Physical Activity, 308 referrals had been made to ‘Elevate’ so far of which 156 were self-referrals.  The sessions were aimed at those aged 65+ and at risk of falling.  It was reported that the Get Active Feel Good programme which provided support to people living with and in recovery from cancer in order to improve their health and wellbeing through physical activity was now open to GP referral.

The Healthy Lives Coordinator informed the Board that 8 pharmacies and 3 GP practices had been taking part in the AF pilot with 92 people having been screened so far in Shropshire pharmacies.  She then touched on CVD and diabetes audits, which had been completed in 4 GP practices.  340 social prescribing referrals had also been made with 12 GP practices now involved.

The Healthy Lives Coordinator reported that the Risk Register, Action Plan and metrics had been updated and reviewed.  Finally, the opportunities for progression of the Healthy Lives programme were discussed.  In conclusion, the Health Lives Coordinator reported that the programme was going well and was moving at pace.  She informed the Board that the team had made it to the finals of the team of teams award.

RESOLVED:  That the updates be noted.