Agenda item

(1)       Mr Gough invited Dr Robert Stewart (Clinical Design Director) to join the meeting.

(2)               Mr Gough proposed and the HWB agreed that:

(a)       Most of the meeting scheduled for 29 January 2014 be devoted to the Integration Transformation Fund especially as a submission to the Department of Health was due by 15 February 2014,

(b)       The meeting scheduled for 26 March 2014 be used to hear from a range of commissioners and look forward to the year ahead and beyond;

(c)        Dementia (one of the outcomes identified in the Health and Wellbeing Strategy) be considered in May 2014.

(3)       Mark Lemon (Strategic Business Advisor) introduced a report called The Integration Transformation Fund (ITF) which gave an update on developments since August 2013 and in particular on the timescales and details issued by government and progress made in Kent.

(4)       He drew particular attention to: the need to create a shared plan for the totality of health and social care activity and expenditure; the announcement of funding allocations to councils; the indicator set currently being considered by ministers; and the timetable for completion of the planning templates.  He also said the Pioneer Integration Group had already met.

(5)       Anne Tidmarsh (Director of Older People and Physical Disabilities) introduced a report called the Department of Health Integrated Care and Support and Pioneer Programme which provided an update on the governance arrangements for the delivery within the Integrated Care and Support Pioneer programme, the links with the Integration Transformation Fund and the terms of reference for the Kent Integration Pioneer Steering Group.

(6)       She said there had been a meeting with the NHS Improvement and Delivery Programme Liaison Manager who clarified the outcomes anticipated from the Pioneer Programme and gave feedback on the reasons Kent had been chosen as a pioneer. 

(7)       During the discussion the following points were made:

·        There was a need to articulate a clear and radical vision to bring services together and how they would be different by 2015;

·        Emphasis should be on the Integration Pioneer and the need to guard against the ITF becoming an industry;

·        Integration Pioneer status created the opportunity to draw best practice and innovation into Kent as well as providing access to those who could help overcome barriers to integration;

·        Localism was extremely important and there needed to be coherence rather than absolute consistency across Kent.

(8)       RESOLVED:

(a)       That the delivery mechanisms for the ITF plan be noted and the Integration Pioneer Steering Group be mandated to begin co-ordination of the plan;

(b)       That a programme support group be established from across the Board‘s member organisations to work on the Integration Pioneer Programme and the Integration Transformation Fund planning process;

(c)        That the final draft of the ITF plan for Kent be received at the next meeting of the HWB on 29 January 2014.

(d)               That the creation of the Integrated Pioneer Steering Group be noted subject to an amendment to the terms of reference from “Provide a strategic direction and oversee successful delivery of health and social care Integration in Kent” to “Provide advice on the strategic activity of the Health and Wellbeing Board in relation to health and social care integration in Kent.”

(9)       The HWB agreed to deviate from the order of the agenda and considered System Leadership next.  The chairman invited John Deffenbaugh from Frontline and Laurie McMahon from Loop2 to join the meeting.  The chairman said that the System Leadership project offer had been made to the HWB over a year ago and it was important to progress this to develop the approach to integrated commissioning.

(10)     There was a discussion about the order in which the stages of the project should be conducted.  The complexity and interlocking nature of the health economies in Kent; and the importance of localism and action at the health economy level was acknowledged; as was the need to involve local partners, providers, patients and carers and the urgency of developing a shared vision. 

(11)     RESOLVED:

(a)       That John Deffenbaugh and Laurie McMahon be asked to establish a pattern of meetings at the whole system level both before and after the HWB meeting scheduled for 29 January 2014.

(b)       That an event be arranged to clarify thinking prior to the meeting of the HWB on 29 January 2014.

(12)     Abraham George (Consultant in Public Health) introduced a report called Integrated Intelligence: how it will support integrated commissioning?  It made a case for whole systems intelligence and the need for a shift away from analysing data at an organisational level to analysing information across the complete patient pathway. 

(13)     Dr George also said that integrated or whole systems intelligence was increasingly seen as the game changer for integrated commissioning and transformation to meet the future challenges faced in the health and social care economy.  Much work had already been done in Kent to move towards developing a framework to understand how the use of health and social care services varied across the whole population, how and what services needed to be transformed and improved, to build local evidence for whole system change and to move towards an integrated model of care.

(14)     RESOLVED:

(a)       That the importance of this area of work and its links with the wider integration agenda be noted.

(b)       That the establishment of a task and finish group, reporting to the HWB to support the Integration Pioneer Steering Group to establish the processes and mechanisms to construct the plan and deliver aims and objectives across Kent, be endorsed.