Health and social care organisations in Derbyshire have been working closely together for some time, to improve care and services for people and make them as efficient and effective as possible.
The Government published a White Paper in February 2021 which they say gives the blueprint for future NHS and Social Care reforms. It is hoped that the new proposals, which build on the NHS’ Long Term Plan, will join up health and care services and embed lessons learned from the pandemic. In Derbyshire, these proposals are welcomed and in line with the direction of travel being planned by the Joined Up Care Derbyshire Integrated Care System.
The White Paper details plans to support recovery by stripping away unnecessary legislative bureaucracy, empowering local leaders and services and tackling health inequalities. The government is proposing a Bill will be laid in Parliament, when parliamentary time allows, to carry the proposals into law. The Government intends to bring forward separate proposals on social care reform later in 2021.
In particular, the Government’s announcement - following recommendations made by NHS England - includes proposed legislation to set out the future of Integrated Care Systems (ICS). Joined Up Care Derbyshire was announced as the ICS for Derby and Derbyshire following its prior status as an STP, with effect from 1st January 2021, and this new announcement sets out the next stage in development, including the legal powers for ICSs across the country.
NHS England asked local health and care systems for their views on giving ICSs increased statutory powers in November 2020. Overall, the proposals met with the direction of travel and aspirations for Derbyshire, outlining four main aims:
The proposals talked about existing CCG commissioning responsibilities becoming part of the ICS, and set out a new landscape for collaboration among service providers working both at scale and in our neighbourhoods. NHS England has reviewed this feedback and has made five specific recommendations to Government, which the Government has now agreed to legislate. The Government published it's draft legislation on 6th July which will follow the usual passage of bills through Parliament. The important second reading of the bill is likely to take place before the parliamentary summer recess in 2021. You can read NHS Provider's summary of the draft legislation here.
In real terms, for Derbyshire, this will mean:
In June 2022, NHS England published the ICS Design Framework, which provides more information on how ICSs will be established, including the proposed membership of the ICS NHS Board and the way in which funding may flow into Derbyshire. You can read the NHS Confederation's briefing on the Design Framework here.
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Collaboration at Place and at Scale
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