Agenda item

To receive a presentation from Sir James Mackey, CEO of Northumbria Healthcare NHS Foundation Trust, and Mark Adams, CEO of North East and North Cumbria ICS.  Presentation to follow.

Members received a presentation (attached to the signed minutes) from Sir James Mackey, CEO of Northumbria Healthcare NHS Foundation Trust and Mark Adams, Chief Officer of NHS Newcastle and Gateshead CCG, North Tyneside CCG, Northumberland CCG and North Cumbria CCG.

Members received a detailed presentation which included:-

•       The footprint of the North East and North Cumbria Integrated Care System (ICS) and population comparison with neighbouring ICS areas.

•       The aims of the NHS White Paper

•     Improving population health and healthcare

•     Tackling unequal outcomes and access

•     Enhancing productivity and value for money

•     Helping the NHS to support broader social and economic development

•       Place based joint working between the NHS, Local Government, community health services and other partners.

•       Legislative timeline and national expectations

•       Planning guidelines

•       National policy/guidance

•       Twin Boards Model

•     Statutory ICS NHS Board

•     ICS Health and Care Partnership Board

•       The North East and North Cumbria (NENC) Emerging Structure

•       National emerging ICS Operating Model

•       ICS and Place based Partnerships

•       The impact on Northumberland

The following comments were made in response to queries and comments from Members:-

•       It was acknowledged that some people did have difficulties in getting appointments or had to travel a long distance to attend a hospital appointment.  The Systems Transformation Board would be working to address these type of issues and would welcome further information.

•       The Unions were involved nationally and becoming more locally involved.  The CCGs were awaiting guidance in a number of different areas.  Information was awaited on the direction of travel of the ICS and HR which directly affected CCG staff. 

•       Reducing Miles Travelled Initiative had reduced miles travelled by patients substantially since the start of lockdown.  COVID had allowed the use of technology for appointments which would have been impossible two years ago.  This technology would reduce the need for patients to make long journeys and to find a tailored solution.  This would be dealt with via the Systems Transformation Board and details of specific cases could be sent via Claire Riley.

•       It was aimed to avoid a centrally imposed plan.  There were currently a number of different sized CCGs.  National NHS colleagues were trying to encourage more local engagement.

•       NHS England was working to reach agreement in areas where there may be dispute.  The North of England was still a very important footprint with a clear regional identity.  ICP level interactions were needed within the ICS as it was so big.

•       There would be no public consultation relating to ICS changes as there was technically no change to services to the public.  Approximately two years ago, there had been engagement with the public in Northumberland.  COVID had prevented any further engagement with partners from taking place.  There were plans to work with Healthwatch in the future to ensure that public views were being listened to.

•       There would be work to create a public face to explain issues and take concerns back, enabling it to be held to account.

RESOLVED that the presentation and comments be noted.

The Chair thanked Sir Jim Mackey and Mark Adams for their presentation.