Agenda item

Sustainability Transformation Plans (STPs)

To consider two reports relating to the Sustainability and Transformation Plans and to undertake a joint discussion of both.

 

1)  Update on Development of the Leeds Sustainability and Transformation Plan (STP)

To consider and discuss the report of the Chief Operating Officer, NHS Leeds South and East CCG which provides an overview of the STP development in Leeds and West Yorkshire.

 

2)  Local Digital Roadmap (LDR)

To consider and discuss the report of the Clinical Chair and GP, NHS Leeds North CCG, providing assurances that the LDR takes appropriate account of the Leeds Health and Wellbeing Strategy 2016-2021, the Leeds STP and will contribute to the delivery of the digital infrastructure capability required to meet the needs of the health and care system in the future

Minutes:

The Board considered two reports seeking endorsement of ongoing work which supports the overarching aims and priorities of the HWB.

 

The first report provided an overview of the emerging Sustainability and Transformation Plans (STPs), including the background, context and relationship between the Leeds and West Yorkshire STPs. It also highlighted some of the key areas to be addressed within the Leeds plan which will add further detail to the strategic priorities set out in the recently refreshed Leeds Health and Wellbeing Strategy 2016 – 2021. The paper also sought assurance that the Board supports the approach being taken.

 

The second report addressed the purpose of the Local Digital Roadmap – to contribute to the delivery of the digital infrastructure capability required to meet the needs of the health and care system in the future. A copy of the publication “Leeds Local Digital Roadmap 1st Submission 30th June 2016” was included in the second report.

 

Matt Ward, Chief Operating Officer NHS Leeds South & East Clinical Commissioning Group, presented the report on the Sustainability and Transformation Plans (STPs), primarily focussing on the progress of Leeds' individual STP; with reference to the emerging West Yorkshire STP and the complexity of linking local STPs to the West Yorkshire STP, as detailed in the diagram at paragraph 3.9 of the report.

 

The Board received assurance that the Leeds approach continued the focus of the previous 5 Year Plan through the continuance of key issues and themes as summarised in the tables shown in paragraphs 3.19 and 3.31 of the report.

 

Finance and resources remained an issue, with a budget gap of £723m identified, however it was reported that the gap could be potentially addressed through service transformation and CCG efficiency savings

 

Key solutions to address gaps and create sustainable health and care for the future, as described in paragraph 5.3, would be the focus of a future HWB workshop and consider what the STPs mean for service users. Additionally, the Board noted the intention to hold discussions at the next HWB meeting on the introduction of consultation/conversations on the STPs to the public.

 

HWB discussed the following key issues:

Public/staff involvement and engagement – Noted the suggestion that the table at paragraph 5.3 represented the brief for holding discussions with the public as it clearly described how and what will change. The Board also noted the need to start sharing information with service providers and build relevant consultation into the timeline for developing the STPs - figures show 51,000 local healthcare professionals and 800,000 potential service users (the approximate population of Leeds), who all need to be involved in future discussions on their view of healthcare.

 

Relationships between the Leeds and West Yorkshire STP - HWB received reassurance from Sue Ellis as Chair of the Leeds STP group that connections were made with the West Yorkshire STP

 

The progress of the West Yorkshire STP – The Board noted comments seeking to ensure that the best practice operated by Leeds in terms of consultation and engagement is reflected in the WY STP and identifying a deficit of openness and governance in the WY STP.

 

Risks - How will the HWB be assured of the impact of the WY STP on Leeds' resources and citizens? What mechanism will be available for HWB to challenge WY STP decisions? How can HWB ensure that change is made at a pace which did not negatively impact on service delivery? It was noted that all three Yorkshire and Humber STPs would address their approach to risk management and impact on local service delivery through their emerging governance structures.

 

External forces - Recognition of the impact of external forces on the Leeds STP - such as services provided externally; neighbouring inter-related economies - and the need to consider how the HWB can ensure that outside providers support the Leeds STP

 

‘Changing the conversation’ – The Board discussed the de-medicalisation of some treatments, an issue which formed part of the STP, seeking to encourage service users to take control of their own treatment and access treatment in other more local settings or through social prescribing for those patients who do not necessarily require a medical solution. Additionally, a national discussion on later life and end of life care was required to account for the changing nature of care, with the role of Community Care more robustly referenced

 

(Councillor Golton joined the meeting at this point)

 

(Tanya Matilainen and Sue Rumbold withdrew from the meeting for a short time at this point)

 

Jason Broch, NHS Leeds CCG and Dylan Roberts, Chief Digital Officer, presented the report on the Local Digital Roadmap (LDR), noting that the 5 Year Forward Plan had emphasised the importance of digital progress. The Health and Care sector had been asked to draw up a Digital Roadmap, noting funds for investment would be made available. The LDR would afford Leeds the opportunity to draw in those funds and support the STPs.

 

The Board made the following comments during discussions:

·  Welcomed the “place based approach”, however concern was expressed over how “place” was determined

·  Would the LDR appreciate service delivery on a locality scale?

·  Acknowledged that links to regional provision and locality level provision needed to be considered

·  The links to the Council’s own Breakthrough Projects to be further pursued

 

In respect of the Update on Development of the Sustainability and Transformation Plan (STP) the Board

RESOLVED -

1.  To endorse the approach described within this paper for the continued development of the Leeds STP within the nationally prescribed framework;

2.  To request that the comments made in respect of the progress of the West Yorkshire STP (specifically in respect of consultation and engagement, openness and governance) be fed into the future development of the West Yorkshire STP within the nationally prescribed framework;

3.  To note the key areas of focus for the Leeds STP described in this report and how they will contribute to the delivery of the Leeds Health and Wellbeing Strategy;

4.  To note that the Leeds Health and Wellbeing Board will continue to provide a strategic lead for the Leeds STP;

5.  To note the key milestones outlined in this paper and the officers from the Leeds health and care partnership who are leading the development of the Leeds STP and the West Yorkshire STP;

6.  To receive a further report in November 2016 with an overview of the proposed key changes and impacts outlined in the Leeds STP and the West Yorkshire STP as we move forward towards implementation and oversight.

 

In respect of the Local Digital Roadmap (LDR) the Board

RESOLVED -

a)  To endorse the Local Digital Roadmap as a key contributor to the delivery of both the Leeds Sustainability and Transformation Plan and Leeds Health and Wellbeing strategy.

b)  To note the contents of the discussion in respect of consideration of Board members’ role in championing the adoption of technology and ensuring that the realisation of benefits is seen as a core part of all city-wide ‘change’ initiatives.

 

Supporting documents: