Agenda item

2.40 pm

Report of the Success Regime (PH/16/30) attached

Dame Ruth Carnall, Ms A Pedder and Dr J Andrews attended and spoke to this item at the invitation of the Committee.

The Committee considered the Report of the Success Regime on progress with developing the Wider Devon Sustainability & Transformation Plan (STP) and the paper set out the overall purpose, scope and process for consultation on a ‘Your Future Care’ model. This model recommended that people were best supported at home with local, place based support.  The report outlined the pre-consultation events already held and the consultation period of 12 weeks commencing in October with decision making in early 2017.

The Success Regime representatives also gave a presentation covering: definitions of the Success Regime and the Sustainability and Transformation Plan (STP); the Case for Change (previously presented to this Committee), the preferred model of care and key general principles, the method for individual comprehensive assessments and access including rapid response arrangements (Care at Home) and the consultation arrangements for the ‘Your Future Care’ model.       

The representatives responded to Members’ questions and comments confirming that:

·         individual proposals for change would be subject to full public engagement and consultation and all staff were being kept informed;  

·         they were not aware of any proposals relating to transferring paediatric services from the North Devon District Hospital;

·         the national increase allocation for the NHS of £8bn had already been factored into the STP processes nationally and locally;

·         their regret that the Devon STP draft document had been leaked, and that the process for approval and consultation of these plans was within a national framework determined by NHS England;

·         an additional allocation of £50m for health services in Devon had already been achieved by the Success Regime;

·         more information and clarification concerning acuity rates and bed occupancy would be forwarded to members of the Committee;   

·         the national allocation for NHS funding was beyond the Success Regime ambit and all areas were able to examine the national formula and implications locally but that the national allocation remained within current NHS planning – the Success Regime’s objective was to identify options by which services could be delivered that were of a consistent high quality and clinically and financially sustainable in the longer term;    

·         a detailed statement of the consultation arrangements would be circulated to Committee Members relating to (a) community services ‘Your Future Care’ (subject to NEW Board approval) for the NEW CCG Devon area to commence in October 2016; and (b) for acute and specialist services as part of the wider STP (relating to both CCGs in Devon, subject to NHS England approval) process, and it was envisaged these would be looked at for consultation next year, if appropriate.  



It was MOVED by Councillor Westlake, SECONDED by Councillor Wright and

RESOLVED

(a) that representations be sent to the Secretary of State for Health relaying this Committee’s concerns about the Sustainability and Transformation Plan process and its funding;

(b) that a Task Group be formed to examine the current NHS formula funding for Devon and that Dr Sarah Wollaston MP, Chair of the House of Commons Select Committee (Health), be requested that the Select Committee also examine the funding formula and that she be invited to contribute to the Task Group;

(c) that the Success Regime be asked to submit a paper on all the consultation arrangements relating to the ‘Your Future Care’ model and in respect of the Sustainable and Transformation Plan (STP) processes and detailed proposals; and that progress be reported to the next meeting of this Committee on 8 November 2016 or to a special meeting as appropriate;

(d) that the joint Spotlight Review of the Model of Care for Torbay, Plymouth and Devon be arranged.    

(N.B. In accordance with Standing Orders Councillor Colthorpe requested that her abstention from voting in this matter be recorded)