Agenda item

Defining the BOB ICS Development Roadmap

To receive a presentation on Defining the BOB ICS Development Roadmap.

Minutes:

The Board received an update on defining the BOB ICS Development Roadmap from Amanda Lyons, Interim Director Strategic Delivery and Partnership, BOB ICS.

 

During the discussion of this item, the following points were made:

 

·       Amanda Lyons outlined some of the key development activities which had taken place in April and May.  The ICB Constitution, an NHS document, had been submitted to NHS England in line with pre-establishment timelines, and had been approved at the end of May.

·       The ICB was working on the People and Communities strategy

·       The ICP working group was being led by the ICB Chair Designate Javed Khan.  This had met several times and its work was ongoing.

·       The Board was informed of the Readiness to Operate Statement, which outlined the practical requirements of folding in the three CCGs into the new structure.  Internal Audit and Regional Office reviews had been completed.

·        The CCG Staff TUPE transition consultation had closed, and the full notifications were underway.  An interim ICB Executive Team was in place.

·       As part of the ICS establishment a System Delivery Plan was required to be submitted to NHS England, which set out the year 1 establishment plans whilst the ICP Strategy was in development.  The Plan focused on the ICB architecture and ICS development.

·       Integration was a key driver and principle in the Delivery Plan.

·       Amanda Lyons went on to outline the ICS development roadmap and highlighted the specific workstreams.

·       The majority of key outcomes remained on track.  It had been anticipated that there would be a costed digital strategy by the end of June.  This had been an NHS England requirement; however, timelines had now changed.

·       Amanda Lyons sought to assure the Board that whilst the focus over the last six to nine months had been on the preparation ready for the establishment by 1 July, the future establishment of the ICP and the ICB, the governance of the entity would be used to make sure that the ICS’ development continued to progress and evolve.

·       The ICP Strategy was in pre-establishment preparatory phase.  An interim ICP Strategy was required by 31 December 2022.

·       A review was being undertaken of the five Health and Wellbeing Board strategies to inform ICP strategy development, including the NHS England focus of health inequalities (Core 20 plus 5).

·       Close working relationships were being developed with ICS Directors of Public Health

·       Work to understand and apply the requirements for the ICP strategy as set out in the 2022 Health and Care Act was underway.  Guidance was due in July.

·       An ICS level fact base including Joint Needs Assessments which could inform the ICP strategic direction would be developed.

·       The Board noted the health index and actions by BOB ICS Local authority.  Whilst there were some consistencies there would also be some differentials.

·       Councillor Margetts indicated that the Board had previously raised concerns about the structure of the ICS, the lack of accountability and the gap between the local level and the direction of the ICS and ICP.   He questioned whether the objectives would be met by the current proposed structure.  Amanda Lyons agreed to feed the concerns back.  She emphasised that the Chairman of the Board would be invited to meet to discuss the proposed approach to developing the ICP Strategy.

·       Board members expressed concern that the voice of Wokingham and its residents was not lost within the structure.

·       Councillor Bray expressed concern about the involvement of local authorities.  Amanda Lyons commented that the work undertaken to date with the Directors of Public Health on the initial thinking around the ICP Strategy would inform the NHS 5 year joint strategy and had been around the wider determinants of health inequalities and prevention.

·       It was requested that the Chairman meet monthly with Dr James Kent.

·       Javed Khan had written to the Leaders of the five local authorities to discuss how concerns could be addressed.

·       Susan Parsonage asked about assurance that the Wokingham voice would be heard within the structure.  She went on to seek clarity about the purpose and function of the different groups established to engage with the local authorities.  Amanda Lyons indicated that as the ICS was in its formative stage there were more engagement groups.  In the System Delivery Plan there was a schematic which set out the assurance boards of the ICB and how this fitted to the ICP in governance terms

 

RESOLVED:  That the update on defining the BOB ICS Development Roadmap be noted.

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