Issue - meetings

Report of the Chief Executive

Cllr Richard Clewer, Leader of the Council and Cabinet Member for Climate Change, MCI, Economic Development, Heritage, Arts, Tourism and Health & Wellbeing presented a report outlining the development of place-based collaboration between Wiltshire Council and NHS partners through the Wiltshire Alliance.

The Leader reported that the Health and Care Act 2022 focussed on setting out how the health and social care system should be based on integration rather than competition, its structure and how Integrated Care Systems will be set up with distinct statutory functions for the Integrated care Board and Integrated Care Partnership. The Leader also confirmed that the Clinical Commissioning Groups would cease to exist from the end of June 2022.

Cllr Johnny Kidney, Chairman of the Health Select Committee, reported that the Committee had considered the report at its meeting on 7 June 2022. The committee was reassured that Wiltshire residents should not see any immediate change and they noted that new terms of reference for the proposed ‘place based’ structures will be submitted after July 2022. These will be key for the Committee, as they anticipate most of their future work to be focused at ‘place level’. Cllr Kidney stated that the Committee looked forward to continuing to scrutinise the ICS, particularly any further proposals for pooling of budgets and benefits realised from improved collaboration

Cllr Ian Thorn thanked Cllr Kidney for his reassurances of the Scrutiny process and asked if there was likely to be any increase in budgets due to the development of the new system.  In response the Leader confirmed that there were no increases in available budgets and that NHS deficits had been significantly reduced as part of the development process.

Resolved:

That the further development of place-based working arrangements through the Wiltshire Alliance be noted.

Reason for decision:

In December 2021, Cabinet endorsed the development of place based working arrangements for health and social care through the Wiltshire Alliance. This paper outlines the current situation ahead of the formal commencement of the Integrated Care System for Bath and NE Somerset, Swindon and Wiltshire.

The meeting was adjourned between 11.25am – 11.30am