Board and Trustee Health Alliance Briefing- with Kit Connick

The Health Alliance held an information session for several trustees/board members from Hunts Forum, PVCS, CCVS and Cambs ACRE. Kit Connick from Cambridgeshire and Peterborough Integrated Care Board gave a presentation to explain what the Integrated Care Board (ICB) and Integrated Care System (ICS) are and what progress has been made so far since its launch on July 22.

At the session, Kit reiterated the ICB’s commitment to actively involve the Voluntary Sector in decision-making at all levels. The Health Alliance which meets monthly gives the Voluntary Sector the opportunity to have a voice and several Health Alliance members sit on some of the ICB boards and committees.

To see the video from the event click here:

Summary of voluntary sector representations from boards and committees

QUALITY PERFORMANCE AND FINANCE COMMITTEE

23 June 2023 — Rachel Talbot

There has been an increase in referrals to paediatric services for pre-school children along with an increase in need for children with complex needs. As well as this there are long waiting lists for speech and language therapy.

There is still concern about the number of inappropriate out of area mental health placements with work being done to reduce these.

The dementia tour bus that visited care homes across Cambridgeshire and Peterborough earlier in the year was a great success.

27 July 2023 — Rachel Talbot

There has been a reduction in turnover of staff since the beginning of the year. Mental Health nursing however had seen an increase in turnover.

A discussion took place about the Learning Disability Health Needs assessment. There were a list of recommendations however with lack of funding these may be difficult to implement.

Ambulance handover time has improved and is being sustained and are now the best in the region.

PEOPLE BOARD AND SUBGROUPS

12 July 2023 — Education and Development workshop ARCH representation

The Oliver McGowan training and the ability to recruit the right amount of staff and the cost of training was discussed.

Background-the Health and Care Act 2022 introduced a requirement that regulated service providers must ensure their staff receive Learning Disability and Autism training appropriate to their role. The suggested training is the Oliver McGowan training.

17 July 2023 — Leadership and OD subgroup- Sharon Allen

There is a shift in focus from NHS from Serious Incident Review to Patient Safety Incident Reporting Framework (PSIRF). Understanding what within the organisational system led to an adverse outcome. All NHS and commissioned organisations have to introduce PSIRF and Arthur Rank are doing this.

Sharon had taken part in System Change Consulting Programme (a Health Education England funded programme) and she fed back at meeting. The programme had several modules and they are now available online.

The Leading Beyond Boundaries training had 78 nominations including several from Health Alliance members and all have been offered a place.

If organisations undertake staff feedback and are willing to share results and action plans contact Sharon Allen or Anita Pisani

COMMISSIONING, INVESTMENT AND IMPROVEMENT AND REFORM COMMITTEE

18 August 2023 – Michael Firek

Someone to Talk To- Young peoples mental health service the ICB have agreed to continue to fund this service until June 26. It is a jointly commissioned piece of work with Cambridgeshire County Council and support young people 13-25 with complex mental health needs. The service is currently delivered by Centre 33.

Continuing healthcare efficiency plan- A plan has been received and approved to reimplement clinical tier rates for nursing care beds. A revised and simplified set of rates has been discussed with providers to manage costs and be more reflective of the client needs.

Cambridgeshire and Peterborough ICS Outcomes Framework- work is continuing on this. The intention of the framework is to encompass patient and user experience as well as workforce, culture and leadership elements alongside clinical, care and service outcomes.

PA Consulting- These were engaged in Feb 23 to develop a resource model informed by population health, outcomes and the health economic value of change. Work is currently under way to develop logic models that will help the system to assess the economic benefits of different interventions.

Mental Health Investment Standard (MHIS) Review- more than £183m of funding goes into Mental Health and Learning Disability and Autism services. The ICB has done a deep dive review of expenditure for 22/23 to understand the activity, quality, experience, performance and value for money of the services provided for the local population. Several learning points were identified.

Continuing funding for 23/24 was agreed. There was recommendation to pursue 3 year contracts with Voluntary and Community Sector Organisations who were delivering services funded by the Mental Health Investment standard (MHIS) or the Service Development Fund.

Health Alliance – terms of reference

Ambition

To provide a strategic network for Voluntary, Community, and Social Enterprise (VCSE) groups working within Cambridgeshire and Peterborough.

To engage and embed the sector within the Integrated Care System governance and decision-making structures.

To maximise the value the sector can bring to the health and wellbeing of their communities through greater collaboration across ICS partners.

To provide a voice and improve the wellbeing of all communities by:

  • Encouraging coproduction in the creation of person-centred, community-based health and care which promotes equality for all
  • Enabling the voice of the people with lived experience and those experiencing health inequalities to inform local and national policy, making and shaping the delivery of services
  • Building evidence of sustainable and scalable solutions to mitigate and prevent inequalities impacting on the health and wellbeing of communities

Membership

  • Nominated VCSE leads from organizations from Cambridgeshire and Peterborough communities to represent the diversity of the local community.
  • VCSE Alliance members can attend meetings or just be on mailing lists. The meeting attendances may be restricted number wise so if you are unable to attend after accepting a place at said meeting send a representative or alert Hunts Forum contact in good time.
  • One representative from each organization only unless they cover a different geographical patch.
  • Attendance from other parties, subject matter experts and agencies as identified by the group on an ad hoc basis.

VCSE Alliance members all have a responsibility to gather views from and feedback to, the wider VCSE networks that they represent to ensure the VCSE Alliance is representative of the views of the wider sector and able to affect transformation by fully engaging the wider sector on opportunities. There are a range of different roles individuals can play as members of the alliance. Some alliance members will be asked to represent the sector on ICS Boards, workstreams or ad hoc task and finish groups. Irrespective of the role alliance members undertake they should:

  • Engage with the wider VCSE sector and on behalf of the VCSE sector on their particular group/board etc – they aren’t lone wolves or single organisations
  • Be Accountable – capture and represent the views/experiences of the wider sector to the ICS and keep the wider sector informed of key decisions etc. that will affect them
  • Influence – ensure that they have skills/knowledge and experience to influence policy and decision-making
  • Communicate – keep in regular touch with wider VCSE partners. There needs to be a two-way flow of information, insight and intelligence. This could be through a virtual network or working group.

Purpose of group

  • Raise the profile, increase understanding, and promote the value of working collaboratively with the VCSE sector on the health and wellbeing of communities, on NHS services, health inequalities, prevention, population health management, social prescribing etc.
  • Agree representation from the VCSE Alliance at decision-making bodies, governance groups, programme workstream meetings and other strategic forums, across the ICS or place, as necessary.
  • Improve and consolidate existing links with local community networks and wider VCSE sector.
  • Use shared data to identify emerging trends from across the wider VCSE sector that the VCSE Alliance represents and influence key decision-makers across the ICS or place for the benefit of the sector.
  • Develop shared training and capacity building to ensure the VCSE workforce is able to meet future demands and ongoing quality delivery.
  • Identify new opportunities and to align opportunities through grant funding and social investment with statutory partners.
  • Develop a shared vision for the VCSE sector and proactively search for opportunities to progress the vision and the sector as a whole.
  • Explore opportunities to demonstrate the impact, value, and benefits that the VCSE sector can bring, collaboratively across the wider VCSE sector using the available evidence, data and intelligence to best support the overall sector development and to achieve the vision.
  • Join up intelligence – giving VCSE organizations better access to data and ‘market intelligence’ and vice versa.
  • Identify, promote and share peer learning, training and capacity building to; ensure all members workforce are in a strong position to meet future demands, and improve the quality and sustainability of services for people living in specified location.
  • Demonstrate the added social value and the impact of provision using evidence from member organizations, develop a shared business case for the VCSE sector to identify new opportunities.
  • Positively impact stakeholder perception and understanding of what the VCSE sector is and what the sector offers especially in terms of volunteers/community provision.

Schedule of meetings

Initially, meetings will be Monthly and alternate to be in person and online for 2 hours. The aim is for in-person meetings to be held across the Cambridgeshire and Peterborough patch.

Administrative support. Initially, admin and correspondence support will be provided by Hunts Forum.

Safeguarding policy statement

The member organisations of Cambridgeshire and Peterborough Health Alliance recognise their responsibilities to keep the people who use their services safe from harm and abuse. We are therefore committed to ensuring the highest possible standards of quality and safety in line with the Care Act 2014.

The Health Alliance will work with its statutory partners and funders to ensure that Health Alliance member organisations have robust and effective safeguarding standards and measures in place. Health Alliance organisations deliver a vast range of voluntary and community services and vary hugely in size and capacity. The measures will therefore be proportionate and clearly address the safeguarding requirements of the services they deliver. The infrastructure organisations and Health Alliance team will assist in developing resources that help the sector navigate and more easily understand these requirements.

Health Alliance online meeting — July 2023

This month’s well attended Health Alliance meeting invited Heather Noble (South Place MD) and John Rooke (North Place MD).

Heather explained that they were not NHS but were all partners from across the patch. As well as North and South Place there is Mental Health and Learning Disability, as well as Children and Maternity business units. It is an evolving landscape with a matrix of activity. The South Place covers all of Cambridge, South and East Cambs, as well as touching on Royston

The aim is to align the system so that care becomes personalised and proactive and to work with the priorities that have been agreed by the Integrated Care System (ICS). Having “what matters to me conversations” to ensure that the population voice is heard.

The voluntary sector, as well as having some representation on some ICS boards, can be actively involved at Integrated Neighbourhood (IN) level. Integrated Neighbourhoods are based around a PCN footprint. At this level there is better understanding of the population- hyper local and this can enable a reduction in health inequalities.

John explained that the North area covered Peterborough, Hunts and Fenland but due to the nature of the landscape there is some relationship with Lincolnshire and Norfolk too.

The North aim to keep vulnerable people healthy and well for longer but this applies to general population too. They are looking at where people work and live to see what can be brought to them the aim being to bring equity of access.

A broad spectrum of partners are focussing on older frail people, complex children, learning disability (ensuring good quality health checks are undertaken) and childhood immunisations.

Alliance members were then given the opportunity to ask questions.

What does it look like for the individual? Some examples were given:

  • GPs attending some faith groups to discuss issues.
  • Homeless Health bus is just about to be launched.
  • Online GP registration that can be translated.

Heather told the group about the winter wellness project where 100 people were highlighted from PCNs who were at risk during the winter. ‘What matters to me’ conversations were had with those people and support was offered where needed re heating grants etc , connecting lonely people and one person had a vacuum bought upstairs so it lessened the risk of her falling whilst carrying it up and down the stairs.

How can we optimise contact with the voluntary sector who are often the most trusted people for individuals?

There is a need to make sure the voluntary sector is meaningfully engaged at IN level. In the North Place there are good links but it’s not so good for prevention. South Place are finding capacity is a problem for organisations and some neighbourhoods are yet to be established.

It was suggested that neighbourhoods could produce a newsletter to report what is happening in each area. At present the public have little knowledge of what is happening and what is there for them.

It was suggested that the Health Alliance might want to keep an open invitation for Heather or John to attend future meetings. Heather and John both asked to be invited to meetings and would attend whenever they could.

JOY/Social Prescribers

Debbie fed back the results from JOY/Social prescriber questionnaire that was sent around and feedback from Meet Your Social Prescriber Event. There are still not many organisations signing up to JOY. There is lack of understanding of its benefits/use, some hesitancy about getting many referrals, some organisations that have signed up have heard nothing since.

Social prescribers are referring into organisations but not always appropriately. There doesn’t appear to have any follow up system (ie did the referred person make use of the service/organisation). Social prescribers often refer people in and that person has not been told of waiting lists etc and thus are disappointed if they do not get helped immediately. There is no extra funding for the extra referrals.

Sandie will write up a report and meet with a few organisations for fully case studies. There will be a repeat of the “meet your social prescriber” event later in the year.

Winter Monies planning

There has been some talk about planning ahead for this this year however John Rooke thought that there probably wouldn’t be any extra this year due to monies that had been put through the system for unplanned care.

The group thought that it would have been some stock projects that could have been picked up and ran with at short notice if this, or other funding streams became available at short notice. Sandie agreed to devise and circulate a form to gather interest and ideas.

Healthier Futures fund

Andrea Grosbois reported that there had been a fair bit of interest in this. The process will be as follows:

CCF will review the applications and make sure they are applicable- they have been regularly updating the Q&As on the website to help organisations.

The district and county councils will then make some recommendations.

There will then be a judging panel- they will be given some support in what being on a panel means. The voluntary sector will be represented on the panel.

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