Report Authorised by: Andrew Eyres: Strategic Director for Integrated Health and Care
Contact for enquiries: Andrew Parker, Director of Primary Care and Transformation, NHS South-East London CCG (Lambeth), Tel: 07956 677348 firstname.lastname@example.org
Andrew Eyres, Strategic Director, Integrated Health and Care, introduced the report and noted:
· The paper was an update to the October 2021 report and with a specific focus on the new arrangements for Lambeth Together.
· The Health and Care Bill was at Committee stage in Parliament and the proposed start date of the Integrated Care System (ICS) had been deferred to 31 July 2022.
· Lambeth continued integration and place arrangements planning, within the context of Southeast London.
· Lambeth Together partners were reviewing local arrangements and areas for improvement to fit into the new ICS process.
· Learnings had been taken from the collaborative response to the COVID-19 pandemic, which created new arrangements and left Lambeth in a good position to enhance integration and transition to new arrangements.
· Shadow arrangements for the Lambeth Together Strategic Board commenced in January 2022 and the Chairs were confirmed as Councillor Jim Dickson and Dr Dianne Aitken, which reflected the preferred approach of bringing together democratic / community and clinical leadership, working with the executive lead.
· The Board had reviewed the Lambeth Together Pledge to improve health and address health inequalities in the borough.
At this point in proceedings, officers displayed a video of the Lambeth Together Pledge, which showed Board members affirming their commitment to work together.
Ms Gay Lee, Susan Sidgwick and Wendy Horler, representing Lambeth Keep Our NHS Public, addressed the Board and stated:
· Current provisions in the Health and Care Bill, which did not appear to give statutory powers to the Local Care Partnerships and may make the Lambeth Together Care Partnership less effective without statutory control over provider collaboratives, primary care networks, or private companies in the Health System Support Framework.
· The current provisions of the Health and Care Bill did not cater for everyone in the geographical area of the ICS but only defined groups, including emergency services.
· There were no guarantees residents would be involved at the Board level with statutory powers and queried the scope for of meaningful public involvement.
· It was queried how the Health and Wellbeing Board fitted into the ICS structure.
Andrew Eyres, Strategic Director, Integrated Health and Care, responded as follows:
· The Health and Care Bill was going through Parliament and legislation was not finalised.
· Lambeth Together Care Partnership’s authority would come though delegation from the ICS. Building local care partnerships and delegating decision-making and resource was the extent to the LTCP’s powers, which were not statutory.
· The Health and Care Bill did not remove the sovereignty of Trusts, Primary Care Organisations or Local Authorities; but stipulated partnerships, reinforced by contractual relationships.
· Innovative arrangements, such as alliancing in mental health, had been piloted, and would encourage accountability.
· The ICS covers all residents within the Southeast London ICS, including those registered with local GPs, even if living elsewhere.
· The extent to which national and regional specialist services were delegated, in terms of specialist care that was not always managed at a subregional level, required further information.
· Additional guidance on community engagement requirements had been developed by the NHS for organisations, including involvement through Healthwatch.
· The ICS constitution would be subject to consultation in February 2022.
· The important roles of the Lambeth Together Board and the Health and Wellbeing Board were being differentiated. The HWB reflected learnings and moved its focus to public engagement and themed discussion. All local authorities were having similar conversations and arrangements would vary.
The Chair thanked officers for their responses and invited Ms Wendy Horler to present additional questions to the Lambeth Together Strategic Board public forum.
1. To note the contents of the paper.