Agenda item

Report of the Joint Director Strategy (South Devon and Torbay CCG and NEW Devon CCG) attached 

Dr S Manton, Joint Director (Strategy) North, East and West (NEW) Devon CCG and South Devon and Torbay CCG, attended and spoke to this item at the invitation of the Committee.

The Committee considered the report of the Joint Director on the wider Devon Sustainability and Transformation Plan, which had been published in November 2016. The Plan set the vision and strategic direction for health, wellbeing and care services across the areas covered by NEW Devon and South Devon and Torbay Clinical Commissioning Groups.  

The Committee also received a presentation on the Plan covering:

·         challenges: increased demands, ageing population, funding limits and recruitment;

·         how the challenges would be funded in the next 10 years;

·         changes required and the current position;

·         health challenges;

·         prevention and promotion of health;

·         the integrated care model;

·         priorities relating to: primary care, mental health, learning disabilities, acute hospital and specialist services, children and families;

·         productivity; and

·         working together with key stakeholders.  

The Joint Director responded to Members’ questions and/or commented:

·         that the County Council was not a formal signatory to the Sustainability and Transformation Plan (STP) at this stage (confirmed by County Council’s Chief Officer for Adult Care and Health);  

·         that there was County Council and other local  authority involvement in the ongoing development of the Plan and integrated delivery of services;

·         on the importance of workforce planning by the CCGs with providers across the range of services and professions and the current mapping exercise and that staffing represented approximately 75% of costs;

·         on initiatives with academic bodies and providers to encourage and promote training, recruitment and retention of staff and the significant challenges involved both locally and nationally;

·         on staffing issues as a result of turnover of staff (for example 30% domiciliary care);

·         that there were no planned redundancies at this stage, but posts would change with reconfiguration of services;  

·         on the impact of current and projected funding shortfalls and implications for staffing and service delivery across the range of services if no action was taken;

·         on the ongoing work to achieve savings in prescription and pharmacy services;

·         on the IT transformation programme;

·         on the development of a property/estate management plan;

·         on adoption of national best practice;

·         on in-patient bed provision across the County on which more work was being undertaken by the CCGs;

·         on the current and developing effective integrated working in the County between social care and health;

·         on provision of acute services across the four acute hospitals in Devon, involving dialogue and engagement with their respective local communities;

·         on NHS England engagement with all GP practices in Devon in relation to the national aspiration for 7 day cover; and

·         on the importance of early intervention and prevention across the board.  

The Chairman reported on the proposed establishment of a Standing Overview Group to look at the STP in detail. This would include for example (as referred to above) issues relating to: current/projected funding challenges, work force planning/mapping exercise, safe service delivery across Devon and property/estate management plans. The Group would report regularly to this Committee.

It was MOVED by Councillor Twiss and SECONDED by Councillor Sanders and

RESOLVED that a Scrutiny Standing Overview Group be established to look at areas of concern within the Wider Devon Sustainability and Transformation Plan.

[N.B. Details relevant to the STP were available on: http://www.devonstp.org.uk/ ]