Decision details

 The Chair welcomed Neil Greaves and Gary Raphael from Healthier Lancashire and South Cumbria; and Mark Youlton from East Lancashire Clinical Commissioning Group, to the meeting.

The report presented provided an update from the Lancashire and South Cumbria Sustainability and Transformation Partnership (STP) including progress of working to become an Integrated Care System (ICS) and the development of a strategic framework for delivery of activity. The presentation detailed progress, activity and milestones for 2018/19.

Lancashire and South Cumbria was working to become a shadow integrated care system made up of five Integrated Care Partnerships. A strategic framework had been developed to coordinate activity across the whole system.

Twelve refreshed portfolio areas were being adopted to design, mobilise and lead the work across the whole system. Each portfolio would have identifiable leadership and resource and would report through the ICS Strategic Framework to the shadow ICS Board. The portfolios were set out across three key areas:

·  Strategic Portfolios – how services would be commissioned in the future

·  Clinical Change Portfolios – what was being done with Mental Health services, Out of Hospital services, and Acute and Specialised services

·  Enabling Portfolios – finance, IT, workforce, and communication

There were detailed implementation plans in place for all portfolios and a future overall design had been agreed.

On short term objectives, members were informed that the Better Care Fund had provided for significant improvements in reducing delayed transfers of care. However, it was acknowledged that on the transformation of health and social care, a significant level of pooled budget would be needed to manage the process.

It was reported that Healthier Lancashire and South Cumbria was hoping to hold engagement events on stroke during the summer of 2018, and was establishing a network for communication and engagement. Whilst resources were now in place to ensure more robust consultations would take place with the public, members stressed the importance of communication and engagement with residents in rural areas.

On decisions taken by clinical commissioning groups (CCGs) and the Joint Committee of CCGs, a request was made for information on accountability of those organisations that had been commissioned to provide services on behalf of the NHS.

Resolved: That;

1.  The report be noted and progress made to date be supported;

2.  Information on how those organisations providing services on behalf of the NHS are held to account be provided to the Committee;

3.  Any further engagement and communication should take account of the rural parts of Lancashire

4.  The principle of any new funding or available budgets continuing to be invested in the population health and the prevention and early intervention be supported; and

5.  Financial information in relation to the transformation of the health and social care system in Lancashire be presented at a future meeting of the Committee.