2015-16 Bristol Health Partners Annual Review (PDF)
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About Bristol Health Partners The partner organisations employ Bristol Health Partners is a collaboration between the city’s three NHS trusts, three clinical commissioning groups, two universities and its local authority. We exist to improve the health of those who live in and around Bristol, and the services on which they rely. The nine organisations formed Bristol Health Partners voluntarily, and it is funded by contributions from the partners. Find out more about us at: www.bristolhealthpartners.org.uk/about-us/ Research income for the partner organisations is 39,000 £180 people million Together the partners have an annual turnover £4.3 of over billion The partners serve 1,083,000 people living in the Bristol area Avon and Wiltshire Mental Health Partnership NHS Trust Bristol Clinical Commissioning Group North Bristol NHS Trust North Somerset Clinical Commissioning Group South Gloucestershire Clinical Commissioning Group University Hospitals Bristol NHS Foundation Trust Contents Welcome from Chair Andrea Young ........................................................................................................... 3 Update from Director David Relph ................................................................................................................. 4 Milestones in 2015-16 .................................................................................................................................................................... 6 The Bristol Health and Care Awards 2016 ................................................................................... 8 Views from local leaders .................................................................................................................................................... 10 Our Health Integration Teams ............................................................................................................................... 12 Our finances ....................................................................................................................................................................................................... 27 Highlights from the partners .................................................................................................................................... 28 Welcome Andrea Young There is much to look forward Chair of Bristol Health Partners to in the coming year, with the culmination of the HIT and Executive Bristol Health Partners has entered a new phase during this last year, with the Group reviews, and our strategic Board commissioning new work across the partnership’s core activities. work programmes moving from One of the pieces of work I’m most excited about is the Health Integration Team development into implementation (HIT) strategy review, which will help us strengthen the HIT model, making recommendations for how HITs are sponsored and supported in the future. With 20 HITs now active and others in the pipeline, this clearer framework will help them succeed. We should see results from this work in the summer. The Board is working closely with the partnership’s Executive Group to make sure we’re using this group’s cemented his tenure. My sincere thanks go to him considerable talents to best advantage. Executive Group members are advocates for the partnership in their and the rest of the core team who have worked so organisations and they help the core team implement the vision for the partnership. We want to augment hard to make the partnership a success this year. this vital role. There is much to look forward to in the coming year, We have continued to build the profile of the partnership. The first ever Bristol Health and Care Awards with the culmination of the HIT and Executive Group took place in March, developed by the Bristol Post with support from Bristol Health Partners. They were reviews, and our strategic work programmes moving a highlight of the year, really showcasing the sector’s talent. We have worked with partners during Bristol’s from development into implementation. And, with year as European Green Capital, including a health day at the Festival of the Future City, and sponsorship the new local Sustainability and Transformation Plan, of the first ever Healthy City Week. part of the NHS Five Year Forward View, sharing the same geographical footprint as Bristol Health I am delighted that we have appointed David Relph on a permanent basis as Bristol Health Partners Director. Partners, I think we have another year of challenge He has already taken the partnership in new directions during his secondment to the role, and this year has and opportunity ahead for the partnership. Contents Welcome from Chair Andrea Young 3 Strengthening the Health Integration Team model – and the future of the partnership David Relph, Director of the partnership As I look back over the past year, it is clear that the heart of our partnership continues to be the Health Integration Teams (HITs). This model is key to our approach, drives our activity and makes us distinctive as a health partnership. That said, we aren’t standing still. The HIT model review and strategy, mentioned by Andrea Young on the previous page, will guide how HITs develop and are supported. Central to this is the challenge of understanding impact at various levels: of the individual HITs, and the model itself. And our collective understanding of collaborating like this is developing as we learn about working together, and the challenge of making the benefits of the HIT approach real on the ground. HIT achievements through collaboration Our collective understanding of collaborating like this is developing as Our first four years have been an exercise in collective learning. We have seen new ways that the HIT model has facilitated collaboration and research translation, including: we learn about working together, and the challenge of making the benefits of • The collaborative work of Supporting Healthy Inclusive Neighbourhood Environments (SHINE) with the Active People: Promoting Healthy Life Expectancy (APPHLE), Child Injury (CIPIC) and Dementia the HIT approach real on the ground HITs on a co-ordinated response to the West of England joint spatial plan, focusing on the evidence linking the built environment with health and wellbeing Celebrating success • The SHINE and APPHLE joint work on the 20mph campaign, including SHINE Directors Suzanne in health and care Audrey presenting to full council in March and Adrian Davis working with the Bristol Post to get the evidence into public discourse Another cause for celebration was the first ever Bristol Health and Care Awards, run by the Bristol • Bristol Health Partners involvement in and support of Healthy City Week, a more grassroots model Post and sponsored by Bristol Health Partners. of event organisation and profile raising than we have used before We developed 15 award categories to reflect the breadth and depth of the health and care sector. Examples like this are encouraging: they tell me the HIT model isn’t standing still. While the next year will see changes to how we support HITs across our portfolio, the model remains the core of the partnership. With nearly 200 entries and a full house on the night, the awards were a tangible expression of the support, care and passion that typifies our health and care community in Bristol. Again I’d like to congratulate all the nominees, and everyone involved in making it a great night. Find out more on pages 8-9. 4 Update from Director David Relph Our strategic direction What next for the partnership? Last year I talked about making the most of the With our first collaboration agreement ending in 2017, we must consider where we go next as a partnership. strategic potential of the partnership. I think we While refreshing the agreement, we will reflect on the last four years and agree collectively how we take the are still reflecting on and exploring that potential partnership forward. The measurable impact of the partnership’s work and how we prioritise and focus effort rather than realising it. That said, we are making a will be considered, as well as how we develop work on the city-level strategic agenda, alongside the more start, and have retained and developed our focus targeted Health Integration Teams. on workforce, data and sustainability. In the year ahead we will test the value of working in this more Devolution and its potential impact will inevitably be part of this discussion. While how this looks in practice strategic way: we will be announcing initial projects will be up to all the local leaders in Bristol and the wider region, I am optimistic that if health and care is part in the next few months. of the discussion – and I think it should be – that Bristol Health Partners can play a very constructive role. The strategic agenda is of course a challenging There is a wider challenge of how we tackle health and care issues at ‘city level’. The partnership will support one. Strategic collaboration across organisations this agenda via the STPs, but there is a broader question out there about how well organisations, and the challenges our structures and our imaginations. networks to which they increasingly belong, work effectively on city level or place based challenges. We are Starting with a blank canvas is difficult, and it’s part of a local consortium that will examine this issue in Bristol through the research councils’ Urban Living often helpful to have a framework around which Partnership. I look forward to updating you as