Welcome to the second edition of the Joined Up Care Derbyshire Update. This month the Sustainability and Transformation Partnership Board did not meet due to many of its members taking a summer break.

The STP Board will be meeting next month and we will keep you updated on what is discussed. In the meantime we want to give you a brief overview of the latest STP news.

People from across all 11 organisations involved in Joined Up Care Derbyshire (our Sustainability and Transformation Plan, or ‘STP’) have been coming together to launch the workstreams which focus on the priorities set out in our plans.

More than 100 people with an interest in mental health gathered at the Postmill Centre, South Normanton, this month to launch the Mental Health workstream.

Led by Ifti Majid, Acting Chief Executive of Derbyshire Healthcare NHS Foundation Trust, the session opened with him explaining how mental health fits into all areas of the Joined Up Care Derbyshire plans.

He said:

    “We need to get rid of organisational badges and truly begin working together across boundaries.  We are no longer in the era where we ‘blame’ commissioners or providers – we are in this together.”

The session involved discussions around the ‘must do’ areas within each of the four Mental Health programme areas and links to work already underway e.g. Better Care Closer to Home, Cost Improvement and Quality, Innovation and Prevention and Productivity programmes.

This month also saw the first meeting of the Derbyshire Urgent Care System Group, which brought together people from across all 11 organisations to discuss how their areas of their work support the urgent and emergency care vision.

The meeting focussed on understanding how the community and acute patient activity will change to deliver the vision and how new contracting methods will need to work to support the changes.

Work across all organisations continues on the Financial Recovery Plans which relies upon providers and commissioners working closely together across health and social care systems.

As part of this Derbyshire’s four clinical commissioning groups are working towards one shared QIPP* plan and providers are working to one joint CIP* plan. This coordinated approach mean teams can focus on specific schemes and all organisations can benefit from working together – preventing financial pressures from being moved around within existing structures and ways of working.

If we continue to work in our organisational silos and do nothing we will have an estimated financial gap of more than £239m in our health system and £136m in our local authority costs. These figures give us all an idea of the financial challenge we face, just as all systems do across the country, and they will alter due to inflation and other issues.

Regardless of the exact figure we must concentrate our efforts on new ways of managing and sharing financial risk across the health and care system, including councils, providers and commissioners to help everyone work towards having a financially stable system over the next few years.

Together with Healthwatch Derby and Derbyshire we have started to get out and about to start the conversation with people about the future of health and social care. People across the county and city have given us their views and have answered the questionnaire which aims to raise awareness of the changes needed to be made to health and social care and get their views on the initial priorities

We will be continuing to get out to as many people as possible with the questionnaire to start the conversations during September and October.  If you have any suggestions about where we could go either in your organisation or meetings we could attend in your local area in Derbyshire please get in touch. To get involved in the conversation, answer the questionnaire.

If you are interested in getting involved in Joined Up Care Derbyshire or have a question please email us.

*QIPP – The Quality, Innovation, Productivity and Prevention programme is a national Department of Health strategy involving all NHS staff, patients, clinicians and the voluntary sector. It aims to improve the quality and delivery of NHS care while reducing costs and making efficiency savings. These savings will be reinvested to support the front line.

*CIP – Cost Improvement Programmes aim to reduce cost. A CIP is the identification of schemes to increase efficiency/ or reduce expenditure. CIPs can include both recurrent (year on year) and non-recurrent (one-off) savings. A CIP is not simply a scheme that saves money as there must not be a detrimental impact on patients.
In other news
New leader for the Clinical Commissioning Groups

The Governing Bodies of the four Clinical Commissioning Groups across Derbyshire (North Derbyshire CCG, Southern Derbyshire CCG, Hardwick CCG and Erewash CCG) have confirmed the appointment of Dr Chris Clayton as their new joint Accountable Officer

Chris is currently Clinical Chief Officer for Blackburn with Darwen CCG and is also the Chief Officer for the Pennine Lancashire Transformation Programme. Originally from Rossendale in East Lancashire, Chris completed his clinical studies in Cambridge and worked in Birmingham and the West Midlands before joining Darwen Healthcare GP practice in 2004.  He has been Clinical Chief Officer for Blackburn with Darwen CCG since 2012. Chris is due to start his new role on October 2nd

The recruitment for the post of single Chief Finance Officer (CFO) for the four CCGs has also been completed and it has been confirmed an offer has to an external candidate. As more details are announced we will keep you informed.
NHS Hardwick CCG and NHS North Derbyshire CCG make their decisions following the Better Care Closer to Home consultation

After extensive public consultation Hardwick and North Derbyshire CCGs are to replace outdated hospital wards with a clinically proven model of home-based care to help older people recover more quickly from illness and operations.

The plans, which were unanimously approved at a joint meeting of the CCG boards during July will now be developed in detail. The CCGs have promised that no current service will stop until a clinically suitable alternative has been put in place

Their decisions now mean that proposals to provide enhanced and more joined up community-based services will now enter an implementation phase which will be guided by a set of agreed implementation principles as outlined in the Post Consultation Business Case.

Underlying these principles are three commitments both CCGs made to the people of northern Derbyshire:

  •     No current service would stop until an alternative is in place.
  •     Everyone who needs inpatient care under the proposals put forward would receive it
  •     All NHS-commissioned services to remain free at the point of delivery.

For more information visit the Joined Up Care website.