Agenda item

A presentation on the development of Wiltshire Neighbourhood Collaboratives, led by the BSW Integrated Care System.

The Wiltshire Integrated Care Alliance Programme and Delivery Lead explained that neighbourhood collaboratives would be community led network of partners, including area boards, the voluntary sector, emergency services and health and care providers, aiming to shape the delivery of services at a local level. The neighbourhood collaboratives would be a community-based asset within the Integrated Care System (ICS), having the opportunity to share ideas and best practice through a forum called Wiltshire Collaborative. She stressed that neighbourhood collaboratives would have a clear structure but would not replicate the work of existing bodies or be performance managed.

She reported that the aim was to create three neighbourhood collaboratives by April 2023, by which time a clear governance framework would have been developed. A steering group would be set up, with task and finishing groups to oversee the implementation of the plans, with the intention of establishing a neighbourhood collaborative in each of Wiltshire’s 13 Primary Care Networks (PCNs) by 2024.

During the discussion points included:

• Members thanked the delivery lead for her very detailed presentation and welcomed the principle of local decision making.

• Questions were asked about how the implementation and success of the neighbourhood collaboratives would be measured and how they would improve patient care. In response, the delivery lead explained that she thought the neighbourhood collaboratives would help to identify gaps in existing service provision. Local communities would have the ability to interrogate and add to data provided nationally through a body called Optum. Wiltshire wide key performance indicators (KPIs) would be developed, and neighbourhood collaboratives would also be able to establish their own KPIs to measure how services were provided.

• She noted that plans for neighbourhood collaboratives built upon the learning from population health management pilot study conducted in Trowbridge, which had shared data to help identify that around 80 people in the area that were likely to become housebound within the next two years. As a result of the work being undertaken, preventative measures were now being put in place to try to mitigate the risk to those individuals

• The delivery lead reassured the committee that the collaboratives had been designed not to duplicate the work of existing organisations and stated that she would welcome information from members if there were areas in which duplication was taking place. 

• Observations were made that many of the partners anticipated to take part in the 13 neighbourhood collaboratives were groups already attending Wiltshire’s 18 Area Boards. It was suggested that there would be opportunity to share contacts and discuss how the Older and Vulnerable People Grant Scheme could be targeted most effectively. The delivery lead agreed that it would be productive to work closely with Area Boards and explained that PCNs would speak to local groups to establish stakeholders within each neighbourhood collaborative.

• It was also suggested that there would be scope for engagement with the Warminster Health and Wellbeing Social Care Forum.

Resolved

To note the comprehensive update on the implementation of the Wiltshire Neighbourhood Collaboratives, which have been established to enable partnership working to flourish across services, organisations and community groups within each Primary Care Network area.