-        Sustainability and Transformation Plan

Report to follow.  Contact: Dave Evans T&W and Shropshire CCG

-        Digital Road Map

Report attached.  Steve James (Shropshire CCG) and Jon Duigenan (Shropshire Council).

          It was agreed to take the report on the STP first, followed by the LDR item.

22.1    Sustainability and Transformation Plan (STP)

Andy Layzell introduced and amplified a report and PowerPoint presentation (copies attached to the signed minutes) which set out the aims of the Shropshire and Telford & Wrekin STP, the key features, the financial challenge, how it might be resolved and feedback from the June review of the STP.

It was noted that the STP was unlikely to go public until it was formally signed off in October.  It was stressed that it was not an option to do nothing; if this happened there would be an approximate deficit of £140m by 2020.

A Communications Co-Ordinating Group was currently being established in the short term to help address people’s concerns about the STP.

Unease was expressed about the STP being decision-making without the input of local authority members; there were serious governance issues here that needed urgent attention.  There was a will to support this, but fundamental changes were required from the Council’s perspective

A discussion ensued about prevention which was a huge item, but did not appear within the plan.  It was acknowledged that more on this would be put into the next draft of the STP around prevention, such as falls and diabetes for example.

It was suggested there was a need to move away from the existing NHS focus and break out of that mould.  With regard to the engagement element there was a need to shift the relationship between public and health care services.

The Accountable Officer said that a neighbourhood locality approach was needed to target populations.  Shropshire Council Chief Executive highlighted that they were already targeting groups such as ‘edge of care’ people.  Through the STP we needed to find the money to make things happen.  There was a lot of good work going on that needed to be embraced within the STP and acknowledged.

RESOLVED: That the report and presentation be noted

22.2    Local Digital Roadmap (LDR)

Dr Steve James introduced and amplified a report and a PowerPoint presentation (copies attached to the signed minutes) which set out the objectives of LDR, the policy context, all about electronic health records and explained what this meant, looked at the issue of alignment; explaining this was the strategic alignment of digital strategy with the STP and Future Fit vision, outlined the Developmental stages and provided a Digital Maturity Index.

RESOLVED: That the report and presentation be noted

22.3    ICT Digital Transformation

Jon Duigenan introduced and amplified a PowerPoint presentation (copy attached to the signed minutes) which set out plans for the ICT Digital Transformation.  There were three key platforms and supporting technology was explained.  Details were given of the key elements which were;

·       Social Care

·       Unified Platform including CRM

·       ERP (Light)

·       Technology

The Social Care Project had recently received Council approval for funding and it was hoped to implement this in the first quarter of 2018.  Integration with Health and Other providers would be key and it was confirmed that the system would be flexible enough to allow innovation to take place.

RESOLVED:  That a further report be made back to the Health and Wellbeing Board as this project develops.