Agenda, decisions and minutes

Resolved: Councillor Muldoon confirmed as Chair and Councillor Jeffrey confirmed as Vice Chair.

Resolved: Councillor Muldoon confirmed as Chair and Councillor Jeffrey confirmed as Vice Chair.

Resolved: minutes of the meeting held on 2 March 2016 agreed as an accurate record.

Resolved: minutes of the meeting held on 2 March 2016 agreed as an accurate record.

The following non-prejudicial interests were declared:

Councillor Muldoon is a governor of the South London and Maudsley NHS Foundation Trust.

Councillor Paschoud has a family member in receipt of a package of adult social care.

Councillor Paul Bell is a member of King’s College Hospital NHS Foundation Trust.

Resolved: changes to the work programme were agreed.

John Bardens introduced the item. The following key points were noted:

·         The Committee discussed Wigan Council’s approach to adult social care, The Deal for Adult Social Care and Wellbeing, and how the council is moving from being a provider of services to helping people find the best services in the local community for them.  The Committee also discussed a possible visit to Wigan Council to talk to service users and staff about how integration has worked.

·         The Committee agreed to hold an in-depth review of health and adult social care integration.

·         The Committee also discussed whether there would be time to look into place-based care as there is a lot of evidence available. The Committee agreed to include this in the meeting on 18 October. 

Resolved: changes to the work programme were agreed.

Resolved: that the Committee would be able see a copy of the Plan and be sent information about the next meeting. 

Barry Quirk (Chief Executive) introduced the report. The following key points were noted:

·         The NHS forecasts that without change there will be £30 billion shortfall in its budget by 2020-21 – mostly driven by the cost of caring for the country’s increasing and ageing population. The Government has agreed to provide an extra £8 billion by 2020. But the NHS must make up the rest by improving efficiency.

·         These savings can’t be achieved by looking at individual hospitals. They have to be done by area, across a range of hospitals. As part of this, all NHS organisations have been asked to produce a local health and care system Sustainability and Transformation Plan (STP), covering 2016 to 2021. There are 44 ‘footprint’ areas across England that will submit their own STPs.  

·         South East London’s STP covers six boroughs in South East London: Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark. The STP sets out how these boroughs will work together to re-organise and integrate the way health and social care services are provided across the area. The South East London STP is owned by all providers and commissioners of health and social care in these areas.

·         Amanda Pritchard (Chief Executive, Guy’s and St Thomas’ NHS Foundation Trust) is leading the work on South East London’s STP. Andrew Parson is the clinical lead, Andrew Bland is the Clinical Commissioning Group Lead and Barry Quirk is the lead for local government.

·         South East London’s initial STP was re-submitted today – after changes were made to bring it in line with NHS financial guidelines.

·         In South East London, there is forecast to be a gap in NHS finances of over £670 million by 2021. Some savings have been identified from, among other things, changing services (£145 million) and increased collaboration (£250 million), but it is still estimated that there will be financial gap of over £280 million after 5 years. If nothing was to change at all, the gap would be over £1 billion.

·         There are five key elements to South East London’s STP: improving the health of people; improving care and quality of service; improving organisational effectiveness of primary care and social care; establishing priorities; leadership and governance.

·         In terms of improving the health of people, Lewisham is doing well in some areas, like helping people who have recently come out of hospital, but not so well other, like access to GP services.

·         The priorities of South East London’s STP are: better contractual arrangements; establishing effective place-based governance; provider collaboration and accelerated delivery.

·         All South East London Trusts are in financial deficit, so there is a need to look at how to speed up the process and shift the focus to community-based care. Re-designing and integrating adult social care is critical. The cost of social care is probably greater than cost of hospital care.

·         Lewisham has discussed collaborative planning with several health partners across South East London, but local governments in the area are still a long way behind when it comes to collaborative  ...  view the full minutes text for item 5.

Resolved: that the report be noted.

Resolved: that the report be noted.

There were none.