To receive a joint presentation from John Lisle and Alison Alexander

·         Update on progress

The Board received a presentation updating on the Sustainability and Transformation Plan (STP) for the Frimley footprint which was due to be submitted to the Department of Health at the end of June 2016.  The Frimley health and care planning footprint had a population of 750,000 people registered with GPs in 5 CCGs: Slough; Windsor, Ascot & Maidenhead; Bracknell & Ascot; Surrey Heath and North-East Hampshire and Farnham, a area map was provided as part of the presentation as well as listing all the system partners.

The STP set out the key priorities across the system for the next five years and would be crucial to securing transformation funding.  A significant amount of work had already been done with partners that had helped identify five emerging priorities:

1.  Making a further step change to improve wellbeing, increase prevention and early detection. 

2.  Significant action to improve long term condition pathways including greater self management and proactive management across all providers.

3.  Frailty pathways: providing proactive management of frail complex patients, having multiple complex physical and mental health long term conditions, reducing crises and prolonged hospital stays.

 4.  Redesigning urgent and emergency care, including integrated working and primary care models providing out of hospital responses to reduce hospital stays.

5.  Reducing variation and health inequalities across pathways to improve outcomes and maximise value for citizens across the population, supported by evidence.

The Board were informed of the leadership and governance arrangements that broughttogether 3 established system leadership groups; East Berkshire System Leadership Group; North East Hampshire and Farnham Leadership Group and Surrey Heath Alliance.  They would be looking at good practice and how that could be built upon.  The STP would build on good relationships with a high degree of trust.

To inform the development of the STP, analysis had been undertaken of a range of data sources to provide information about the health and wellbeing, the care and quality and the financial challenges.   The analysis demonstrated that the Frimley system had a good starting point, with some issues being highlighted and informing the STP.  Demographic changes had to be taken into account to ensure any good progress was maintained.

The Board discussed the overall purpose and scope of the STP, and it was noted that the plan was focused on identifying and addressing the common issues and priorities across the Frimley system.  A strong plan would be required to attract the additional transformation funding and it would complement rather than replace local plans, strategies and activities. 

It was mentioned that the ambition was about people taking responsibility for their conditions and how better signposting to services would help.   It was also raised that a lot of residents in the WAM area used the Royal Berks and they were concerned that they may have to go to another hospital; the Board were informed that there would always be concerns like this at the edge of boundaries but the STP would bring widened consistency.

The Chairman mentioned that the Board would require updates on the STP as it develops.

Resolved unanimously:  that the Board note the update.