Issue - meetings

To consider a report of the Director of Strategy.

The report includes the background and context information relating to Integrated Care Systems (ICS), including the opportunities for Stockport –

·         The Greater Manchester ICS model

·         The emerging Stockport integrated Health and Care model including;

o   The Stockport Locality Board

o   Transition arrangements for the Stockport Locality Team

o   The work of the Provider Partnership

The Scrutiny Committee is asked to comment on and note the progress that has been made and the arrangements in place.

Officer contact: Patrick McGee on 07920540167 or email: patrick.mcgee@nhs.net

The Director of Strategy submitted a report (copies of which had been circulated) providing the background and context information relating to Integrated Care Systems (ICS), including the opportunities for Stockport, the Greater Manchester ICS model, the emerging Stockport integrated Health and Care model including, the Stockport Locality Board, the transition arrangements for the Stockport Locality Team and the work of the Provider

Partnership.

The Cabinet Member for Health and Adult Social Care (Councillor Keith Holloway) attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/issues raised:-

·         It was queried when it could be expected that the legislation and regulations would be in place to enable the full delegation and integration of all health and social care decision making in one place.

·         In response it was stated that the delays were a result of government developing legislation as the system developed and considering the implications of how it works in practice in particular for Greater Manchester who were ahead of other regions in the arrangements that they already had in place. However, this was not a barrier to progress and development was underway to build on the partnership relations that were already well established.

·         It was queried how differences of opinions with partner organisations would be dealt with to reach a consensus.

·         In response, Members were advised that whilst discussions would sometimes be difficult and a challenge, partner organisations were unified in their objective to best serve the residents of the borough and a resolution would be found.

·         Members welcomed the consideration and noted the importance of greenspaces in terms of addressing social isolation and encouraging physical activity and requested additional information on the work taking place to maximise the use of greenspaces.

·         In response, Members were informed that ways to support individuals to access greenspaces was paramount to the initiatives. It was reported that Walkaday was a group in Stockport ran by volunteers which organised four walks a week, virtually every week of the year for varying levels of ability and was an opportunity for residents who weren’t necessarily confident going out for a walk on their own. It had been agreed that the group information would be published on the council’s website for residents to access. In addition, the Cabinet had introduced a Cabinet Member for Climate Change & Environment and Cabinet Member for Highways, Parks and Leisure Services who were passionate about improving the greenspaces and their access across the Borough.

·         It was also reported that there was a thriving voluntary and community sector contribution to support people to enjoy the greenspaces around Stockport and campaigning for improvements to these greenspaces. However, the challenge was making sure that residents were aware of these opportunities and this was a key priority to the council.

RESOLVED – (1) That the report be noted.

(2) Requested that an item relating to the roles, responsibilities and relationship of the Health & Wellbeing Board and One Stockport Health & Care Locality Board be programmed into the Scrutiny Committee’s work programme for the 2022/23 municipal year.

To consider a report of the Director of Strategy.

The report includes the background and context information relating to Integrated Care Systems (ICS), including the opportunities for Stockport –

·       The Greater Manchester ICS model

·       The emerging Stockport integrated Health and Care model including;

o   The Stockport Locality Board

o   Transition arrangements for the Stockport Locality Team

o   The work of the Provider Partnership

The Scrutiny Committee is asked to comment on and note the progress that has been made and the arrangements in place.

Officer contact: Patrick McGee, by email on patrick.mcgee@nhs.net

The Director of Strategy submitted a report (copies of which had been circulated) providing the background and context information relating to Integrated Care Systems (ICS), including the opportunities for Stockport, the Greater Manchester ICS model, the emerging Stockport integrated Health and Care model including, the Stockport Locality Board, the transition arrangements for the Stockport Locality Team and the work of the Provider Partnership.

The Cabinet Member for Children, Family and Education Services attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/ issues raised:-

·       Members welcomed the report and the regular updates.

·       Clarification was sought relating to the governance arrangements and where the decisions would be taken. In response, it was stated that the Integrated Care Board had a scheme of delegation that set out the Greater Manchester level and that the formal scheme of delegation was still being developed and over the next six months there would be a clearer understanding of the decisions being made and at what level.

·       Would there be a risk regarding the funding and other authorities competing for funding. It was stated that there was always a risk when funding was involved, but the intention was to advocate for Stockport constantly with the robust arrangements in place.

·       The new legislation brings a better understanding about the process and the system to make it better through a more collective approach, but it was a great opportunity.

RESOLVED – That the report be noted.

To consider a report of the Director of Strategy.

The report includes the background and context information relating to Integrated Care Systems (ICS), including the opportunities for Stockport –

·       The Greater Manchester ICS model

·       The emerging Stockport integrated Health and Care model including;

o   The Stockport Locality Board

o   Transition arrangements for the Stockport Locality Team

o   The work of the Provider Partnership

The Scrutiny Committee is asked to comment on and note the progress that has been made and the arrangements in place.

Officer contact: Patrick McGee, by email on patrick.mcgee@nhs.net

The Director of Strategy submitted a report (copies of which had been circulated) providing the background and context information relating to Integrated Care Systems (ICS), including the opportunities for Stockport, the Greater Manchester ICS model, the emerging Stockport integrated Health and Care model including, the Stockport Locality Board, the transition arrangements for the Stockport Locality Team and the work of the Provider Partnership.

The Cabinet Member for Finance and Resources attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/issues raised:-

·       Members welcomed the report and the involvement of Karen James from the Foundation Trust.

·       Clarification was sought relating to the democratic representation and accountability and the patient input. In response, it was stated that there were two levels of accountability including the Greater Manchester Integrated Care Board and the Integrated Care Partnership that was not yet established, but the draft terms of reference was being collated and would be circulated. There was also political involvement through the ten Greater Manchester leaders.

·       It was noted that the NHS and local government operate two different accountability frameworks and as such the Leader of the Council was the Chair of the Stockport Locality Board which highlights the local accountability.

RESOLVED – That the report be noted.