Agenda item

The Chairman introduced the report, and noted that the Pandemic has had devastating effects on our communities locally as well worldwide however it also brought some different ways of working and brought local partnerships between Local Authority, NHS and Voluntary and community sector much closer which will have legacy for local Integrated Partnership.

The Chairman invited Daniel Morgan, the Interim Director of Commissioning at North Central London CCG to introduce the report. 

Mr. Morgan advised the Committee that the partnership had been in place since the beginning of the year, with the following aims:

•        A Population health management approach that takes in to consideration the wider determinants of health and improves the health outcomes for residents of Barnet;

•        Addressing the challenging commissioning issues so that as a system we develop integrated solutions;

•        Addressing performance issues where Barnet is an outlier (e.g. by reducing the number of avoidable unplanned hospital visits and admissions)

•        Support residents in self-care and prevention;

Mr. Morgan advised the Board of the following progress to date:

Developed strong, collaborative leadership:

-        The partnership had identified system leaders across multi-organisations in Barnet

-        Held workshops and informal meetings last year to build relationships

-        Held detailed discussions about vision, outcomes, governance and financial management of the Barnet ICP to develop shared understanding 

Developed Joint Governance:

-        The partnership had developed interim governance arrangements

-        Established the Barnet ICP Board and Barnet Integrated Care Delivery Board

-        Agreed Terms of References and Memorandum of Understanding

-        Established workstreams to progress ICP development

Developed High Level Outcome Domains:

-        The partnership had developed five high-level outcome domains around access, workforce, population health, wider determinants and community resilience

-        Agreed an approach to develop detailed outcomes based on priority pathways

Identified Areas to Progress Local Integration: 

•        Developed five high-level outcome domains around access, workforce, population health, wider determinants and community resilience

•        Agreed an approach to develop detailed outcomes based on priority pathways

Mr. Morgan advised the Committee that pre-Covid, in January 2020, a paper setting out proposals to address system wide issues was presented at the RFL A&E Delivery Board, ICP Delivery Board and the Health and Wellbeing Board.  He noted that since then and following Covid, the pace and scale of changes had meant that the local system have worked together on a longer list of priority areas, which had included significant changes to:

•        Same day access

•        Primary care networks (PCN)

•        Care homes

Commenting on care homes, Mr. Morgan noted that GP care for care home residents had been bolstered as part of the response to Covid. 

The Board noted the new Governance Structure for the ICP Development Model. 

Responding to a question from a Member, Dr. Djuretic commented that whilst Barnet had a long life expectancy, there was prevention work to be done to ensure a long healthy life expectancy.  Dr Djuretic noted that many of the mentioned conditions such as cardiovascular disease and diabetes were preventable through lifestyle 

Dr. Djuretic advised the Board on a piece of work that the NCL Directors of Public Health had started on regarding HWBB strategy commonalities.  She advised that this piece of work had been interrupted by Covid, and stressed the importance of now considering it through the Covid prism.   She advised that she hoped to be able to bring this piece of work to the Board in due course (Action Dr. Djuretic)

Dawn Wakeling, the Executive Director for Adults and Health advised the Board that the ICP Executive Board had met the previous day.  She advised that a key conversation from the meeting was an agreement about taking quick action as a local system to think about how health partners and the council address BAME issues in advance of second wave of Covid / winter flu.  She stressed the desire to work as a system and partnership with “no wrong door” and ensure that the right information and messages were communicated.  She stressed the importance of supporting and targeting people around matters such as preventative methods like underlying health conditions, particularly around winter.  She acknowledged that the focus on care homes very timely and noted a significant emphasis from central Government on Care Homes.  Ms. Wakeling also commented on the new publishing system directly into the Minister of State for Care on status of care homes in relation to Covid-19. 

The Chairman put on record her thanks to Dawn Wakeling and her Department for their excellent work on Covid-19. 

Following the consideration of the report, the Board RESOLVED:

To note the update of the Barnet Integrated Care Partnership.