Agenda item

To receive a presentation from Tom Lawlor, Surrey Heath Clinical Commissioning Group, on the Group’s work to develop and deliver the Frimley Health and Care Sustainable Transformation Partnership.

Jane Hogg, Integration and Transformation Director, Frimley Health NHS Foundation Trust, and Tom Lawlor, Head of Improvement and Delivery, Surrey Heath Clinical Commissioning Group (CCG), gave a presentation in respect of the work taking place to develop the Frimley Health and Care Sustainability and Transformation Partnership and Accountable Care System and the work taking place at a local level to implement the priorities of the Sustainability and Transformation Partnership within Surrey Heath.

Historically health and social care organisations tended to operate in silos placing an emphasis on treating the patient in front of them and getting them out of the door as soon as possible; a situation that was not always the most effective way of utilising limited resources in the best interests of either patients or the public.  Across the Country informal arrangements had been used to encourage collaborative working and it was hoped that the introduction of Sustainability and Transformation Partnerships would both systemise these arrangements and encourage further collaborative working.

The Frimley Health and Care Sustainability Partnership (STP) was co-terminus with Windsor, Ascot and Maidenhead CCG, Bracknell and Ascot CCG, Surrey Heath CCG and North East Hampshire and Farnham CCG, covered a population of more than 800,000 people and involved over 30 statutory organisations.  The priorities identified in the Frimley Health STP reflected NHS England’s key five year priorities of improving urgent and emergency care, general practice, cancer and mental health and included the following priorities and initiatives:

STP Priorities

·         Integrating wellbeing, prevention and self-care into all aspects of work

·         Supporting long term conditions

·         Proactively managing frailty

·         Redesigning urgent and emergency care

·         Reducing clinical variation and health inequalities between primary and secondary care settings

STP Initiatives

·         Establishing better integration of decision making processes

·         Transforming general practice to better meet local need

·         Supporting and developing the domiciliary workforce to improve resilience

·         Reducing clinical variation and health inequalities in respiratory and cardiology cases

·         Integrating wellbeing, prevention and self-care into all aspects of the Trust’s work

·         Implementing a shared care record so that any health professional could access the core parts of a patient’s health records and patients did not have to retell their medical histories multiple times

As the STP matured it was envisaged that it would develop into an Accountable Care System (ASC) which would see partners coming together to make a single consistent set of decisions about how to deploy health and social care resources providing more joined up and better co-ordinated care.  The ASC would collectively manage the funding for their defined population and commit to a shared set of performance goals and financial system.

Arising from the subsequent discussion the following points were noted:

·         Work was taking place to identify all the community assets in the Borough and how they might be utilised more effectively for social prescribing activities.

·         The use of paramedic practitioners to provide first line responses was proving successful and built on work to encourage residents to access healthcare through alternative sources in the first instance instead of turning up at Accident and Emergency.

·         Practitioners in the east Berkshire region had been part of a Shared Patient Record pilot and it was expected that this would be rolled out across Surrey Heath by the end of the 2017/18 financial year.

·         Rising population numbers would require the trust to think differently about the way in which its resources were deployed and utilised most efficiently and effectively for example making use of video consultations and further integrating team working.  Encouraging self-care and prevention amongst the local population was also seen as being key to reducing pressure on the health service.  Strengthening out of hospital services would also be key to absorbing future pressures.

·         It was expected that the Care Quality Commission would be inspecting the Trust imminently.

·         A recent review of delayed care standards in Bracknell Forest which had encompassed the Trust’s hospital provision had been positive.

·         Bracknell Forest Borough Council had done a significant amount of work to develop social prescribing and the CCG learning from their experiences.

·         The improvements made to cancer screening and care had resulted in the survival rates for cancer patients in Surrey Heath rising from 61.1% in 1999 to 73.8% in 2014.  This increase had resulted in Surrey Heath’s survival ranking going from 70^th in the country to being amongst the top 5 best performing areas for cancer diagnosis and treatment.

·         Work to develop an integrated community care approach had helped contribute to a 3% decrease in the number of emergency hospital admissions this year when compared against last year’s figures.

The Committee thanked Jane Hogg and Tom Lawlor for their informative update.