To receive an update on the development of an Integrated Care System in Devon.

The Board received an update from the Director of Strategy of the Clinical Commissioning Group on the development of an Integrated Care System fin Devon.  The Board was also briefed on the progress that had been made in implementing the Devon-wide Sustainability and Transformation Plan, including the creation of a new Digital Strategy and the priority areas in a system-wide Workforce Strategy.

The Board heard a representation from the Community and Welfare Alliance Group.

To receive an update on the development of an Integrated Care System in Devon.

The Board considered an update provided by the Clinical Commissioning Group (CCG) on the proposed merger of the South Devon and Torbay CCG and the Northern, Eastern and Western Devon CCG. 

Alongside the report, the Board considered the Notice of Motion which had been referred to it by the Council which set out a number of concerns about the proposed merger. 

The Deputy Chief Executive of the CCG provided the context for the merger, including that the two CCGs had been working closely together over the past 18 months partly as a result of a Direction from NHS England to South Devon and Torbay CCG.  During this time, a range of benefits has been realised including the simplification of decision making processes, cost savings and efficiencies of over £4million on running costs and the development of a single Executive team.

A Governing Body in Common had been held the previous week at which it was agreed that the CCGs would continue to work with their clinical members and in parallel work with NHS England to assess the appetite and readiness for a merger of the two CCGs. 

Resolved:  that the Board accepts the benefit of the principles of the merger of the two CCG however the Board would wish to hear the feedback from GPs and request that the CCG provide an update to a future meeting.

To receive updates on the development of an Integrated Care System in Devon and the proposed Local Care Partnership for Torbay and South Devon.

The Board received a briefing note from the South Devon and Torbay Clinical Commissioning Group on some of the national and local developments to support integrated care for people locally.  The note included details of how the two Clinical Commissioning Groups in Devon were working together and the potential for the two bodies to merge.

Two members of the public made representations to the Board.

Resolved:  that a further update be provided to the Board later in the year.

To receive updates on the development of an Integrated Care System in Devon and the proposed Local Care Partnership for Torbay and South Devon.

The Board received an update on the development of an Integrated Care System within Devon and the proposed Local Care Partnership for Torbay and South Devon.  In addition, two members of the public made representations to the Board.

Following the publication of the Sustainability and Transformation Plan for Devon, partners in the health and care system had been working collaboratively to create a clinically and financially sustainable health and care system.  The creation of an Integrated Care System would not be the creation of a new organisation and it was noted that, in Torbay in particular, it would build on the existing integration between health and social care which was long established.  Moving forward, work was continuing to ensure that primary care and mental health services formed part of the Integrated Care System.

As part of the development of the Integrated Care System, Local Care Partnerships would be established which, working with capitated budgets, would identify how services and resources could be planned to meet the needs of specific populations across Devon.

A discussion paper on the proposed Local Care Partnership for Torbay and South Devon was presented to the Board which highlighted that the aim was to strengthen the partnership working in place in Torbay and South Devon.  The proposed work programme for the Local Care Partnership included:

·         Prevention and early intervention

·         Asset based community development

·         Greater integration with primary care

·         Improved provision for people with severe, long term mental illness

It was recognised that there needs to be constant dialogue with the local community to ensure that they recognise what is being done to address the challenges within the health and care system.   The Board was assured that  further engagement was planned over the coming months and that the Board would be kept up to date as the work progressed.