Welcome to the first Joined Up Care Update, which will keep you informed of what is discussed at the Sustainability and Transformation Partnership Board. The updates will follow each meeting to provide you with more detail on all the latest developments.

Senior colleagues, chief executives and chairs from all 11 organisations involved in Joined Up Care Derbyshire (our Sustainability and Transformation Plan, or ‘STP’) have held the first board meeting and created a new governance structure to help transform health and care services in the county.

The new structure (replacing the Programme Delivery Executive Group) makes sure all organisations know how they work together to make decisions, supporting ongoing hard work to coordinate and improve health and social care across the whole of Derbyshire.

Derbyshire’s System Performance Report and the Financial Recovery Plan has been considered by the board.

Providers and commissioners pledged to continue working closely together across health and social care systems, to make the changes needed to deliver care in the right place, in the right way, at the right time, while rising to the financial challenges faced – as elsewhere in the country.

As part of this Derbyshire’s four clinical commissioning groups will work on one shared QIPP* plan and providers will work to one joint CIP* plan. This coordinated approach will 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.

New ways of managing and sharing financial risk across the health and care system, including councils, providers and commissioners, will help everyone work towards having a financially stable system over the next few years.

The board agreed to prioritise and speed up the implementation of the plans set out in Joined Up Care Derbyshire and focus their organisations on the main projects, or ‘workstreams’. This will help all 11 organisations start working together as a whole system on an everyday basis, with patient care and services at the heart of their focus, and move away from functioning as separate entities.

As a result over the next few months, staff in all organisations will start to see more people being asked to work on the workstream priorities.

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.

Best wishes,

Paul Wood
Chair of Sustainability and Transformation Partnership Board

Tracy Allen
Interim Senior Responsible Officer for Joined Up Care Derbyshire

In other news:

Financial Boost

Following the announcement by senior health leaders this week that the NHS is pumping £325 million into new projects in 15 areas across the country, it was confirmed that Derbyshire would receive up to £30m for two local projects.

Derby Teaching Hospitals Foundation NHS Trust will now be able to move forward plans for an Urgent Care Village’ which will incorporate GP services, a frailty clinic and mental health services to make sure patients receive the right care in the right place, first time, and avoid going to A&E unnecessarily.

The additional money will go towards supporting work that is considering new facilities that will bring community services, outpatient clinics, testing and diagnostics and specialist rehabilitation services together in one place in the county.

The £325m has been awarded to Sustainability and Transformation Partnerships (STP) which are considered to be the strongest and most advanced in the country. It’s a great financial boost for Derbyshire’s STP, Joined Up Care Derbyshire, which will support the vision set out in the plans.

We will share more details on how the money will be spent as the plans develop.

To read the national release visit the NHS England website.

We have also had national and local coverage read it on the National Health Executive website.

Derbyshire STP rated ‘advanced’

NHS England have published the STP dashboard today and it has confirmed Derbyshire as one of the areas rated “advanced” in the first STP Progress Dashboard. The Dashboard, driven by indicators in three broad areas; hospital performance, patient-focused changed and transformation, measures us against the following nine domains, with a weighted score as outlined below: (50% of weighting)

  •     Emergency care – four hour standard
  •     Elective care – 18 week standard
  •     Safety – healthcare associated infections and special measures
  •     General practice – improving access
  •     Mental health – improving access
  •     Cancer – improving access

(50% of weighting)

  •     Prevention – unnecessary hospital stays
  •     System-wide leadership – partnership working
  •     Finance – system control totals