Issue - meetings

At its meeting on 4 July 2023, the Health Select Committee received an update on the progress of the Integrated Community based services Programme, including an outline of the aim and purpose of this programme, the link to the ICP strategy, and key milestones/timelines. The information provided can be accessed on the meeting’s recording and the written briefing is attached.

Officers have not been requested to attend this meeting but this is an opportunity for committee members to ask questions and / or consider whether this is an area for further scrutiny for this committee.

The Chair informed the Children’s Select Committee that at its meeting on 4 July 2023, the Health Select Committee received an update on the progress of the Integrated Community based services Programme, including an outline of the aim and purpose of this programme, the link to the Integrated Care Partnership strategy, and key milestones/timelines. The information provided can be accessed on the meeting’s recording and the written briefing is attached.

It was also clarified that officers had not been requested to attend the meeting but was an opportunity for committee members to ask questions and / or consider whether this is an area for further scrutiny for this committee.

It was clarified that the Children’s Select Committee was being asked to consider how health services across BaNES, Swindon and Wiltshire were being commissioned. Wiltshire Council had an integrated service for children’s community health provided by HCRG including a public health nursing element which had now been commissioned by Wiltshire Council by themselves going forward. The Children’s Select Committee was seen as an important committee to cite on the process and would be updated accordingly.

Resolved

For the chair and vice-chair to receive a joint briefing with the chair and vice-chair of Health Select Committee before the next update is taken to Health Select to determine whether this should be an area of work / interest for the Children’s Select Committee.

• To update the Select Committee on the progress of the Integrated Community based services Programme, including an outline of the aim and purpose of this programme, the link to the ICP strategy, and key milestones/timelines. 
• To inform the Committee on the ICB and its partners plans to ensure continuity of provision of services to local communities during the programme.

Fiona Slevin-Brown, Director of Place for the Integrated Care Board, was in attendance to provide an update on the integrated Community Based Care programme.

Details were provided on publication of the integrated care strategy setting out key priorities for the integrated care system. This included an increase in focus on prevention and early intervention, with community based services. The integrated community based care programme had been established to secure specific health community services from 2025. The priority was to ensure continuity of services for the next financial year, to ensure partners and communities could be involved for the new contracts.

The Committee sought examples of types of community-based care where contracts were expiring and covered with the new programme, such as community hospitals, physios and other health and care. There was discussion of national issues relating to the non-consolidated pay award for NHS staff, which did not cover those in care services employed by non-NHS organisations.

Detail was sought on what would be different as a result of a greater focus on community-based services. It was stated there would be a focus on expected outcomes, looking at issues like improving access or ranges of services. It was also stated there was no assumptions being made about providers, market engagement was taking place to any interested providers of community services, including the voluntary sector, with an opportunity to have a more flexible model.

At the conclusion of discussion, it was,

Resolved:

To note the content of the paper and to schedule an update to follow progress on the integrated community-based care programme.