Issue - meetings

At the request of the Board, this is a standing item on the agenda.

Members and officers presented are invited to update the Board on developments with the transformation of health and social care services in Stockport and Greater Manchester.

The Corporate Director for People, Stockport Council updated the Board on developments with Greater Manchester Health & Social Care Transformation. The update included the following:-

·         The Greater Manchester Plan was currently out for consultation with partners and the public.

·         Work was underway to aligned local implementation plans and devolved funding. Much of this work was well advanced in Stockport through the Stockport Together Programme.

·         The Investment / Transformation Fund of £450m had been confirmed, although the allocations process was not yet finalised. It was likely that a key criteria for funding would be deliverability of projects. The two Greater Manchester ‘Vanguard’ sites (one of which was Stockport) would need to bid to this fund for its second year funding.

·         Proposals were being developed for the integration of children’s health services and would be published in due course.

·         Consultation had begun on the Greater Manchester Strategy for promoting behavioural change called ‘Taking Charge’.

Clarification was sought on the impact of not receiving funding for the second year of the Vanguard project. In response it was stated that the most significant impact would be to slow the pace of change as the Vanguard resources were facilitating the dual-running of old and new models.

RESOLVED – That the report be noted.

This item has been placed on the agenda at the request of the Chair.

The 37 NHS organisations and local authorities in Greater Manchester in December 2015 endorsed a final draft of its Plan ‘Taking Charge of our Health and Social Care in Greater Manchester’ that detailed the collective ambition for the region over the next five years as part of the devolution of health and social care spending to Greater Manchester.

The Board is invited to consider the draft Plan and make comments.

Officer contact: Andrew Webb, 0161 474 3808, Andrew.webb@stockport.gov.uk

A representative of the Democratic Services Manager reported that this item had been placed on the agenda at the request of the Chair.

A copy of the draft Greater Manchester Health & Social Care Plan and an executive summary were submitted (copies of which had been circulated) following its endorsement by leaders of the Greater Manchester (GM) councils and NHS organisations. The Strategy set out collective ambition for the city-region for the next five years as part of the devolution of health and social care spending to Greater Manchester.

The Corporate Director for People and Senior Responsible Owner for Stockport Together gave a brief overview of the draft strategic plan.

The following comments were made/ issues raised:-

·         Discrepancies in the document relating to the size of the Transformation Fund were queried. It was commented that details were still to be finalised but that GM partners had sought a Fund of £500m whereas NHS England were suggesting this figure would be closer to £450m.

·         Concerns were expressed about the lack of detail in the document in general. There was a need for clear timetables for the implementation of the ambitions set out in the Strategy.

·         The Devolution Agreement for GM was likely to be unique, in part because of the scale of the ambition and resources.

·         Further clarification was sought on the Estates Group. In response it was stated that work was taking place at both GM and locality levels. It was emphasised that the estate strategy that emerged would follow the needs of the service delivery models.

·         Concerns were expressed about references to the pooling of adult social care precept resources. It was clarified that decisions on the levelling of the social care precept was a matter for each local authority and no decisions had yet been taken. The potential pooling of these resources was one possible option, but that this would be subject to further discussion, negotiation and agreement should local authorities deem it appropriate.

RESOLVED – That the Greater Manchester Health & Social Care Plan be noted and that further updates be provided as appropriate.

To consider a report of the Corporate Director for People/ Senior Responsible Owner for Stockport Together.

To inform the Health and Wellbeing Board of the most recent locality plan, submitted on behalf of the Stockport Health and Care economy, to the Greater Manchester devolution programme.

The Board is asked to:

•      receive the latest version of the Locality Plan;

•      note the scale of the financial challenge;

•      comment on the strategy and detailed approaches to re-shaping the local heath and care economy;

•      contribute to the debate about the interaction of the Locality Plan and Greater Manchester aspirations for an integrated approach to Health and Social Care.

Officer contact: Andrew Webb, 0161 474 3808, andrew.webb@stockport.gov.uk

The Corporate Director for People and Senior Responsible Owner submitted a report (copies of which had been circulated) to inform the Board of the development of the Locality Plan, submitted on behalf of the Stockport Health and Care economy, to the Greater Manchester devolution programme. The Plan was used as the basis for the projections that formed part of the submission relating to the Comprehensive Spending Review (CSR) and the Devolution negotiation.

The Plan was a snapshot of the economy in September. A further was being developed that would include the outcome of the CSR and would therefore have fewer assumptions within it.

The following comments were made/ issues raised:-

·         Work was underway within Greater Manchester to develop targets and measures for the next five years.

·         Concerns were expressed about how out-of-hours care fit within the locality model, in particular the access to district nursing and the NHS 111 Service. In response it was stated that since the document had been developed, further work had been undertaken to explore how emergency care could be integrated with the work of the localities.

·         There had been positive engagement with clinicians in the Stockport Together work generally, particularly with GPs in neighbourhoods and at a strategic level. It wasn’t clear how well ‘operational’ hospital clinicians were engaged.

·         The development of a multi-agency provider could help to resolve concerns about clinical accountability that had been raised in respect of integration more generally.

RESOLVED – That the latest version of the Health and Social Care Locality Plan, and the scale of the financial challenge facing the economy be noted.