Meeting: Integrated Care Partnership Board
Meeting Date: 10th December 2020
Key Decisions and Actions:
Improving Outcomes Together:
The Board welcomed Louise Taylor who provided an overview of the project on behalf of Sam Baron. The purpose of the project is to create a clear vision for the integration of services within the Central Lancashire ICP. It will work both with partners, residents and communities to gather their views on a range of topics to understand what integration will look like at different levels. It will build on the work already undertaken by the Our Health Our Care programme and further support the development of an integrated approach to the delivery of services to enable heathier lifestyles within communities.
The project steps were described in detail and involvement will be sought from all partners and local communities to work together to design and develop new ways of working. From this work recommendations and an action plan would be produced to assist with the implementation of the outputs. Board members were asked to circulate within their organisations and to ask for creative thinkers to get involved. Timescales are to run Jan – June 2020 dependant on operational pressures in January.
Vaccination:
The Board heard that on the 8th December 2020 Royal Preston Hospital became the first hospital in the North West to administer the Covid-19 vaccination with 185 people receiving the vaccine on day one of the programme. The Board was pleased to note the fantastic partnership response to ensure the mobilisation of the Covid Vaccination Programme, which was a testament to the dedication of so many people across the partnership, and to true collaborative working. Going forward, regular touchpoints will continue to be provided via the weekly ICP Covid Vaccination Group where any issues are raised and discussed, and this will continue reporting to the ICP Senior Leadership Team who can allocate actions as required to relevant System Delivery Boards.
External Integrated Care Partnership Report:
An overview of the NHSEI Integrated Care Report and the guiding principles for the future of the integrated care systems in England was presented to the Board, including the purpose and the practicalities around policy changes. The two legislative proposals for how ICSs could be embedded in legislation by April 2022 were outlined in detail; however, the Board was reminded that changes were subject to parliamentary decision. NHSEI were inviting stakeholders to participate in the consultation process and invited views on four questions, with responses due in early January. It was agreed that an ICP response would be provided, coordinated by the ICP Core Team, with feedback provided to Sarah James by 23 December.
Common ICP Strategic Narrative: The Board heard that, following the approval of the Common ICP Strategic Narrative at the ICS Board on 2 December 2020, step 2 of the work programme was underway and a number of actions had been completed. The next steps included the development, review and approval of the ICP Maturity Matrix and development and delivery of four priority work programmes as agreed by the ICP Development Advisory Group. This work will be undertaken between Jan – March 2021.
Performance:
The Board received a progress update on the development of the ICP Performance Dashboard with the initial focus placed on Covid related topics which will feature under a hierarchy of:
- Hot topics (i.e vaccination)
- Workforce
- Performance/Capacity
- Quality
This dashboard will be presented at SLT throughout the next period, with versions coming to ICP Board from March 2021. The Board also heard how work was ongoing with regards to developing an approach to performance across the partnership such as development of dashboards within the System Delivery Boards, the outcomes versus output metrics and how these principles would then be applied to a wider hierarchy and feed up to the ICP Performance Dashboard.
Mental Health Service Demand (COVID): An update was provided around acute mental health demand during the COVID pandemic. Whilst this had been close to forecasted expectations, the demands on IAPT services and START had not yet reached the level of demand that would be expected in a normal year. This indicated that people were reluctant to seek help for mental health issues, both Covid related and non Covid related. The Board noted that the highest level of concern from the impact of the pandemic was on young people with a 41% increase in demand on the CAMHS service seen in November 2020. The Board agreed that actions arising from this update would be taken forward by the Determinants of Health Board.
Matters for Escalation (and where to): None
Completed and Signed off by Sarah James, ICP Programme Director