Agenda item

To consider the report of Leeds City Council’s Head of Governance and Scrutiny Support introducing an Integrated Care Systems update.

The Joint Committee received a report from Leeds City Council’s Head of Governance and Scrutiny Support that introduced an update on Integrated Care Systems (ICS).

The following were in attendance:

·  Ian Holmes - Director, West Yorkshire & Harrogate Health & Care Partnership

·  Rachael Loftus – Head of Regional Health Partnerships

·  Jo Webster - Chief Officer NHS Wakefield CCG and Senior Responsible Officer (Commissioning) West Yorkshire & Harrogate Stroke Programme

·  Andy Withers - Clinical Chair Bradford Districts CCG and West Yorkshire & Harrogate Stroke Programme Chair

·  Karen Coleman - West Yorkshire & Harrogate Health & Care Partnership Communication and Engagement Lead

The Director introduced the item, highlighting the following matters in the development of the ICS:

-  The ICS role as facilitator and the relationships with local plans; providing strategic direction for the local delivery of services.

-  The announcement in May 2018 that the West Yorkshire and Harrogate Partnership had achieved shadow ICS status. This would provide an opportunity to draw down additional transformational funding to progress the development of the ICS, establish working relationships with the statutory regulators and access to support and expertise.

-  The next steps to include the establishment of a Partnership Board with representatives of local authorities (including local Councillors), which would consider the strategic direction of service delivery across the WY&H footprint.

-  Further discussions on accountability would be welcomed, particularly in terms of establishing relevant forums.

The Joint Committee’s discussions covered a range of matters, including:

·  The role of the proposed Partnership Board, its membership and the balance in proposed membership between elected local councillors and non-elected officials.

·  The impact of the current financial position of some CCGs and their ability to participate fully in the partnership; and the need for financial accountability and transparent commissioning across all partner organisations within the ICS.

·  A request to present a further report to the next JHOSC meeting that would provide a breakdown of financial challenges across the Partnership and plans intended to address these challenges, in order to provide information on:

-  Where savings and service changes were proposed

-  Where funding would be drawn from and whether this would be new funding or diverted from elsewhere.

-  How closer working will be delivered at a local level and how local Health and Wellbeing Boards will feed into the ICS

-  Any plans for hospitals to provide specialised hospital services only, supported by the provision of services elsewhere

·  How social care is reflected in the Partnership and the role of local authorities within the Partnership, specifically in terms of:

-  The wider determinants of health; and those issues where local authorities have a role (housing/employment etc) which contribute to prevention/intervention; and,

-  Democratic accountability and decision-making

·  How local residents will understand the proposed changes to healthcare

(Councillor Baines left the meeting at 3.45 pm during consideration of this item)

RESOLVED –

a)  To note the contents of the report and the information provided at the meeting

b)  That a further report be presented to the next meeting of the joint committee that addresses the matters identified at the meeting. 

(Councillors Crewe and Rhodes left the meeting at 3.55 pm after consideration of this item)