Board and Trustee Health Alliance Briefing- with Kit Connick

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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:

Quality, Performance and Finance Update – June

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Title of Group Quality, Performance and Finance
Date 23-6-23 Reps name  Rachel Talbot
Summary of agenda items / key themes discussed:
System story – cancer alliance patient partnership group example.Finance & performance update:

•      Finance: Running leaner than comparative ICBs. Predicting a break even position at end of year (significantly fewer junior docs and nurses taking action); Particular areas of risk include Prescribing and Continuing Healthcare where there are challenging efficiency programmes to be delivered as well as managing cost-pressures and run rates within the budgets planned for.

•      Performance: Community Paediatric services –  Recent rapid increase in referrals for preschool children on top of a similar long-term trend for all services. Several children with complex physical disability needing to be held in the community with the increasing input from the multidisciplinary team due to lack of specialist support in the local district general hospital and long wait for this specialist respiratory, gastroenterology and paediatric surgical input from specialist hospitals. Prioritisation process identified and in place.

•      Mental Health Inappropriate Out of Area placemats continue to be of concern with the number and length of stay for patients continues to rise with 1080 in Mar 23 ( 2,660 bed days Jan-Mar 23)  There are routinely 5 patients with a LOS greater than 91 days. CPFT have plans in place to recommence opening some inpatient beds in July 23.

•      Clearance of 78 week waits by end of June – performance is reported weekly through NWAFTs tiering meeting and CUHFT reporting. The system is expecting,  based on unvalidated data, 143 >78 weeks worst case at the end of June, broken down as below:

•      39 breaches due to patient choice, clinical complexity or unfit for treatment

•      104 capacity breaches (23 CUHFT and 81 NWAFT)

•      Industrial action (April and June) has impacted on clearance rates. 68 long wait patients (>78 weeks) have had their appointment rescheduled directly as a result of IA during Q1, which accounts for 65% of our worst-case capacity breaches. Nationally, the expectation is clear that all long waits are expected to be eliminated before the end of June 23 but locally we do not expect to achieve this, rather we are aiming for clearance by the end of July 23.

•      C&P ICS performance remains below national ambition for health checks for people aged 14+ with a learning disability. The achievement for 2022/23 was 72%, while lower than the national ambition was considerable improvement from previous years. Current performance places C&P as third in the region by the end of 2022/23 though EoE performance remains significantly below national average performance

 

Dementia tour bus has been V successful

Children and Young People with Complex Behavioural Issues and Children’s Multi Agency Safeguarding Hub (MASH). Children’s speech and language therapy has long waiting lists. New Paediatric programme starting soon.  (Duplicated boards have happened with the “de coupling” from the LA). Community paediatrics = 65 week wait.

Dentistry Services Overview. (biggest area of complaint for Healthwatch)  Severe shortage because most want to work near or in London. Pandemic halted a  lot of new initiatives to try to address this. Neighbouring ICB having same issues but looking to set up a dentistry school. Brexit has had a very negative impact because a lot of dentists worked here and in the Eu during the week before this. Noted that you do not have to register with a dentist unlike a GP so should be able to go anyone but most have closed their doors – especially to complex children’s cases. Noted that the funding system is basically flawed – it encourages dentists to see people for 6 month check ups when in fact they only ned to be seen every 2 years. There is no financial incentive to do the more complex work.  The way that funding is allocated is a national matter so out of local hands.

QPF Feeder Groups Overview – Ethical Framework for Clinical Policies Forum and Cambridgeshire and Peterborough Joint Prescribing Group. These make decisions on what interventions/medicines are available to the local population e.g. should we pay for the new obesity drug or not? They need to make £15mill savings.

“Digitech” group: looking at AI but have not yet got to grips with using photos to help with diagnostics – especially about skin cancer.
Implications for the VCS

Will the need for savings impact on community care initiatives i.e. is that an easy route to take to make cuts?

Can we help with the digital agenda/ why are they not looking to neighbouring authorities that are readily using these systems? If they do become more digitised we need to beware of the digital poverty/ exclusion agenda

 
Actions

Need to be making the case for the negative impact that cutting any community funds will have in £s

Feed in case/system studies to illustrate the impact of what we do and what great partnerships we have from primary care to community and back
Date, time and venue of next meeting and name of representative who will be attending

28-7-23    Rachel Talbot

 

 

 

 

C&P ICB Commissioning & Investment Committee / Improvement & Reform Committee Update – June

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Title of Group C&P ICB Commissioning & Investment Committee and improvement and reform committee
Date  16th June 2023 Reps name  Miriam Martin, Michael Firek, Rachel Talbot
Summary of agenda items / key themes discussed

Please note that this was the first meeting combining the commissioning and investment committee and the improvement and reform committee.

  1. Minutes of the previous improvement and reform committee

Michael noted that there still hadn’t been a response to regarding VCSE contribution to the Digital Enablement Group or just a general consideration as to how we can contribute to the digital strategy. This was acknowledged by the chair as an outstanding action.

  1. Terms of reference

New terms of reference for the combined committee (investment and commissioning/improvement and reform) were discussed. Given the scope and scale of decision making some concern was expressed about membership and voting rights to ensure that it wasn’t the same people making decisions about the same items multiple times. Concern was also expressed about the depth and breadth of the clinical leadership of the committees. These were noted with a request for more information to be brought back to the next meeting.

  1. Cambridge Children’s Hospital

This is a CPFT, CUH, Cambridge University and Cambridgeshire education authority collaboration. If achieved it will be first hospital in the country to integrate mental and physical health and early detection of chronic conditions. Positioned as a regional hub for the East of England. Also intended to provide outreach and training and become an anchor institution for the ICS. There is a £165m gap in the business case with no agreed funding to fill it. The collaboration is seeking additional support from the ICS of around £5m per year for the next three years. They have reduced costs and are seeking alternative funding. The philanthropy element of the funding is doing well.

There were questions as to how the system is prioritising capital spend across the system. Apparently there is no current prioritisation plan as capital spend has only recently been passed down to ICS’s as it was previously held nationally.

There was a request for the project team to revisit the long list of outcomes in light of the revised business case and for some direction to be given as to how we prioritise all capital projects in the pipeline with limited resources.

Michael raised the issue of the eye-watering sums of money going into this development and we shouldn’t forget the brilliant work of the VCSE in supporting the mental health of young people and how we are relatively under resources given the impact we can have in communities particularly further away from Cambridge.

  1. Briefing paper on 2023 delegations for specialist services

This was an update from the agenda item at the last meeting. Terms of reference for a working group were agreed.

  1. High intensity users

This item was about high intensity users of GP services, 111 and A&E. It has been calculated that the high intensity users across Cambs and Peterborough cost the system around £32m per year. The proposal is to create a two tier service model; tier one – specialist service and tier two – targeted service model. Approximate costs: An annual estimated cost of £600,000 for establishing the Tier 1 HIU service. An annual cost of £825,800 for establishing a system wide Tier 2 HIU service. There is some concern that this service may create overlap or duplication with other services. Stacie Coburn will be looking at this. I mentioned that I think the voluntary sector could have a key role to play in this. The proposal was strongly supported especially by the GPs on the committee.

  1. Electronic patient record system

The committee were requested to review the business case for new EPR’s for NWAFT and Hinchingbrooke. Ideally would be for all three hospitals to use the same one currently in situ at Addenbrookes as it represents best in breed. However that is simply not affordable. The business case mentioned the use of APIs and integration of systems. The committee felt unable to support any particular case given it is a knotty issue and funding will dictate the decision so it was deferred to the ICB. Concern was expressed about the level of risk.

  1. Capacity funding

The system received a significant increase in funding for 22/23 which was made recurrent in 23/24. This is added to the additional funding from the national team and the better care funding. All this funding has been allocated. Since then it has been discovered that £8m of it has been used to fund a gap in funding and therefore savings need to be made from the allocations made. This is on top of the £100m gap in the budget so there is little appetite to simply add it to that. Some projects that have been started won’t use the entirety of the funding allocated and taking this into account there is around £2.5m still to find. A couple of options were put on the table which the committee were not fully supportive of as they are both transformational and bring about change and relieve pressure on the system. (Urgent care response and virtual wards) It was agreed to make the £5.5m savings already found, maintain the investment in urgent care response and virtual wards and to find the remaining £2.5m from elsewhere in the system.

  1. Restoration and recovery financial support

This was more about process as the investments had already been made. The committee were asked to support retrospectively. The committee noted the report.

  1. March project

This paper covered issues being faced by GP practices in March although is similar to others across the county. Issues largely due to a reduction in GPs in the area. The ICB are actively working with them to come up with solutions for the demand in services that they are struggling to provide. Report just for noting.

  1. Tobacco control across Cambridgeshire and Peterborough

A paper was presented to the committee to review before going to public health. There was nothing to disagree with. The focus of this work is to encourage women to cease smoking during pregnancy and to reduce the number of children who start to smoke. There was also a plan to cease illegal sales of vapes.

  1. Feeder group update

Michael suggests that we seek VCSE membership of the Population Health Equity Board which wasn’t covered in the TOR.

 
Implications for the VCS

  • An opportunity for members to participate in the service designed for high intensity users.
Actions

  • Could an approach be made by the Health Alliance team to seek VCSE membership of the Population Health Equity Board?
Date, time and venue of next meeting and name of representative who will be attending

18th August 2023: Miriam Martin and Michael Firek attending

Attendees:

Ged Curran                         –           Chair

Dorothy Gregson               –           Vice Chair (ICB NEM)

Jan Thomas                         –           ICB CEO

Louis Kamfer                        –          ICB Managing director – strategic commissioning

Nicci Briggs                          –           ICB CFO

Martin Wheelhan               –           Representative of the chief of staff

Simon Barlow                      –           Representative of the chief of staff

Dr Gary Howsam               –           ICB Chief clinical improvement officer

Wanda Kerr                         –           Assistant director special projects

Amanda Duffin                  –           Senior commissioner mental health

Stacie Coburn                    –           Executive director of performance and assurance

 

Staff Accommodation Forum Update – June

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Title of Group Staff Accommodation Forum
Date 27 June 2023 Reps name  Sandie Smith
Summary of agenda items / key themes discussed

Housing Strategy (to include VCS) to set out some solutions. The meeting discussed the difficulties staff have accessing affordable housing. Districts, County and ICB are all committed to finding solutions. Need for subsidies discussed but no solutions.

Some long term plans from NHS England re key worker housing. However, nothing immediate. Workshop to discuss further in July.

Housing providers set policy and group agreed it is within their power to plan in housing for key workers but very long term. Everything comes down to a shortage of housing for everyone. Short term solutions extremely challenging.

Financial models discussed. Trust-based model and Key-worker model being trialled by the SouthWest. Lots of complicated discussions about developers and local authority housing provision. Might be potential for VCS to access key worker housing but very long term. Group agreed ‘follow with interest and adopt at the right time’.

Staff housing survey – 417 responses therefore extended deadline.

I am not sure that representation at this group is a priority for the HA as the focus is very much on health staff and international recruits.
Implications for the VCS

Staff travel and congestion charge proposal was touched on. Agreement to make one response from ICB, I gained agreement that the VCS be included. Jess Pickman/Iain Green taking forward.
Actions

  • Jess Pickman introduced to Kirsten at ACRE re including findings from rural housing needs in Housing Strategy (completed by SS)
  • SS to link in with Jess and Iain re congestion charge response
  • SS to further promote staff housing survey
Date, time and venue of next meeting and name of representative who will be attending         Suggest a keep in touch approach.

Local People Board Update – June

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Title of Group
Local People Board
Date 23 June 2023
Reps name  Sharon Allen, Arthur Rank Hospice Charity
Summary of agenda items / key themes discussed
Leadership Compact, ICB wanting to ensure this is socialised and lived throughout the system to proposed we use a simple scoring mechanism to provide an on-going Meeting Assessment. At the end of the meeting we reviewed and scored each component of the compact and how we had evidenced this throughout the meeting – a useful exercise we may wish to replicate at Health Alliance meetings?
ICB Board Assurance Framework 2023/24, there was discussion around how dynamic this is eg able to respond to today’s announcement about extended industrial action
Enabler Group Update, Health and Wellbeing (HWB), Giles Wright gave a presentation. There was a lot of discussion about the Staff Mental Health service, which received very positive feedback from those NHS organisations that pay for and use it. There was discussion about how this valued service could be available to the system and also how the voluntary sector could potentially be part of provision of a service that has a wider focus. Also confirmation that the Staff Support Hub has been funded until March 2024 by the ICB now that NHS England has ceased funding all staff support hubs (although see next item on proposal for regional hub).  Helpful analysis of what needs to be done at national, regional, local and provider/employer level.
Regional Staff Support Hub Options 2024/25: the ICB level staff support hubs across East of England have been working on a proposal to set up a regional (online) staff support hub funded by NHS partners, available for all of the sector, including voluntary sector. This is an enhancement to not replacement of local provision. NHSE allocating £2m to hubs nationally, about 10% coming to this region to develop regional hub. It was agreed to ask the HWB enabler group to look at in detail and make recommendation.
Leadership Programme Update – Civility Saves Lives, looking to develop a programme to promote a just and civil culture throughout the system, with Toolbox talks and access to a range of programmes, more details to follow.
CPICS – A joint project between Anglia Ruskin University (who have been given funding from Health Education England) and CIP ICS.  Looking at a local system, encouraging health and care careers and accessibility into the sector, developing knowledge and skills and integrating settings. The work will be led through the R&R and SED groups and has to be developed by March 2024.
Workforce Productivity Agenda – data analysis shows that C&P is one of highest growth projections of all regions. The challenge is that whilst financial investment in the workforce has increased, productivity has decreased. The challenge for the system is to secure workforce supply and deliver productivity improvement in 23/24 and assess workforce requirements for future years and determine what levers and levels of investment in education and training are needed to secure supply.
Provisional Future Agenda Items
September – Efficient & Effective Ways of Working, Education Learning & Development
Implications for the VCS
How are we embedding the Leadership Compact into all of our work and through our organisations?
Ensure we are engaged with the Wellbeing work, supporting the continuation of the Staff Support Hub and any plans to develop a Regional Hub as well as discussions around possibility of extending mental health service to and from our sector.
Opportunity to engage with the Leadership Programme and Civility Saves Lives, look out for further details.
Engage with the joint project with ARU to support with our talent pipeline.
Actions
As above
Date, time and venue of next meeting and name of representative who will be attending
15 September, 13.30, face to face – venue tbc, Sharon will attend

Health Alliance Update – July

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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.

 

VCS Rep Report : Improvement and Reform Committee IRC) – April 2023

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Title of Group Improvement & Reform Committee (IRC)
Date 21/04/2023 Reps names Michael Firek
Summary of agenda items / key themes discussed

–       Board Assurance Framework (BAF)

–       Draft ICS Digital Strategy

–       Reports from feeder groups

Planned Care Board

Unplanned Care Board

System Strategy & Planning Group

Quality Improvement & Transformation Group (previously Transformation Hub)

Diagnostics Board

 
Implications for the VCS

 

Draft ICS Digital Strategy – attached (Presentation pages 16 – 34, Strategy pages 35 – 66).

–       The strategy was presented by Hadleigh Stoller from Healthcare Innovation Consortium.

–       MF asked, How will the VCSE be able to contribute in this area? Governance put in place, access to systems, training, voice and input into DEG or other key delivery / strategic groups?

–       The digital engagement to date is probably contribution to the Joy app and some specific work / services that are using SystmOne. Is this something that we can escalate or scale up? To be an effective system partner we would need to ensure we are or can be integrated.

–       Dorothy Gregson advised that the NHS App is central to digital inclusion. Patients can opt / choose to share their information with VCSE through this. Are our services doing this? Should we be doing this and supporting other VCSE to do so? I’m not sure what this looks like.

–       The following news article was shared by Hadleigh after the meeting – https://www.digitalhealth.net/2023/04/the-nhs-app-is-a-critical-tool-in-tackling-the-elective-care-backlog/
Actions

–       Hadleigh shared his email address and invited MF to arrange a call to discuss whether there is a need to invite VCSE to contribute into the DEG.
Date, time and venue of next meeting and name of representative who will be attending

Friday 16th June 2023 – 9.00 – 10.45. MS Teams.

 

VCS Rep Report : ICS Supply, Information and Planning (SIP) – April 2023

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Title of Group Supply, Information and Planning (SIP)

This is the group that the R&R sub-group reports into and SIP reports to Local People Board
Date 19 April 2023 Reps name  Sharon Allen, Arthur Rank Hospice Charity
Summary of agenda items / key themes discussed

Action and Decision Log: AHP (Allied Health Professionals) Faculty funding ends May, will limit capacity for contribution. Carol Anderson taken action to talk to ICB, looking at alternative solutions ie releasing colleagues to rotate chair. Sally Drake raised point that this approach excludes LA and vol sec as we don’t have leads in this way.

Risk Log: There is a major piece of work ongoing around supply of affordable accommodation for colleagues working in care and health. This started as an issue recognised in relation to international recruits but has widened to all parts of the system.

Update from Working Groups:

Recruitment and Retention: see separate update report. Legacy practitioner – applicable for vol sec, (ARHC already expressed interest), Pastoral support, will share information and access with sector.

Workforce Planning: the importance of the data issue discussed in previous feedback reports is exemplified here, the data available (which does not include our sector yet) is used to inform the Joint Forward Plan which all colleagues should read and comment on. Ade Tams new Deputy Chief People Officer has experience from a previous role of capturing voluntary sector data so I’m having a discussion with him about this. Rebecca Tuten who is leading on the work is keen to engage and attend a meeting of the Health Alliance.

Education and Development: 10 July hold the date for Innovations and Education, Health and Care Workforce, more details to follow.

ARU Destination report, a fuller discussion will happen at the next meeting, ARU has provided a report on where graduates go on completion of their studies as there is concern that our system is not fully benefitting from the investment.

VCS Rep Report : Recruitment and Retention Sub-Group – April 2023

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Title of Group Recruitment & Retention Sub-group of Local People Board
Date 17 April 2023 Reps name  Sharon Allen, Arthur Rank Hospice Charity
Summary of agenda items / key themes discussed

Review ToR and Milestones

Action Plan and SRO’s: each provider asked to provide recruitment plans, will be sharing of good practice. The meeting was focused on agreeing the top three or four priorities (there are currently eight) in the Action Plan.

NHS E High Impact Interventions, Next Steps and Provider Plans (NHS providers only)

Co-chair for the group
Implications for the VCS

When collation of recruitment plans happens, see what our sector can learn, adapt and contribute from these (ARHC has shared our People Plan as a vol sec example).

What do we want in terms of joint recruitment initiatives? Move to on-line? And identifying risk points of colleagues leaving at 6 and 9 months and what we can collaboratively do to address this.

What involvement does our sector want in work ongoing with Anglia Ruskin University on innovations in R&R?

What engagement do we want in international recruitment either as a pipeline for our own workforces or to support with pastoral care for international recruits to the NHS?

Accommodation project – how do we want to be engaged with this?

Can we provide turnover rates for HCSW (Healthcare support worker) or equivalent?

Do we have views on areas of greatest clinical risk (probably only impacts a small number of sector orgs)

Adult Social Care has secured regional funds for ethical recruitment (re international recruitment). The meeting agreed to take this off this Action Plan for this group as Chris Hill (chair) sits on the oversight group for this work so will provide updates.
Actions

Any responses to any of the above points, or requirements for further information, please contact Sharon.

Invite Rebecca Tuten who is leading on the data project to a Health Alliance meeting to discuss our sector needs, capacity so that we have a system workforce data set not just NHS.
Date, time and venue of next meeting and name of representative who will be attending

15 May, 14.00 – 15.30, via Teams, Sharon attending

VCS Rep Report : ICS Local People Board – April 2023

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Meeting attended: Local People Board

VCS Representatives: Sharon Allen, Arthur Rank Hospice Charity, Deborah Katznelson, COPE

Date of meeting: 23 April 2023

Summary of agenda items / key themes discussed:

Leadership compact review and ICB delivery framework; how to ensure this is lived in working with partners. Developing programme of activity to ensure compact becomes second nature – links to work of Leadership & partnership sub-group. The Wall (included in Joint Forward Plan)

– each of the ‘bricks’ has been allocated to a member of ICB Exec Team.

BAF (Board Assurance Framework) to note

Industrial Action review, our system was disproportionately impacted due to number of organisations in our system who met the threshold for strike action. Lot of work undertaken to plan for and seek to mitigate impact on patients. Impact for patients on planned appointments, procedure, diagnostic, surgery as well as people seeking emergency care. Looking at learning and what can be taken forward into future ways of working. Discussion of impact on team dynamics, morale, moral injury etc.

Workforce planning review, NHS submission although does reference VSCE and Local Authority. Submitting breakeven financial plan (bringing down significant deficit but plan includes £50m unmitigated risk)

Doctors in primary care, opportunity to become an interested site for non GP medics to work in primary care (no additional funding). Lots of interesting discussion, early days, lots more debate to be had, particularly with Medical Directors and to risk assess implications and mitigations. Noted as a good opportunity to test the hypotheses through a system lens.

SIP update:

R&R (please see separate updates provided from this sub-groups)

EDI – Staff survey results still show concerns re experience of colleagues from minoritized racial backgrounds, Regional Lead joining soon to support with actions, Beyond Difference programme will be developed, developing a toolkit to tackle institutional racism.

Leadership – changing culture and embedding compassionate leadership, reintroducing Stepping in to my shoes programme, interplay of culture of integrated team working (several programmes coming on stream including; Civility Saves Lives, Above Difference, Psychological Safety/Just Culture and Quality Improvement Approach), System relationships and collaboration and Leadership.

CPICS ARU collaboration, this work follows on from a workshop held in February, focused on innovation in R&R (lead Ade Tam, Deputy Chief People Officer), portability ED & Training. A symposium to develop ideas is being held 10 July.

Forward plan:

June – Health and Wellbeing and Efficient and Effective Ways of Working

Aug – Education Learning and Development

Oct – Creating Healthy Communities and Workforce aligned with service transformation

Implications for the VCS

Think about how we also embed the Leadership compact priorities within our organisations aligned to our own values and approaches and in our dealings with partners across the system.

Industrial action impact could then impact on voluntary sector organisations with increased demand?

What can we do to support more efficient working across the system to support with deficit reduction without impacting quality of support to our community?

Actions

  • Ensure Health Alliance meeting has workforce focus, invite Sam Carr, Claudia Iton and Rebecca Tuten
  • Familiarise selves with The Wall and where our activity aligns.
  • Ensure we are represented at symposium July 10th (Sharon attending)

Date, time and venue of next meeting and name of the representative who will be attending

23 June, 13.30 via Teams, Sharon attending

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