Agenda item

Covering Report of the NEW Devon CCG, on the Wider Devon Sustainability and Transformation Plan (STP), attached.

The actual Sustainability and Transformation Plan (STP) can be found at: http://www.newdevonccg.nhs.uk/about-us/sustainability-and-transformation-plan-stp/102099

A hard copy is attached separately for Board Members.

The Board considered a covering report which outlined the recent publication of the Wider Devon Sustainability and Transformation Plan, asking the Board how it could be best engaged in the Plan going forward.

The report outlined that the Sustainability and Transformation Plan (STP) was a strategic framework developed by NHS organisations in Devon working in partnership with County, Plymouth and Torbay Councils and covered the whole population of wider Devon.

The STP was the Plan to achieve the NHS ‘Five Year Forward View’ and address the challenges faced locally particularly those set out in the Case for Change. The STP was published on 4th November 2016 and was available online at:

http://www.newdevonccg.nhs.uk/about-us/sustainability-and-transformation-planstp/102099  and was meant to be the overarching strategic framework within which detailed proposals for how services across Devon would develop between now and 2020/2021. Whilst there was a focus on preventing ill health and promoting people’s independence through more joined up services in or closer to people’s homes, it was also focused on closing the financial gap that existed.

The Board noted there had been work in 2016/2017 on early improvements and efficiencies that could be made and the STP also confirmed plans to review acute and specialist services.

The next steps were for the STP to be considered by the Boards of all organisations involved and also the need, in any programme of transformation, for ongoing dialogue with patients, volunteers, carers, clinicians, public, local voluntary and community sector, local authorities and political representatives.

The Board also received a supporting presentation, from Ms L Nicholas (Director of Strategy NEW Devon CCG) outlining the STP footprint and ambition, the triple aim of the STP regarding improving population health and wellbeing, experience of care and also cost effectiveness per head of population. It outlined the STP priorities and also the challenges of achieving those.

The next steps were to continue with delivery of the 2016/2017 work streams and build operational plans for 2017/2018, including detailed plans across the 7 STP priorities and also large scale community consultation events.

Councillor Davis reported on a letter which had been received on 12 December 2016 from Simon Stevens, Chief Executive of NHS England,  which referred to the first phase of STP’s as ‘developing proposals for discussion’, and then referring to a next phase of ‘turning proposals into plans’.

The Board asked questions on and discussed the following:

• the status of the plan, as to whether it was a final version or living document to be further amended;
• concern over the lack of reference to and implications for social care;
• clarification of the funding position with rural and urban areas, particularly those described as ‘deprived’, and whether funds were likely to be shifted from one area to another, specifically from Devon to Plymouth;
• the importance of ensuring the strategic direction was appropriate, before launching formal and individual service reviews and consultations;
• the need for an open and transparent engagement process with all affected stakeholders and partners, on proposed future operational plans and service reconfigurations; and
• the profile of children and young people in the STP and that there could be a greater focus in this area.

It was MOVED by Councillor Davis, SECONDED by Mr D Rogers, and

RESOLVED

(a) that the STP ‘proposals’ outlined both in the report and presentation be received;

(b) that the Board receive, in due course, proposals for the STP public engagement and consultation plan as referenced in the letter from Simon Stevens; and

(c) that a copy of the letter from Simon Stevens be circulated to all Board Members.