System Leadership Board – Inaugural Meeting in Public - Agenda Thursday 6 September 2018 at 10.30 – 12.00 Venue: LEP Conference Centre (formerly CREA), Redhills, Penrith, CA11 0DT NO ITEM LEAD FORMAT PURPOSE TIME 1. Welcome and apologies for absence GT Verbal To note 10.30 2. Declarations of Interest GT Verbal To note NATIONAL/REGIONAL/LOCAL DEVELOPMENT UPDATES 3. National Update - NHS England & NHS SE Verbal To note 10.40 Improvement 4. Regional Update - Cumbria and the North East SE Verbal To note 10.45 Integrated Care System 5. North Cumbria Integrated Health and Care RD/SE Verbal To note 10.50 System Update 6. Cumbria County Council Update CJK Verbal To note 10.55 STRATEGY 7. Mental Health Futures Programme Update SE To follow To note 11.00 8. Third Sector Programme Report RD Enc To note 11.10 DELIVERY 9. Public Consultation Implementation Update To note 11.20 9.1 Community Hospitals ER Enc 9.2 Maternity JAL Enc 9.3 Children JAL Enc 9.4 Stroke JAL Enc 10. Transformation Programme 2018/19 To note 11.35 Update JAL Verbal Integrated Care Communities JAL Enc GOVERNANCE 11. Stakeholder Engagement JR Enc To note 11.45 ANY OTHER URGENT BUSINESS 12. Questions from members of the public relating GT Verbal For 11.50 to the agenda discussion FUTURE MEETINGS: 1 November, 10.30 – 12.00 10 January 2019, 10.30 – 12.00 7 March 2019, 10.30 – 12.00 Membership Organisations Role Name North Cumbria 1 Chair [email protected] University NHS Trust 2 Non-Executive Director [email protected] 3 Joint Chief Executive [email protected] 4 Deputy CEO [email protected] Cumbria Partnership 5 Chair [email protected] NHS FT 6 Non-Executive Director [email protected] / Joint Chief Executive [email protected] / Deputy CEO [email protected] NC CCG 7 Accountable Officer [email protected] 8 Chair [email protected] 9 Lay Member [email protected] 10 Chief Operating Officer [email protected] Cumbria County Council 11 Director of Public Health [email protected] * 12 Assistant Director of [email protected] Adult Social Care 13 Assistant Director of [email protected] Integration & Partnerships 14 Cabinet Member for [email protected] Public Health 15 Cabinet Member for [email protected] Health & Care General Practice 16 GP ICC Lead Niall McGreevy (NMG) ICC GP Lead, 17 Representative(s) x 2 CCG Mark Alban (MA) ICC GP Lead, CCG Agenda and papers to be circulated to 11,12,13 above copied to 14,15 and [email protected] [email protected] Note: Other Directors and Officers may be required to attend for specific items In attendance: Julian Auckland Lewis, Programme Director | Ramona Duguid, Director of Integration | Julie Clayton, Head of Communications, NCCCG | Harriet Mouat, Governor Support Officer, CPFT Presenters attending this meeting: Emma Russell, Urgent Care Lead North Cumbria, CPFT Dr Craig Melrose, Associate Medical Director, Integrated Community Care Group, CPFT GLOSSARY Abbrev. In full AF atrial fibrillation AHP’s approved health professionals CIC Cumberland Infirmary, Carlisle CT computerised tomography CVD Cardio vascular disease IHCS Integrated Health and Care System JD Job description LoS length of stay MDT multi-disciplinary teams MLU midwife led unit MRI magnetic resonance imaging MSK muscular skeletal RCPCH Royal College of Psychiatry SRO senior responsible officer SSPAU short stay paediatric assessment unit TOR terms of reference WCH West Cumberland Hospital, Whitehaven SLB – Agenda Item 8 Third Sector and Integrated Care Communities North Cumbria Health and Care is committed to developing an integrated health and care system. This system values the contribution made by all sectors; including the third sector (also referred to as the Voluntary and Community Sector) to support an individual’s health and wellbeing. In North Cumbria this integrated health and care system is delivered through Integrated Care Communities (ICCs). The following extract is taken from North Cumbria ICC Factsheet produced by North Cumbria Health & Care. ‘ICCs aim to address the challenges of an aging population and increasing demand by joining up health and care services, providing more out of hospital care and empowering people to take control of their health and wellbeing. Who is involved? Health and social care professionals, GPs, the voluntary sector and the community will work as one team to support the health and wellbeing of local people. This includes mental health teams to ensure mental and physical health is not treated in isolation. The community will work with health and care teams to develop future services, using their experience and local knowledge. This is called co-production and will be a key element of ICCs. How will ICCs work? Each ICC will have a hub which co-ordinates care for the local people. It will provide administrative support and a single point of contact for any professional referring people to ICC services. The hub will coordinate a rapid response when someone’s health or care needs deteriorate which sees health and care staff put steps in place to help them avoid a hospital stay and help people get home from hospital sooner. People with long term conditions will be supported to stay well and there will be a focus on local support to help people chose a healthy life style. Each ICC will provide the same core services in addition to services specific to the health and care needs of local people.’ Background North Cumbria has a vibrant and innovative third sector. The sector is made up of over 4,000 third sector organisations (of which c 1,500 are registered charities) contributing £250m to their local economies and employing as many as 6,000 FTE people. These groups are fundamental to supporting community-based solutions that address a range of issues relating to health and wellbeing, poverty, disadvantage and barriers to accessing services. A number of larger third sector organisations deliver key elements of health and care services in North Cumbria through contracts and service level agreements with the statutory sector. These organisations support the delivery of services including: • Hospice care; including care at home • Carers assessments and support; including young carers • Trusted assessor; community based low level OT services, aids and adaptations • Supported living and home care services; including the provision of specialist support services for people with complex needs • Day care services • Youth work • Children’s centres • Public health services; including Compass assessments • Stroke support These and a range of other smaller voluntary and community groups deliver extensive additional services that provide emotional support, advocacy, help to maximise household income, prevent isolation, support healthy activities, provide support to people experiencing homelessness or housing problems, support those who are unemployed or underemployed, help with skills development and much, much more. These services are largely funded by third sector organisations through fundraising and grants and indicate the significant additional value that the sector invests in the delivery of the local health and care system. Third sector organisations are often the first point of contact for individuals who have significant health and wellbeing needs. They also provide people with visible and accessible routes into services that are non- threatening. This is particularly important to those who have mental health needs, learning disabilities, come from disadvantaged communities; people who might find statutory services difficult to understand, to navigate through or who find statutory services intimidating. In short third sector organisations are key to supporting ICCs to deliver a health and care system that reaches out to everyone and recognises that people’s health and wellbeing is impacted by deprivation and inequality and exacerbated in isolated communities. The Business Case that supported the funding and approval of ICCs included the following appendix which clearly indicated the importance of the role to be played by third sector organisations within ICCs. See extract from Appendix 1 West North East Cumbria Business Case Version 2.16 below. Outcome Goal Target Focus more attention on self-care Increase numbers of patients (to be developed) / support for citizens and their managing their own condition carers. (Patient Activation) Increase number of users who % of ASC users with DP and ISF have direct payments or personal % of NHS users with PHP health plan Increase number of carers who Total number of carers have been assessed and in receipt assessments (DAP) of services New Carers assessments Number of Carers Support Plans (DAP) Increase the number of All ICCs to have an initial Ensure a greater use of community community-led health and community plan co-produced with assets to support wider individual wellbeing initiatives patients and public by the end wellbeing. 17/18 Health | Care | County Council | General Practice Reduce the prevalence and impact By 2020, 50% of people resident in of dementia and co-morbidities WNE Cumbria will live in an area across the population designated as a ‘Dementia Friendly Community’ Reduce the number of people who 1000 people per year to receive report feeling socially isolated brief advice and support in order to improve social networks and reduce social isolation per year between 2017/18 and 2020/21 % of Adult Social Care users who have as much social contact as they would like (ASCOF: 15/16 = 44.3%) Increase the number of community-led health and wellbeing initiatives Case Studies that illustrate where third sector service and/or intervention has prevented hospital admission or a delayed discharge Case 1 Elderly gentleman (84 years) with end stage renal failure in residential care. Care plan indicated a desire to remain in care home during palliative stage.