Agenda item

To receive an update on the Board Membership as well as ICS Developments. – Please note that a report for this item will be published as a later agenda supplement.

The Board received an update from Elizabeth Disney (Wiltshire Locality Chief Operating Officer) and Lucy Townsend (Corporate Director of People, Wiltshire Council). The update covered the following matters:

• An overview of the Integration White Paper was provided, with the aim of joining up care for people, places and populations. The vision for the White Paper was also discussed with emphasis on a shift towards prevention.
• Four key areas of work within the White Paper were outlined with an aim to have shared outcomes, which will be implemented in April 2023 following a consultation period.
• Integrated Care Partnership Expectations were outlined as well as a timeline of indicative dates.
• An overview of the BSW Integrated Care System (ICS) was provided along with a diagram to explain each individual component of the ICS along with their specific roles.
• Recent ICS developments were highlighted to the Board.

Comments were received in relation to how the average person in Wiltshire will notice the difference in the service they received. It was stated the ICS developments and White paper would provide the formal architecture to connect with communities as well as providing platforms that clear existing challenges and the legalities of sharing budgets. A worked example was provided, which included the funding of Better Care staff and their enablement to provide outreach services which started during the pandemic but has now been funded to continue. An overlying theme of shifting to prevention was stated, with an emphasis on providing the right care at the right place and time in order to improve services and to prevent necessary escalation. It was also noted that though the population won’t notice an impact day to day, they will be able to see impacts such as the work taking place in Trowbridge.

Furthermore, long term it was expressed what an impact could be on providing equal opportunities for populations, such as those in Trowbridge, with people experiencing better opportunities through better health. This in turn could eventually lead to the Trowbridge population starting to change the cyclical factors of deprivation.

It was also stated that shared a shared sense of accountability and budget would make sense with reduced budgets whilst trying to manage demand in a preventative way, with it recognised that prevention plays a key role from a policing perspective. It would therefore be positive to identify success factors and a framework of shared outcomes, with a focus on high impactive outcomes in order to ensure that they are measurable.

A further example of joint working was cited by Alison Ryan, who stated that joint working has allowed acute services to move four children off of the list for oral surgery having moved patients to where the capacity is. Recruitment is also being explored as a way of creating apprenticeships to recruit into social care with possibilities of moving into higher esteem health care.

A point was raised regarding the consequences of prevention, which would have to be planned for, as currently there isn’t the facilities to look after the elderly with life expectancy having increased.

Decision – The Wiltshire Health and Wellbeing Board accepted the following recommended proposals:

i) That the Board notes the opportunity to respond to the Integration White Paper and recent ICS developments in Bath and NE Somerset, Swindon and Wiltshire.