a)    STP Update, Phil Evans Director, STP Programme

b)    Future Fit update, Phil Evans Director STP

c)     Out of Hospital Programme, Julie Davies, Director Delivery & Performance, Shropshire CCG

a)    Sustainability and Transformation Partnership (STP) Programme Update

Phil Evans, Director of the STP Programme gave a PowerPoint presentation (copy attached to the signed minutes) to the Board which briefly covered;

o   STP Governance Structure

o   STP PMO

o   Neighbourhoods

o   Community Admission Avoidance and Supported Discharge

o   Workstreams

o   Acute Services

It was noted that all plans would be amalgamated and put into a single system plan.

b)    Future Fit update

Phil Evans Director of the STP Programme gave a PowerPoint presentation (copy attached to the signed minutes) to the Board which briefly covered;

§  Restate the case for change

§  Programme Progress to date

§  Outline options and preferred option

§  Programme next steps

§  Pre consultation Business Case (PCBC)

§  Programme timescales

§  Patient and public involvement

§  Consultation Plan

§  Q&A’s

The Future Fit programme, progress and consultation was discussed by the Health and Wellbeing Board and Phil Evans answered questions as they arose.

It was noted that 2^nd October 2017 was the full checkpoint date where there would be a formal meeting with NHSE.  It was also confirmed that the checkpoints did feed into Government Gateways.

The offer from a member to visit the Cleobury Farmers’ Market on 16^th November with a community consultation was welcomed and officers confirmed they would attend.  Meanwhile it was highlighted that Border consultations were equally important to include.

There was some criticism about the design of the on-line survey and it not being user-friendly, which was noted.

It was agreed that the issue of Local Maternity S ervices needed to be included as a separate workstream. 

In response to a question about what ‘Prevention workstream’ was, it was clarified that this was the same as ‘Fit & Well’; it would be adjusted.

The VCSA highlighted that there was unease generally within the voluntary sector about the renewal of CCG grant funding which ended on 31 March 2018; volunteer staff were anxious that contracts would not be renewed and it was feared that staff would leave due to uncertaintly.  It was confirmed that letters about the future grant framework had recently been sent out and hopefully this would help allay any fears.  The offer of providing a patient presentation in conjunction with the voluntary sector was welcomed by the Board.

Meanwhile it was requested that the Local Authority and the CCG both needed to make their intentions clear.

The Head of Adult Services was aware of financial pressures on everyone and spoke about the importance of early intervention and prevention, adding that a conversation was being undertaken with the Health and Social Care Forum.

c)        Out of Hospital Programme

Julie Davies, Director of Delivery & Performance, Shropshire CCG, gave a verbal update on the Out of Hospital Programme that was currently being worked on.  A detailed report would be submitted to the next Board meeting, which was welcomed.

A discussion was had regarding the impact of closing voluntary sector services due to funding cuts and the Board was made aware of the local VCSE Impact Assessment.

          ACTION:

o   PMO to look into attending Farmer’s Market in November as requested.

o   Adjust wording of Fit and Well to Healthy Lives.

o   The VCSA to bring the VCSE impact assessment to a future Board meeting.