Agenda item

Report of the Democratic Services Manager

The Head of Communities and Leisure introduced The South Nottinghamshire Place-Based Partnership and invited their Locality Director, Fiona Callaghan, to begin a presentation on who the South Nottinghamshire Place-Based Partnership are and what they aim to achieve.

 

What is an Integrated Care System? (ICS)

 

There are 42 ICS’s across the country, which are partnerships of health and care organisations that work collaboratively to plan and deliver joined-up services to improve the health and wellbeing of the people who live and work in their area. Since the 1940’s, the NHS has been very treatment focused but as health and care needs have developed, there is a requirement for more prevention measures to keep people healthy. Partnerships across health, Local Government and the voluntary sectors, as well as local communities and neighbourhoods, contribute towards achieving this.

 

They exist to achieve four aims:

 

1)    Improve outcomes in population health and healthcare;

 

2)    Tackle inequalities in outcomes, experience and access;

 

3)    Enhance productivity and value for money; and

 

4)    Help the NHS support broader social and economic development.

 

Nottingham and Nottinghamshire Placed-Based Partnership

 

Nottingham and Nottinghamshire integrated care board became a statutory organisation as of 1 July 2022, this includes both the Integrated Care Board (ICB) and the Integrated Care Partnership (ICP). The ICB is a unitary board where all partners contribute towards decisions on NHS spending. The ICP establishes what the local healthcare needs are and uses this information to influence the decision making of the ICB.

 

Helen Smith, Programme Director for South Nottingham Placed Based Partnerships, informed members that the Nottingham and Nottinghamshire Placed Based Partnerships are an equal partnership which includes the following organisations:

 

·       Gedling Borough Council;	·       Nottinghamshire County Council;
·       Active Notts;	·       Nottingham Healthcare NHS Foundation Trust;
·       Arnold and Calverton PCN;	·       Nottingham University Hospitals NHS Trust;
·       Arrow PCN;	·       Nottingham West PCN;
·       Ashfield District Council;	·       Partners Health;
·       Ashfield Voluntary Action;	·       Primary Integrated Community Services;
·       Broxtowe Borough Council;	·       Rushcliffe Borough Council;
·       Byron PCN;	·       Rushcliffe CVS;
·       Healthwatch;	·       Rushcliffe PCN; and
·       Newark and Sherwood CVS;	·       Synergy PCN
·       Nottingham and Nottingham ICB;

 

Some of these organisations are members of more than one Placed-Based Partnership in the Nottingham/Nottinghamshire area. There are six Primary Care Networks in the South Nottinghamshire area and the Placed Based Partnerships are formed through these networks.

 

Principles of Placed Based Partnerships

 

1)    Guidance on the development of place-based partnerships as part of statutory integrated care systems: LGA and NHSE;

 

2)    Partnership with shared objectives, a mutual understanding of the population and a shared vision focus on improving the health and wellbeing outcomes for the population, preventing ill health and addressing health inequalities; and

 

3)    Address priorities most important to their partnership and to their communities.

 

The vision of the South Nottinghamshire Placed Based Partnership:

 

To enable people in South Nottinghamshire to live healthier lives and get the care and support they need, when they need it.

 

Place priority work areas 2022/23

 

Meeting the health and wellbeing needs of their diverse communities:

 

To utilise population health management data, local intelligence, and experience to address with partner agencies the wider determinants of health and wellbeing and ensure their most vulnerable groups are able to access the right care at the right time.

 

Community development:

 

To leverage community assets and build social capital to develop strong, resilient, and connected communities.

 

Personalised care and support:

 

All partners will work collaboratively to deliver care and support to meet the needs of the individual.

 

Programmes of work for the Placed-Based Partnership (PBP)

 

Meeting the health and wellbeing needs of the community:

 

1)    Ensure services are developed based on good intelligence about population health needs

 

2)    Improve heart failure services

 

3)    Develop an integrated & sustainable model for care in care homes

 

4)    Develop the health and wellbeing hub for Hucknall

 

5)    Deliver PCN priorities e.g. good health in care homes

 

 

Community Development:

 

1)    Work with communities to identify purposeful/sustained approaches to tackle health inequalities

 

2)    Develop key roles to support delivery of strong and resilient communities (community worker; community champion roles)

 

3)    Support the development of a community led health and wellbeing hub in Eastwood

 

Personalised Care and Support:

 

1)    PCN innovation & development

 

2)    Identify/develop Primary Care Strategy priorities at PBP level

 

3)    Transform the way community services are delivered

 

4)    Integrate health & care

 

5)    Align and integrate community & practice nursing

 

6)    Further develop clinical and professional relationships

 

Communication, Involvement and Engagement:

 

1)    Keep profile of the PBP high with local partners & stakeholders

 

2)    Develop key communication priorities, e.g. Choose Well, winter planning, cost of living crisis

 

3)    Develop PBP engagement approaches to involve and co-produce wellbeing initiatives with the local population

 

Community development

 

The Head of Communities and Leisure at Gedling Borough Council also operates as the Local Authority Lead for the South Nottinghamshire Placed Based Partnership’s Community Development programme. The Head of Communities and Leisure works closely with the Chief Executive of Rushcliffe Borough Council’s Community and Voluntary Service in delivering on this programme.

 

The Community Development programme is primarily focused on building strong and resilient communities. This involves how well residents are able to connect with others, interact with services and how strong the voluntary sector is when supporting residents.

 

Gedling Borough Council are commissioned by the Placed Based Partnership to provide social prescribing, offering a community alternative to medication or other clinical interventions. An example of this could be where loneliness and isolation is the issue and lunch clubs or community hubs could help.

 

Stuart Newman, Deputy Locality Director for The Placed Based Partnership focuses on the Primary Care Networks in Nottingham West.

 

Their pathway redesign work focuses on:

 

1)    Population Health Management (Diabetes, health promotion and mental health).

 

2)    Social Prescribing in Emergency Department (Working in ED to address patient’s holistic needs).

 

3)    Heart Failure (Providers collaborating to improve equity of offer for community heart failure services).

 

4)    Community Mental Health Transformation (MH networks for all colleagues in all sectors supported by the PBP).

 

5)    Ageing Well (Placed-focused service redesign, across health and care in care homes).

 

6)    Health and Care Integration (Working at neighbourhood level, adopting strength-based person-centred approach).

 

Primary Care Networks supporting primary care resilience

 

Additional roles:

 

PCNs grow the primary care workforce by appointing staff from a nationally-set list of roles.

 

Enhanced access:

 

PCNs working together to deliver access in the morning, evening and all day on Saturday.

 

Business continuity & COVID vaccination:

 

PCN plans to support business continuity and local vaccinations throughout the pandemic.

 

Estates:

 

PCNs working with partners to identify and address estate needs

 

Impact and Investment Fund:

 

Improvements in care rewarded with funds to be reinvested in primary care services and equipment.

 

Questions asked by Members

 

In concluding their presentation, the Vice-Chair asked members whether they had any questions.

 

Councillor Creamer asked what community development will be done in the Carlton area. He also asked whether there will still be a focus on ensuring resources and treatment for those with a persistent health care need such as diabetes will still be a priority.

 

The Head of Communities and Leisure informed members that the Community Development team have secured additional funding to secure another worker for the South Nottinghamshire area. The additional resource will help to focus on healthcare needs in the Gedling Borough area. Local Community Development Networks to consider how local services support one another will also aid in providing more sustainable resources.

 

Fiona Callaghan will look into what measures are being implemented to ensure resources for those with persistent healthcare needs such as diabetes is being met.

 

Councillor Paling asked how we will get more GP surgeries in newly developed areas and what the integration with local planning authorities is. Councillor paling noted that the funding allocated to health from these developments seems limited.

 

Fiona Callaghan explained that the Section 106 allocation is given directly to support health infrastructure such as extensions to current GP practices for example.

 

Councillor Ellis noted that the Section 106 allocation does not go directly back into the area where the development has taken place and asked whether there has been any consideration towards this.

 

Fiona Callaghan agreed to provide a summary on what the most recent Section 106 allocation was spent on. Stuart Newman informed Members that some GPs are challenged in that they have no further space to develop and this is something that the PCNs will be considering.

 

Councillor Lawrence has noted the difficulties of waiting times for A&E, ambulances and test results, asking whether the Placed Based Partnership’s approach will help with this.

 

Fiona Callagham admits that the urgent care system is under a lot of pressure as seen in the media and are also recovering from a pandemic as well. Fiona informed Members that there has been a great deal of work being done by Nottingham University Hospitals, Community Providers, Ambulance Services and Social Care to try and mitigate this.

 

It was noted that some of this mitigation can be provided before a patient reaches the need for NHS treatment and highlighted that the signposting projects should aid in preventing residents from reaching this point. Collaborations with NUH to provide care for people at home will also help with this.

 

Councillor Sam Smith asked what support is offered to GPs to build new medical centres. He noted that in Stoke Bardolph and Burton Joyce there is one medical group with three venues and highlighted the desire for these facilities to be combined, asking whether funding from Section 106 allocations can be channelled towards this.

 

Fiona Callaghan informed Members that they have a comprehensive estates programme at an ICB level, highlighting the Hucknall development as one of their current priorities in terms of new facilities which will take on Section 106 allocations. Fiona noted that GPs are private businesses and so they work closely with GPs to look at the opportunities available to them and how they would like to develop their local practices.

 

Councillor Hope asked how their work will change the experiences of his constituents. Noting the wait times and delays to services, Councillor Hope asked whether their priorities are in line with those he represents.

 

Fiona Callaghan agreed that there has been significant strain on the Urgent Care System which is particularly important on the approach winter. The strain on these services is compounded by the systems that have been in place which the Placed Based Partnerships, through consultation, are working to address. These partnerships will also work to establish the health care needs and priorities of the local residents.