Welcome to the latest Joined Up Care Derbyshire Update. Joined Up Care Derbyshire brings together twelve partner organisations and sets out ambitions and priorities for the future of the county’s health and care.

The updates follow each Joined Up Care Derbyshire Board to provide you with details on all the latest developments.

The March board meeting saw the partnership make the positive decision to approve the number of Place Alliances that will deliver tailored health and care to support people to stay well in areas across the county and city.

The eight Place Alliances (link to eight places map on the website) were agreed following engagement with partners and members of the 21 places over the last few months and will be fundamental to driving forward the ambition to wrap care around people and their communities rather than providing support from buildings.

Places are simply about empowering people to live a healthy life for as long as possible through joining up health, care and community support for people and individual communities.

A crucial component of place and focusing on people and communities lies in realising that wellbeing stretches far beyond the ability to access a hospital, see a GP or receive care in a bed.

The Board also went to approve the place Governance structure (link to Governance structure). The structure will manage the overall development of place and set the framework for the Place Alliances, which will be responsible for using the available resources to make sure there are equitable services for people living and working in the city and county.

The next job for the working group will be to focus on mapping the resources in each of the places to make sure key aims set out support the needs of people living in those areas.

Finance

Work continues on agreeing a single, system wide savings plan by the end of April this year to help us make the significant savings that we must achieve.

Conversations between commissioners, organisations which buy services, and providers, organisations that care for you in hospital or your home, are agreeing how best we can work to a shared QIPP* and CIP* plan to use the resources we have to deliver services we need.

All members of the Board continue to be in agreement that there needs to be more focus on system wide collaboration, putting in system wide plans to ensure there is collective delivery of the plans by all organisations.

Working together gives us all the best opportunity to offer the citizens of Derbyshire the best possible health and care services and make the best use of the resources we have across the system.

The Board agreed that the single system wide savings plan will be presented at the next meeting in April.

Pressures on the system

The urgent care system continues to be under pressure with both Chesterfield Royal Hospital FT and Derby Teaching Hospitals FT reporting rising numbers of people attending and acuity of patients requiring admission increasing.

The health and social care system is, as ever, working very closely together to alleviate the pressure wherever possible, but the system is very tight and there is significant planning taking place to ensure the system understand the capacity challenges and the flow of patients heading into the Easter period, which is challenging for services.
To find out more about how you can stay well and where to go if you feel unwell visit: http://nhsstaywellderbyshire.co.uk/

In Other News

The Competition and Markets Authority (CMA) approved the Burton Hospital NHS FT and Derby Teaching Hospitals FT merger from a competition perspective and were very clear that the compelling clinical case outweighed any concerns that they might have with regard to competition.

NHSI’s Provider Regulatory Committee (PRC) have also met to consider the Full Business Case for the merger. They were impressed by the strength of the clinical argument and the strategic rationale for the merger and acknowledged that the financial case underpinning the proposal had been strengthened.

However, in considering whether they were able to assign a risk rating for the merger, NHSI believes that further work needs to be done to provide greater assurance that the revised financial plan will be delivered. It’s great news to be at this stage which is testament to the work done by everybody involved.

Work will continue in partnership with NHSI on the financial plan so the proposal can be reconsidered in May.

Information

*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.