Issue - meetings

10:10

To receive a summary of the Integrated Care System 5 Year Plan and discuss priorities for Oxfordshire.

The Integrated Care System 5 Year Plan was before the Board for discussion on priorities for Oxfordshire (HWB6).  

Louise Pattern in introducing the report, explained that most work took place within Oxfordshire and would continue to do so, but that there were areas of commonality where it made sense to come together at scale and do work, such as key areas around prevention and significant workforce issues (such as how housing could be influenced or a Oxfordshire weighting).  The plan was very Strategic looking at areas of commonality between places when planning care that would be fit for the 21^st Century.

Ian Hudspeth reported that there had been some concern around the BOB, in particular everything being decided at a very Strategic level.  He asked if Louise could give the Board some assurances around whether there would be three different workings, whether Sovereignty would remain with Oxfordshire, and that, although the timetable appeared to be very tight and driven; whether there would be the ability for everyone to be engaged and have an input?

Louise explained that the aim was to get the local Oxfordshire Place sorted by developing a Partnership Board.  At the moment, there was the ISDB, which needed to change shape to look at a different membership: commissioners, providers and public to start to look at how integration was started.  It would not be a different organisation, but a way to facilitate through system leadership and distributive leadership to get integration going.  At the moment, the current thinking was that they would pick some key areas to look at how services could be integrated and share information about the cost of care versus the money that was available for care to make those resources stretch, including delegated budget for Mental Health and Primary Care and Community Services, with oversight at the Health & Wellbeing Board.

Ian Hudspeth commented that there was a need to be careful that it was not about one area propping up another, but about coming together to provide the best outcome for patients.

Roz Pearce spoke in support of the comments around the need to keep decision making retained at Oxfordshire level.  She pointed out that Healthwatch had not been mentioned in the documentation. She further commented that as the five Health watches were not in agreement, they would not be signing it off at the moment.  She questioned what the long-term impact on the overview roles of Health & Wellbeing Boards and Scrutiny would be and how scrutiny would work at BOB level, together with how strategies could be aligned across the Health & Wellbeing Boards to integrate with BOB.

Louise explained that there was still a commitment to align with the local authority boundries across BOB, as that was where there was shared accountibilty for safeguarding and shared ways of working and overview & scrutiny and that there were no plans to change that.

Roz Pearce expressed concern that there was very little about Social Care in the plan and that it  ...  view the full minutes text for item 18