To consider a report by the (Chief Officer Health Partnerships) which provides an overview of the progress made in shaping the Leeds Health and Care Plan following the previous conversation at the Committee in Spring 2017.
The Chief Officer Health Partnerships, submitted a report which provided an overview of the progress made in shaping the Leeds Health & Care plan following the previous conversation at this Committee in Spring 2017.
Members were informed that the aim of the report was to consider proposals made to date and seek support for a shift in services towards better prevention and a more social model of health.
Nigel Gray (Chief Officer, NHS Leeds CCGs) together with Sara Munro (Chief Executive, LYPFT) and Paul Bollom (Head of the Leeds Health and Care Plan, Health Partnerships) addressed the report speaking in detail about the Leeds Health and Care Plan and the Leeds Health and Wellbeing Strategy 2016 – 2021.
Members noted the Leeds approach remained one based on long term planning including demand management, behaviour change and transition from acute-based services towards community based approaches that were both popular with residents and financially sustainable.
A transition towards a community-focused model of health’ would bring services together in the community. GP practices, social care. Third Sector and public health services would be informally integrated in a ‘Local Care Partnership’. Hospitals would work closely with this model and care would be provided closer to home where possible, and as early as possible. New mechanisms, known as ‘Population Health Management’ would be used to ensure the right people get the right services and that these are offered in a timely fashion. This was designed to prevent illness where possible and manage it in the community.
Members were informed that the plan was for the number of services based around neighbourhoods to increase and jointly work together as Local Care Partnerships (Leeds Neighbourhood Teams 13). Building on the current neighbourhood teams Local Care Partnerships would include community based health and care services and possibly some services that are currently provided in hospital such as some outpatient appointments. People would still be registered with their GP practice and the vision is that a much wider range of health and care services would ‘wrap-around’ in a new way of working that emphasises team working to offer greater capacity than the GP alone. It would mean services no longer operating as entirely separate teams as they often do now.
Professionals working within Local Care Partnerships would work as one team avoiding the need for traditional referrals between services. The approach would be locally tailored to acknowledge how health and care needs vary significantly across Leeds. Working with local people, professionals within Local Care Partnerships would have more opportunities to respond to the needs of local populations and focus on what matters most for local communities.
In the discussion that ensued Members suggested the following:
· The need for more prevention awareness
· Greater engagement with the public and clarity about the developing Plan and future finances for the health & care service
· Greater understanding of the role pharmacies could have in community healthcare and encouraging uptake
· Consideration of asset space and the impact of changes on communities
· The role of technology and connectivity in future health & care services and this approach needed to improve, with security and choice being issues to consider as not everyone utilises ICT at the same level
· The role of health & care staff and the opportunities for ‘making every contact count’
· Skill change for the workforce
· The need to offer holistic care in 13 Neighbourhood Teams rather than 176 CCG’s
In drawing the discussion to a conclusion the Chair thanked officers for their attendance and presentation suggesting Members were supportive of the Leeds Health and Care Plan proposals.
On a point of information Members requested if the following details could be supplied:
· The number of missed GP appointments in the Outer North East Area and the cost to the service
· Had gluten free products been removed from prescriptions
Officers confirmed the requested information would be supplied
(i) To support the updated Leeds Plan as a basis for conversation with citizens on the future of health and care.
(ii) To actively support widespread conversation and discussion of the Leeds Plan and narrative to encourage feedback and comment.
(iii) To support the emerging model of Local Care Partnerships and actively engage with their development in their communities.