Agenda and draft minutes

The Chair welcomed everyone to the meeting and confirmed the reason for the meeting was for the Health & Wellbeing Board to discuss plans for how neighbourhood health services would be shaped in Oxfordshire, following the government’s announcement of the 10 year NHS plan.

The Chair also welcomed the invite to all the Leaders of the City and District Councils in Oxfordshire, as well as the Chair of the Oxfordshire Joint Health Overview and Scrutiny Committee, as it was important to hear their input.

Apologies were received by Professor Sir Jonathan Montgomery, but hoped to be able to join online, Karen Fuller and Stephen Chandler. Given the short notice of the meeting, a number of Board Members attended virtually.

Apologies were also received by Cllr Helen Pighills (who attended online), substituted by Cllr Bethia Thomas, and by Cllr Georgina Heritage (who attended online), substituted by Cllr David Rouane. 

There were none.

Members of the public who wish to speak on an item on the agenda at this meeting, or present a petition, can attend the meeting in person or ‘virtually’ through an online connection.

Requests to present a petition must be submitted no later than 9am ten working days before the meeting.

Requests to speak must be submitted no later than 9am three working days before the meeting.

Requests should be submitted to committeesdemocraticservices@oxfordshire.gov.uk

If you are speaking ‘virtually’, you may submit a written statement of your presentation to ensure that if the technology fails, then your views can still be taken into account. A written copy of your statement can be provided no later than 9am on the day of the meeting. Written submissions should be no longer than 1 A4 sheet.”

There were none.

The Board is asked to note the early plans and timetable of delivery for Neighbourhood Health services in Oxfordshire. 

In line with the government's 10 year health plan, which includes a priority for moving care from hospital to community, local areas are required to develop Neighbourhood Health services. The Health And Wellbeing Board will have leadership for local Neighbourhood Health plans jointly drawn up by local government, the NHS and its partners. 

-       Annex 1: ‘Fit for the Future’ – 10 Year Health Plan for England – Executive Summary

-       Annex 2: NHS England – Neighbourhood Health Guidelines 2025/26.

Further information, including the full 10 Year Health Plan, can be found on the government website, here: 10 Year Health Plan for England: fit for the future - GOV.UK

Michelle Brennan, GP Representative, and Professor Malcolm McCulloch gave a presentation on neighbourhood health services in Oxfordshire and raised the following points:

-       Important to understand that the neighbourhood model of health was much bigger than just the NHS with involvement needed by local authorities, ICB’s and community and voluntary organisations.

-       Thematic analysis of feedback from system partners showed that people felt systems were fragmented and siloed, with confusion of where people need to go.

-       The left shift ambition of moving towards preventative care was vitally important to avoid hospital-centric care.

-       It was likely that neighbourhood health areas in Oxfordshire would be in a range from 50,000 to 100,000 people.

-       The John Hopkins segmentation showed 473,978 people were in the lower need group, 147,710 people were in the moderate need group and 18,75 were in the higher need group.

-       The Acute Sector being involved is important for this model to work.

-       Rapid mapping of services was underway and it was emphasised that Oxfordshire have a high level of services already aligned to the community.

-       The need for a high-performance system framework with five key functions was shown: operations, coordination, resource allocation, future scanning, and identity/governance was emphasised.

-       Better shared data platforms would allow for better coordination, citing international examples of integrated patient systems.

-       It was emphasised that a shift was needed to receive best value across the system, rather than in individual organisations.

-       It was important to scan for future trends, such as AI or ageing populations, and to adapt resourcing allocations and governance structures accordingly.

-       The move from analogue to digital would be an enabler for this work.

-       The governance structures would come in the form of a Primary and Community Board, reporting into the Place Based Partnership and the Health & Wellbeing Board.

-       The importance of having shared data sets.

-        

Ansaf Azhar, Director of Public Health and Communities, stressed the need to focus on the other leftward shift (treatment to prevention) alongside moving care away from hospitals, as well as ensuring that neighbourhood health centres were not purely clinical and to embed social care elements.

The Chair asked how a single point of entry into the system would be managed and whether it would be conducted nationally, locally or at an integrated care system level. The NHS app was referenced as one example, but it was noted as very complex. Coordination would have to take place across organisations.

Dan Leveson, Director of Places and Communities (BOB ICB) commented on the need of the Health & Wellbeing Strategy to reflect the current journey of health and social care in Oxfordshire.

The Vice Chair asked how this framework would work for organizations which have to be a part of multiple systems. It was noted that it had to be an iterative process to work out what worked best for individual organizations, in consultation with their stakeholders. It was commented on that the neighbourhood health plans were an opportunity  ...  view the full minutes text for item 141.