Agenda item

The Sustainability and Transformation Plan (STP) process had started at the beginning of 2016 with the aim of developing a five year plan.  The eight boroughs in North West London (NWL), which made up the NWL STP footprint, had submitted a draft STP plan at the end of June 2016.  A further version of the plan was due for submission to NHS England (NHSE) on 21 October 2016.  Concern was expressed at the speed with which NHSE was pushing the STP agenda through.  It was noted that the Hillingdon chapter would form an important part of this final plan and that the priority themes ran through the Hillingdon CCG commissioning intentions. 

Concern was expressed that the Hillingdon chapter lacked detail.  Whilst this was not a criticism of Hillingdon CCG or partners, it was unclear what additional detail could be added by the October submission date.  It was agreed that there needed to be a shift towards community services and that additional work would be undertaken to develop this further. 

Of the Sustainability and Transformation funding available, it was anticipated that just under £150m would be made available to NWL.  It was noted that the NWL ‘do nothing’ position would cost £1.3bn with the Hillingdon element of this being in the region of £104m.  In order to be in a position to test new ideas, NWL would need to ensure that it was ahead of the other 43 STP areas.  It was suggested that the STP would offer the Borough the best opportunity to gain investment for patients and residents. 

It was recognised that there had been meaningful collaboration in Hillingdon across all partner organisations which far exceeded that in other parts of London.  However, it was noted that significant resident engagement was need to ensure that the public was aware of the implications of the STP.  To enable this to take place effectively, further detail would be required.

It was noted that Hillingdon was different to other boroughs by virtue of its congruence.  Whilst some developments made sense to other areas, issues such as the single discharge approach would not make sense in Hillingdon.  It was hoped that assurance would be provided that the distribution of the Sustainability and Transformation funding would recognise this to ensure that it was not drawn completely into acute care, but rather distributed across the wider health economy. 

Although low probability, opposition to reconfiguration by some partners preventing effective delivery of the plan had been identified as a risk.  It was agreed that the possibility that Hillingdon would not benefit from the available Sustainability and Transformation funding should also be included in the plan as a risk.  However, it was suggested that there was a greater risk that the funding would not materialise as originally expected rather than not at all. 

RESOLVED:  That the Health and Wellbeing Board:

1.    notes the Hillingdon chapter of the STP and instructs officers to develop a delivery plan to implement the priorities identified.

2.    notes broad support for the draft North West London STP submission dated June 2016. 

3.    agrees to delegate authority on behalf of the HWB to the Director of Adults, Children's and Young People's Services in consultation with the Chairman of the Board, the Chairman of the CGG and Chairman of Healthwatch Hillingdon, to agree, in principle but subject to detailed scrutiny of financial information, the latest North West London STP submission anticipated to be available between now and 15 October, for submission to NHSE by 21 October.