Agenda item

NHS Leeds Clinical Commissioning Group (CCG) Operational Plans 2017-2019

To consider the report of the Chief Operating Officer, Leeds South and East CCG, which provides a high level overview of the NHS Leeds CCG’s Operational Plans for 2017-2019. The Operational Plans provide years 1 and 2 of the Leeds Chapter of the Sustainability and Transformation Plan, which is considered the roadmap to delivering the Five Year Forward View for the NHS. The report describes how, through the Leeds Plan, the NHS Leeds CCG Operational Plans 2017-19 link to the Leeds Health and Wellbeing Strategy 2016-21, and support the delivery of a sustainable health and social care system.

Minutes:

The Chief Operating Officer, Leeds South & East Clinical Commissioning Group (CCG) submitted a report which provided a high level overview of the NHS Leeds CCGs Operational Plans for 2017-2019.

 

This additional Board meeting was necessary to consider the available information on the Plans due to NHS England timescales for completion and signing-off the Plans. The Operational Plans were required to be submitted in draft to NHS England by 24th November 2016 with a final version due on 23rd December 2016. The report also provided a summary of the NHS planning guidance and NHS England submission requirements for CCGs alongside the latest information available for the NHS Leeds CCG Operational Plans 2017-19. The report also sought the Boards’ view of whether Plans took proper account of the Leeds Health and Well Being Strategy 2016-2021. Members also considered the proposed approach to the engagement of the Health and Wellbeing Board in the future review of the CCG Operational Plans.

 

Matt Ward, Leeds South & East CCG presented the report, emphasising the high level nature of the report and the key functions of the Operational Plans. He reported that consultation was currently ongoing along with work to complete contracts with providers. In particular, the Board was advised of work to create a “One Plan” approach across the three CCGs.

 

The report described the links between the Operational Plans and the Leeds Health and Wellbeing Strategy 2016-21 and the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP) and supported the delivery of a sustainable health and social care system. The Operational Plans provided years 1 and 2 of the Leeds Chapter of the West Yorkshire and Harrogate STP.

 

The Board discussed the overview report and made the following comments:

·  Concerns were raised that the report did not make further reference to the Operational Plans’ impact on children & young people across more of the priorities of the Leeds Health and Wellbeing Strategy 2016-2021, except what was referred to in relation to ‘Priority 1 - A Child Friendly City and the best start in life’. Assurance was sought that the full Operational Plans would reference and emphasise Early Intervention measures

  • Concerns were raised around the lack of reference to the demand for services for older people (e.g. end of life outcomes) in the report for ‘Priority 2 - An Age Friendly City where people age well’ of the Leeds Health and Wellbeing Strategy 2016-2021.
  • In relation to ‘Priority 3 – Strong, engaged and well-connected communities’ members referenced the opportunity to engage further with elected members through Scrutiny Board or at a local level through LCC Community Committees.
  • Concerns were raised around the paper’s lack of direct reference to ‘Priority 4 - Housing and the environment enable all people of Leeds to be healthy’ and lack of detail around ‘Priority 5 - A strong economy with quality, local jobs’ and ‘Priority 6 - Get more people, more physically active, more often ‘ of the Leeds Health and Wellbeing Strategy 2016-2021.
  • Concern that the overview referenced the NHS but did not acknowledge the role of the Third Sector and Public Health service providers
  • Recalling the workshop prior to the meeting, concern was expressed that the report stated “consultation and engagement is not required” under the paragraph ‘consultation, engagement and hearing citizen voice’

 

Additionally, reference was made to the findings from a university study of social prescribing. It was agreed that a copy of the report would be shared with Board Members.

 

It was noted that not all Board Members were content to lend support to the high level report without seeing the detail of the full Operational Plans.

 

In response, Members received assurance that the high level summary report before the Board presented only a synopsis of the full Plans. The full Plans did reflect the collaborative approach to health, wellbeing and care in Leeds and addressed the comments raised by the Board. The Board also noted the short timeframe for consideration and submission of the full document and the framework the submission had to comply with.

 

Noting that approval of the Operational Plans was not within the Boards’ remit, Members considered how the view of the HWB could influence the development of the Plans; and not just how the Plans are delivered. Moira Dumma assured the Board that NHS England would note the comments made. She explained that the 23/12/16 deadline related to the contracts for the forthcoming two years and that there was an opportunity for the HWB to influence what was contained within the contracts.

 

In conclusion, the Chair reiterated that the Plans covered a two year period, and suggested that an annual review could be built in. It was agreed that Board Members would receive a copy of the full Plans for their comment, accompanied by a note addressing the specific concerns raised today, prior to the submission date

RESOLVED

a)  To note the contents of the report and the comments made during discussions

b)  That, having considered the available information, the Board determined that it could not provide an opinion on whether the available information for the NHS Leeds CCG Operational Plans 2017-19 did take proper account of the Leeds Health and Wellbeing Strategy 2016-21. As such it was agreed that Board Members would receive a copy of the full Plans accompanied by a addressing the specific concerns raised today as soon as possible to ensure that members could provide their comments and opinions prior to the submission date. 

c)  To note the requirements on NHS Leeds CCGs for the development of the NHS Leeds CCG Operational Plans 2017-19 and their complementary relationship to the Leeds Plan and the West Yorkshire and Harrogate Sustainability and Transformation Plans

d)  To note the timescales for completion of plans and the proposed process for sign-off

e)  To agree the proposed approach to engagement of the Health and Wellbeing Board in the review of NHS Leeds CCG Operational Plans 2017-19

 

Supporting documents: