Agenda item

Report of the Deputy Director of Strategy (NHS Devon CCG), attached.

The Board considered a report from the Joint Associate Director of Commissioning (DCC) on the approach to developing a wider Devon system plan in response to the NHS long-term plan. It was noted that Health and Wellbeing Boards and individual partners had a key role in shaping and delivering Devon’s system plan and the broadened scope of the NHS Long Term Plan (LTP), particularly in seeking to strengthen action on prevention and inequalities, provided an opportunity for contributing and working in collaboration to address challenges at both local and system level. 

The Board noted that national planning guidance has now been published and the Report provided an update on the process and timescale for developing the Devon system response to the LTP including the process for engagement and an update on population need and shared priorities for wellbeing that would inform the plan.

The Report also gave a description of the overall process and timescale although each system (Sustainability and Transformation Partnership area) was expected to develop its plan by autumn 2019. The process was designed to ensure that the local system plan was developed through involving local communities and delivery partners, using evidence of population need to inform priorities, building upon the existing agreed system plans and strategies, defining how outcomes would be delivered and how local and national good practice initiatives would be adopted consistently and how financial stability and sustainability would be achieved.

The Board noted the Reports description of the plans for engagement at Locality, District, County and STP wide levels, including tier 1 – strategic engagement (Devon-wide), Devon virtual voices, focus groups and hard to reach groups.

In Devon, the Long-Term Plan development was being led through the Devon Sustainability and Transformation Partnership chaired by Dame Suzi Leather, with Phil Norrey in the role of interim Chief Executive.  Each constituent NHS and Local Authority organisation would be key partners in both the development and delivery of the Long-Term Plan. Health and Wellbeing Boards, in their role of ensuring the delivery of improved health and wellbeing outcomes for the population, reducing inequalities, and promoting integration would play a key role.

The Board also noted that in relation to the Health and Wellbeing Board’s in Devon, Plymouth and Torbay, it was proposed that a joint working arrangement was implemented to develop a common set of Health and Wellbeing priorities.

The Board, in discussion, highlighted and asked questions on;

·         the provision of staffing, GPs and Nurses, across the Plan, with workforce supply being the single biggest restraint; and

·         the need to develop a different model that treated people outside the A&E model currently used.

It was MOVED by Councillor Leadbetter, SECONDED by Dr Johnson, and

RESOLVED

(a) that the Board acknowledge the progress to date and the proposed process, timescales, materials and levels of engagement for the development of Devon’s Long-Term Plan and endorses the robustness of the process before the engagement starts; and

(b) that the Board develops a joint working arrangement to agree a common set of Health and Wellbeing priorities and to maintain oversight of the implementation of the Long-Term Plan, insofar as it relates to the Devon STP geography in aggregate.