Agenda item

Ms Caroline Morison, Co-Chairman and Managing Director of Hillingdon Health and Care Partners (HHCP), advised that HHCP had been operational for some time, illustrating the importance of ‘place’ and the need to retain decisions in relation to priorities and resources as close to the residents as possible.  A lot of work had been undertaken in Hillingdon to identify local priorities which would continue to be evaluated and refreshed. 

Six HHCP transformation programmes had been identified and partners were reviewing their approach to integration to deliver three strategic aims: deliver health and wellbeing outcomes set out in the Joint Health and Wellbeing Strategy (JHWS); establish joined up / person-centred models of care; and align with national and North West London (NWL) direction of travel for place based care.  The NWL Integrated Care System (ICS) was currently looking a developing a strategy.  Although this was still in the early stages, it was hoped that further information would be available for the Board’s next meeting on 14 June 2022. 

The review of HHCP would provide a roadmap that set out plans for 2022-2023, and longer term, in line with the JHWS.  It would look at how to evolve into a place-based partnership and would be looking at integrating the neighbourhood operating model.  The review would also include ongoing mapping and delivery of transformation schemes against the JHWS and new hospital activity shifts to ensure clarity about the trajectory.  The workforce would also need to be considered. 

The Health and Care Bill currently proceeding through Parliament set out the future component parts of integrated care systems (ICSs).  Mr Tony Zaman, the Council’s Interim Chief Executive, advised that included in the guidance was reference to seeking delegation to place.  Concern was expressed that this would be another NHS juggernaut with the associated guidance providing no specifics in relation to practical implementation or any consideration about how this might actually work with local government.  Assurance would be needed on what this might look like.  Ms Patricia Wright, Chief Executive at The Hillingdon Hospitals NHS Foundation Trust (THH) advised that South West London had delegated everything to place level so consideration might need to be given to how Hillingdon could shape the agenda. 

Concern was expressed that the population health management work was linked to place and the funding allocation from NWL could be at odds to the local initiatives that had already been put in place.  There was coherence in the system in Hillingdon which was less obvious elsewhere so it would be important to establish what the delegated criteria would be and how Hillingdon would meet this (unless there was no delegation at all in NWL). 

Although a lot of work had been undertaken in relation to place based care, more was needed in relation to the public health element.  It would be important to keep an open dialogue regarding the ICS development. 

Mr Edmund Jahn, Chief Executive Officer at Hillingdon GP Confederation, noted that centralisation and standardisation appeared to be common themes before budgets were delegated.  As such, although the partnerships were in place, these could not be used properly until NWL gave the go ahead. 

The Health and Wellbeing Board would be a key stakeholder in the development of the NWL ICS so would need to reflect back its position. 

RESOLVED:  That the report be noted.