Agenda item

In introducing this report, the Chair noted that:

·       the implementation of the Integrated Care Partnerships had now been pushed back to July 2022

·       Shane Devlin had been appointed as Interim Chair of the CCG

·       The Health and Care Integration White Paper had now been published. It was agreed that a discussion on this needed to be added to the Forward Plan with a discussion on what was required for action. ACTION: Mark Allen/Sally Hogg to add to Forward Plan

The Board then heard the following verbal presentations in respect of each of the city regional ICP’s and Health Watch:

Joe Poole – ICP Chair (Inner City East – ICE)

He made the following points:

·       There were wider health issues related to deprivation that had been identified by the ICP. The importance was noted of adopting an approach with shared progress and priorities

·       It was important to encourage people to engage with services to ensure that services continued to be aligned with the public

·       Studies had identified the uniqueness of the area’s population in respect of children’s mental health and healthy weight

·       The delivery of a place-based offer for this area remained important

Sharron Norman – ICP Chair North and West

She made the following points:

·       There remained capacity issues within ICP’s. The White Paper crystalises how much work was required for a small team

·       There needed to be a discussion about establishing a joint level of expertise in each ICP rather than all three making the same requests to the HWBB

·       Greater synergy was required to assess priorities. Development time would help with an assessment of practicalities

·       An agile decision-making system was required to ensure a focus on health was maintained. Local Authorities needed to consider if there was an area they could lead in

·       A Well Being College was introduced to support virtual group consultations in Lawrence Weston, Southmead and Lockleaze and also to increase the number of digital champions

·       The Healthy Minds One City Plan was being introduced to address the problem of people being admitted to hospital due to self-harm and the number of deaths caused by homicide. An analysis of the data has helped in this area

·       It is important that the THRIVE Programme becomes embedded

·       Work was taking place with drug and alcohol services

Stephen Beet – ICP Chair (South) – providing a presentation in the absence of Steve Rea

He made the following points:

·       There had been a great deal of partnership work across organisations

·       People with lived experience of issues have joined work streams

·       It was important to assess priorities beyond mental health and ageing well

·       The pilot projects had helped to provide learning for different approaches in respect of Housing and Children’s Services

·       Governance for the structure were provided through the commissioning route ie CCG but greater clarity was required. Views on the HWB Partnership were developed in response to the local needs and priorities of our citizens

·       Contributions were needed to ensure improvement of travel options in public transport throughout the city. It remained difficult to travel across the city rather than into the city centre

Members of the Board made the following points:

·       The ICP’s needed to be part of an embedded approach rather than on top of what was currently been done. There was an important balance to be struck between standardisation and the different needs required in different areas of the city

·       There had been a recent discussion at a meeting of the Chairs of the One City Boards concerning the Task and Finish Groups and whether or not the three ICPs needed to work together to create a One City Mental Health Priority plan. A Joint meeting of the HWBB and Task and Finish Group might be helpful in addressing this ACTION: Mark Allen/Sally Hogg to investigate

·       An analysis of the White Paper would be helpful in assessing progress on priority areas

Julie Bird – Healthwatch

She made the following points:

·       At the moment, only 1% of hospital discharges were picked up. There was a need to put people at the centre of decisions with an agreed Care Plan.

·       The care plan records showed patients’ personal journeys. These were completed online with paper copies available as required

·       Key issues included time pressures, waiting times and staff shortages

·       1 to 1 interviews were also carried out

·       The majority of respondents reported on a lack of clarity with the system. There were many instances of patients being moved without relatives being kept informed of the situation

·       An improvement in communication and protocols was important

·       It was important to collect feedback from across the city and break it down by area and demographic.

·       Since March 2020 there had been difficulties concerning ambulance queues and discharges form hospital. There was a need to establish a proper pathway for people who were originally admitted to hospital once they were discharged

The following points were noted:

·       Shane Devlin should be invited to a future Development Session or Board Meeting ACTION: Mark Allen/Sally Hogg

·       Consideration should be given to ensuring that there were carers at every ICP Board meeting and for a designated person to support the process at each stage

·       Steve Rea would be attending the next Carers Voice Meeting on behalf of ICP’s to explain their role