To receive a presentation from the Director of Integrated Health and Social Care Strategy.
The Director of Integrated Health and Social Care Strategy delivered the presentation on the Council’s locality plan to the Board. The presentation provided an overview of the transformational work that was ongoing in Trafford as part of the delivery of the locality plan. Within the Trafford locality model there were four neighbourhoods used by the Council which overlapped with the five primary care networks used by Trafford CCG. Trafford Council and CCG were moving to a place based approach with the Locality Plan linking in with the Public Sector Reform programme and the NHS 10 year plan together in a whole area transformation of the way in which services were delivered utilising the combined budget for Health and Social Care of about £500m per year.
The Board were informed that within the new model social value was to play an important role in the commissioning of services. This involved considering the value brought to the area through the delivery of services, such as staff development, and taking stock of the wider impact those services had upon the community and environment. MFT and GMMH already had social value programmes in place and Trafford would be working with them to develop the Trafford model.
The Director of Integrated Health and Social Care Strategy went through slides detailing the key parts of Public Sector Reform and Primary Care Reform before showing a slide which linked them together in the Health and Social Care pillars of reform. The Board were told that Trafford would be taking a joint approach in creating Trafford’s 10 year NHS plan.
All of this work was supported by five key areas which were; People and Workforce, Digital Strategy, Estates Strategy, Financial Reform, and the Engagement Strategy. The Director of Integrated Health and Social Care Strategy informed the Board how each of these areas fed into the overall plan and would help to deliver change. The first year of the engagement plan was highlighted as being particularly critical to Board Members as it would be critical in Trafford moving towards a culture of co-production across all services.
The Board were told that the locality plan had to be written and signed off within six weeks. The document would be an officer style document, in the first instance, for submission to Greater Manchester which needs to tick a number of boxes to be signed off and for funding to be released. Once this had been done another version would be written that was easier to read and more user friendly.
The Executive Member for Adult’s Services stated her frustrations with tick box exercises and asked how this plan was to be more effective than previous top down transformations. The Director of Integrated Health and Social Care Strategy responded that the tick box exercise was to assure that the plan aligned with the NHS long-term plan. The Director of Public Health added that lessons had been learnt from previous transformation attempts and this one was different as they now had more data and more knowledge about the factors that impacted upon health. By taking a local level, holistic approach the Locality Plan would transform the whole system from the bottom up rather than only changing one or two elements at a strategic level and expecting the impact to trickle down to the local level.
Councillor Brophy asked about how the Council and CCG were going to change so that co-production would work. The Director of Integrated Health and Social Care Strategy agreed that it was a shift in the way that Trafford were working. This was why staff development was a vital part in delivering this change as was switching to a new model of commissioning.
Councillor Brophy then asked about plans for digital health services especially for young people. The Director of Integrated Health and Social Care Strategy answered that they were aware that young people wanted to interact differently with health services using smartphones and PCs rather than accessing face to face services and that they viewed their health differently. This was why Trafford’s digital strategy and engagement were listed as key supporting areas to deliver the Locality Plan. As Trafford needed the digital infrastructure to enable them to offer digital options and they needed to engage with young people to ensure that those options met their needs.
Councillor Blackburn asked whether there were a lot more young people coming into the health care workforce. The Director of Integrated Health and Social Care Strategy responded that young people wanted different things from employers, which was something that would be picked up within the People Strategy. The Trafford Integrated Network Director added that services did attract younger people and so it was important Trafford had the right offer in place to ensure those jobs fit with young people’s plans for their lives.
RESOLVED: That the presentation be noted by the Board.