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

Shropshire Care Closer to Home

Report attached.

Contact: Barrie Reis-Seymour, Shropshire CCG / Lisa Wicks

Primary Care Networks Update

Report to attached.
Contact: Nicky Wilde/Steve Ellis

The Sustainability and Transformation Plan for Shropshire, Telford & Wrekin

A presentation will be given.

Contact: Martin Harris, Telford and Wrekin CCG / Rachel Robinson, Director of Public Health, Shropshire Council

Better Care Fund, Performance

Report to follow.

Contact: Penny Bason, Shropshire Council / Shropshire STP/Tanya Miles

Healthy Lives Update – Social Prescribing – Final evaluation report and ambitions for the future

Report attached.

Contact: Jo Robins

i.        Shropshire Care Closer to Home

Lisa Wicks, the Head of Out of Hospital Commissioning and Redesign introduced the Shropshire Care Closer to Home update (copy attached to the signed Minutes).

She confirmed that the pilot for the phase 2 model of Risk Stratification and Case Management was now underway and letters had been sent out in a staged approach to seek consent from patients that wanted to be involved. At present only 11 patients had declined to be involved with the pilot.

The Head of Out of Hospital Commissioning and Redesign explained that a 3 month impact assessment, which was part of phase 3 was almost complete and the results would be shared with stakeholders in due course, however, clear themes already coming through from the assessment so far included the lack of a shared clinical record and 24/7 working.

The next steps of the programme were outlined by the Head of Out of Hospital Commissioning and Redesign and it was reported that over the past few months work had been undertaken with the Shropshire Council Public Health team to develop a current Joint Strategic Needs Assessment.

The Chairman thanked the Head of Out of Hospital Commissioning and Redesign for the update and stated that it was pleasing that only 11 patients so far had declined to be involved with the pilot.

ii.       Primary Care Networks Update

Steve Ellis, the Head of Primary Care introduced the Primary Care Networks (PCNs) update (copy attached to the signed Minutes).

The Head of Primary Care referred to the Maturity Matrix produced by NHS England to support PCNs through their development. He noted that the matrix outlined the core components which underpin the successful development of networks.

It was reported that from July 2019 PCNs had been commissioned to provide extended access appointments and from April 2020 they will be required to deliver an additional 5 Directed Enhanced Services.

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

Martin Harris, STP Director gave a verbal update on the STP Programme.  Copies of the STP Long Term Plan were circulated (copy attached to the signed Minutes). 

The STP Director explained that even once the plan had been submitted it would continue to evolve and change based on the feedback and views gathered across the system. He reported that the plan had to balance the needs of the population against national priorities.

The STP Director referred to the flow diagram which detailed the document development and sign off process and informed the meeting that initial system planning submission was due on 27^th September 2019.

The draft content and involvement of the Board in the development of the Long Term Plan was outlined by the STP Director and he highlighted the vision going forward stressing the importance of working together as one to transform health and care for Shropshire, Telford & Wrekin to provide a better service for everyone.

In response to comments the STP Director agreed that the voluntary sector should be involved from the beginning and recognised that different care partners needed to be included in relation to Adult Social Care.

iii.      Better Care Fund, Performance

Penny Bason, STP Programme Manager and Tanya Miles, Head of Adult Social Care Operations introduced this item.

The STP Programme Manager informed the Board that work was ongoing to meet the 27^th September 2019 deadline and the full report would be presented at the November meeting.

The STP Programme Manager referred to an error in paragraph 1.4.1 of the report and stated that there had been confirmation on the continuation of the iBCF and Winter Pressures. The Head of Adult Social Care Operations added that the roll over money was welcomed but stressed that the iBCF was not sustainable if long term funding was not granted. 

The Board agreed that the Joint Commissioning Group in consultation with the Chairman be granted delegated authority to approve the plan for the 27^th September 2019 deadline.

iv.      Healthy Lives Update – Social Prescribing – Final evaluation report and ambitions for the future

Jo Robins, the Consultant in Public Health gave a presentation on the final evaluation report on Social Prescribing (copy attached to the signed Minutes).

The Consultant in Public Health explained that Westminister University had been commissioned to carry out an independent evaluation into the pilot Social Prescribing Demonstrator Site in Shropshire, and outlined the objectives and methods used.

The main findings from the evaluation were outlined by the Consultant in Public Health and it was noted that a significant 40% reduction in GP appointments had been achieved after 3 months.

RESOLVED:  That the updates be noted.