Members from the Health Alliance group met again on Wednesday, 8^th March. Due to COVID-related restrictions, the meeting was changed to online. Although the numbers were slightly down on previous meetings, all the members actively contributed a lot of feedback and gave a great representation on behalf of the voluntary sector.

Julie Farrow, CEO of Hunts Forum, again chaired the meeting. Julie gave an update on the ‘Action Log’, which is a log documenting all the actions that have risen from previous Health Alliance group meetings that need further investigation or action on behalf of the group.

It was noted that a good percentage of actions had been completed and archived.  However, more actions are added after each meeting – to read the latest update and find out the group’s current priorities, please email Debbie Drew, our Project Officer (Health) debbie@huntsforum.org.uk

Representative Boards update

Julie confirmed to the group that the ICB is currently reviewing their Governance regarding the VCSE sector representation at their different boards.   They asked for feedback from VCSE Representatives, which Julie has been able to collate and pass across, highlighting some of the frustrations the representatives have experienced to date.  An example of some of these issues include;

• The agendas are too long.
• The papers are hundreds of pages long with too much information to digest.
• The structure of the boards can be difficult to understand.
• A lot of the top decisions are already made prior to the meetings.

We continue to have a good number of Representatives feeding back regularly from attending the various ICB boards and committees.  We currently have representation on the following ICS boards & committees.

• Local People Board
• Quality, Performance and Finance Committee
• Commissioning and Investment
• Supply, Information and Planning Group (sub-group of Local People Board)
• Health and Inequality Board
• Improvement and Reform Committee
• North Partnership
• South Partnership
• Children & Maternity Collaborative
• Mental Health Collaborative

Full details of these reports can be seen on our Health Alliance webpage each month.  Click here to read the latest reports.

Integrated Neighbourhoods update

Debbie gave an update from the Integrated Neighbourhoods – she confirmed that both St Neots and A1 Huntingdon launched recently and are now in place.  They join Fenland, Fenland South and Wisbech Integrated Neighbourhoods.

Debbie updated the group with the great community initiatives & projects which continue to be run by Fenland and Wisbech INTs.

Julie updated the members on the progress of the three key projects and the task-and-finish groups which support them. The ICB funds these projects to help support the Health Alliance’s partnership development activities. These are:

Tackling Inequalities – the task and finish group created a project to look at the ‘ask’ from families within the Oxmoor and Wisbech area. The feedback from this project highlighted two immediate inequalities & needs.

1. 1. Digital Inequality – older people in Wisbech need technology support & training.
   2. Healthcare Inequality – families in Oxmoor experience a need for Health Visitors and are interested in understanding how to keep children safe.

A third area of inequality was discussed around mobility for the elderly, and a potential future project was signposted.  The project would include ‘chair-based yoga’ lessons.  A tutor has been identified, and the group is already established. Funding to cover an introduction 6-week course has been proposed.

Partnership Development – the task and finish group met recently discussed and agreed the following:

1. 1.  Frequency of meetings including widening it to other stakeholders – group discussed that while it would be useful to have stakeholders attend it should be by invitation relevant to agenda items. Discussion on potential for in person meeting with stakeholders twice a year
   2. Whilst meetings have been regular with good attendance, we have moved from reactive agenda items to a more structured approach and this was welcomed, it was agreed to leave room on each agenda for ad hoc discussions.
   3. Widening participation and encouraging smaller groups to attend – group discussed a developing a buddying process – large supporting small – similar to the CEO Network
   4. Group discussed the need for Secretariat resource with JF asking to prepare an ‘ask’

At this point in the meeting Julie outlined the secretariat resource ask

• • Programme Director – 14 hours per week = £20k
  • Project Officer – 21 hours per week = £20k
  • Communications – 7 hours per week = £5k
  • Data – 7 hours per month = £5k
  • Representation (refund for time spent at meetings) = £10k

The total ask was £60k which the ICS is supportive of this but had a couple of questions                       which were taken to the T&R Group but are also being brought here.

1. 1. We will need clarity on the areas of spend for the HA £60,000 with clear expected outcomes and deliverables for this investment, by 20^th April
   2. That the funding is underpinned by the VCSE MOU and Strategy which outlines our ways of working, goals, ambitions, and indicators of success.
   3. That we have agreement for one VCSE organisation to hold the £60,000 funding for the Health Alliance on an interim basis before 14 March 2023. This is confirmed in writing to the ICS and this organisation invoices NHS Cambridgeshire & Peterborough before 14 March 2023 for £60,000.

Julie proposes if no one else is prepared to hold the funds that Hunts Forum continues with this function for the time being.

Those present voted to accept the proposal unanimously.

Securing Funding and External Investment – the task and finish group met recently and reported on the main points raised below;

1. 1. Funding has been secured to extend and expand the State of the Sector survey to include additional information on health activity and research on how well the VCSE sector is delivering on healthcare services.
   2. Julie will write a brief for an external fundraiser whose role will be to write a ‘fundraising strategy’ on how multiple organisations within the VCSE sector can collaborate and bid for additional funding together.

Potential 4^th New project and task & finish group

Julie proposed that the group consider creating a new ‘task and finish’ group to investigate leading a ‘safeguarding’ training certification which can be accessed & recognised across all partners.

More details on how this might work to follow.

Strategic Goals

The meeting continued with Julie updating members on the progress of the second of four strategic goals, as mentioned in the VCSE strategy.

Goal 2 – Embed the VCSE sector as a respected and equal partner in the ICS

Although we have made a lot of inroads in achieving progress in Goal One, it is fair to say we haven’t been able to achieve the same level of progress in achieving our short objectives as highlighted in Goal 2 – Embedding the VCSE sector as a respected and equal partner in the ICS.

The following table shows the areas highlighted in amber and green where we have had success, specifically around representation, data collection and investment in building partnership structures.

However, it was flagged (in red) during the meeting that there were still key areas we still needed to address.  These included.

• • Setting up a training programme to offer confidence skills and encourage more members to become representatives.
  • Overcoming the technical barriers to develop the partnership between VCSE and Health & Social Care
  • Data and information sharing – finding new equal ways of accessing IT systems and data which support improved health and wellbeing.

Julie again reiterated that more participation from the VCSE sector is needed to join the Health Alliance and help raise the group’s profile. If anyone is interested in attending future meetings or knows of anyone else, please email debbie@huntsforum.org.uk to register.

Julie concluded the meeting by highlighting two funding opportunities which are about to be launched targeting the VCSE sector. These include;

• • Healthier Future Fund – £2m allocated for projects led by VCSE partners.
  • Tackling Prevention & Supporting Community Engagement – £1.2m allocated to the district council for working with Places and VCSE.

The next meeting is scheduled for 12^th April between 9.30 am – 11.30 am online.

On the 11^th of January 2023, the Health Alliance group met again, face-to-face and online, via the hybrid facility at the Maple Centre.  The meeting attracted a lot of new faces and was deemed a successful way to hold the meeting and will be adopted again later in the year.

 

Julie Farrow, CEO of Hunts Forum, chaired the meeting.  She opened the meeting by introducing Graeme Hodgson, Adult Social Care Commissioning Manager at Cambridgeshire County Council, who came and delivered a presentation on Care Together: Happy at Home, which is a programme designed to offer support to older people to continue to live at home, with a good quality of life, for longer.

Graeme Hodgson, Care Together: Happy at Home

 

 

Care Together: Happy at Home

Graeme confirmed the launch of their new programme, Care Together, Happy at Home project.  Care Together is looking to encourage local communities and partners to design and develop local services to enable the older and less able population to fulfil their wish to remain independent at home for as long as possible.

Graeme announced that Cambridgeshire County Council is keen to work with local partners, including micro-charities and social enterprise organisations, to deliver a locally ‘place-based’ solution to reach as many ‘vulnerable ‘people in the community who need the most help & assistance.

There are four ways for the VCSE to access the Care Together funding and work with the County Council to set up the best provision for delivering the care needed.  These are:

• Enter a bid through the new ‘opt-lead provider’ model (currently in development)
• Apply for Seed funding for the expansion or creation of community assets supporting older people in the community. £275k funding monies will be split by locality across Fenland, East Cambs, South Cambs, Hunts & Cambridge City.
• Apply for Capital Investment Fund for physical infrastructure, adaptions, accessibility of community spaces etc.
• Apply for commission services via a new streamlined framework (currently in development)

Graeme explained that the Care Together project has been launched  recently and he is actively looking to work closely with Health Alliance members to gain further insights from the volunteer sector. He is keen to identify the current ‘gaps’ in areas of poor delivery and encourage micro-providers to get more involved.

Graeme’s presentation on the launch of the Care Together programme can be accessed here.

Julie confirmed we have a good number of Representatives feeding back regularly from attending the various ICB boards and committees.  Full details of these reports will be made available on the Health Alliance webpage in the next few weeks.

Finally, Julie gave a presentation updating the members on three projects funded by the ICB to help support the Health Alliance activities in developing the partnership.  Some monies from the original 200k are still available. Julie requested that members utilise this opportunity to get more involved in each project and join one of the task groups to help the group allocate the remaining monies in the best way possible.  These projects are:

• Tackling Inequalities – £30k of funding is still available. A data project was commissioned last month with CAB and Healthwatch to look at health data figures across our region. This data will be used to identify areas of inequality, but help is still needed to target specific areas.
• Partnership Development – £50k of funding is still available. Some of these monies will be assigned to the continued support of the admin & comms function and paying an allowance to all Representatives to cover their time. A training programme will be developed to offer confidence skills and encourage more members to become Representatives.
• Securing Funding and External Investment – £25k of funding is still available. Two consultancts have been identified to work with the task and finish group on a Fundraising Strategy, enabling VCSE organisations to work together and enter combined bids.

The next meeting will be held on 8^th February and an online meeting between 9.30 am – 11.30 am. If you would like an invite, please email debbie.drew@huntsforum.org.uk.

 

The Health Alliance group met online on the 14th of November to update the members on the progress made by the ICS and VCSE sector in working together to deliver the goals as set out in the VCSE Strategy.

The meeting was chaired by Kathryn Shepherdson, Deputy CEO of Hunts Forum; It was good to see another healthy representation from across the voluntary sector.

Kathryn opened the meeting by introducing Nicci Briggs, Chief Financial Officer at the Integrated Care Board (ICB), who came and spoke about her role and responsibilities and how funding is transferred across the sector.

 

 

 

Her Role & Responsibilities

Nicci is responsible for looking after the commissioning provision across the whole landscape and the different statutory responsibilities within the Integrated Care System (ICS) regarding the commissioning & performance of providers.

She looks after £1.7 billion system spending across the health allocation covering Mental Health, Acute Primary & VCSE sector.  She sees her role as helping the ICS make decisions more quickly, offer more personalised care and remove existing barriers and boundaries that restrict care services around these critical areas:

• Primary Care
• Social Care Engagement
• Service Transfer
• End of Life/High Users

Over the next two years, her top priorities will focus on ‘Health & Equality’ within the Cambridgeshire & Peterborough region and identify more significant opportunities to address primary care issues.

Nicci explained how the Integrated Care Partnership (ICP) sits alongside the ICB and is responsible for implementing the strategic direction for Social Care and Health. They also create the Health & Wellbeing Strategy and have input into key partnerships and coalitions with community partners such as the Better Care Fund (BCF) & Adult Care Discharge Fund.

Nicci explained that they are looking at a 6% growth in Care Services and see the NHS unpicking some of their larger funds to free up additional money to focus on localised care prevention and health & equality, mainly.

The ICB has created North & South Place partnerships that will work across our region and be responsible for delivering local care services and health & equality through Integrated Neighbourhoods Teams (INT), previously Primary Care Networks (PCN)

They are still in their infancy and not fully operational throughout the County, but they will eventually look at local issues and priorities for their patch and decide what actions need to be taken.

Nicci said that are three routes for the voluntary sector organisations to inform the ICB. Nicci recommended best routes to pass on information to the ICB are:

1. Through the Integrated Neighbourhood teams (until the North and South Place partnerships are ready – they will feed back direct to PCN).Here is a link to access all the local INT/PCN  https://cambridgeshireinsight.org.uk/health/healthcare/
2. Forum – like the Health Alliance & other networks to gain direct access to key individuals within the ICB, like Nicci Briggs and Kit Connick, who have previously attended the Health Alliance meetings.
3. Participate in the new voluntary sector forum the ICB is looking to launch to enable them to engage directly with the voluntary sector.

Data Collaboration Presentation

Michael Mitchel from the CAB then followed with his presentation exploring the idea of data collaboration between charities in Cambridgeshire.  This was a piece of work commissioned from an earlier meeting.   The CAB and Healthwatch agreed to collect data relating only to health and community care interaction.

Rachel Talbot and Michael asked for any feedback from Health Alliance members on what other data they might find useful.

The next meeting will be held on 11^th January and a hybrid meeting (both online and face-to-face at The Maple Centre). If you would like an invite, please email debbie.drew@huntsforum.org.uk.