Agenda item

To update the Board on the refresh of the West Yorkshire Partnership’s five-year strategy.

Contact:  Esther Ashman, Associate Director Strategy.

Esther Ashman, Associate Director, Strategy, NHS West Yorkshire Integrated Care Board, provided the Health and Wellbeing Board with an update on the refresh of the West Yorkshire Partnership’s Five-Year Strategy. The Board was informed that the process has been designed and conducted by a group of people, which reflected the entirety of the partnership and included colleagues from Kirklees. There has been some positive feedback from a number of formal and informal groups who have been presented with the draft strategy.

The Partnership Board considered the draft in December 2022, and just a reminder that the Partnership Board as the West Yorkshire Integrated Care Partnership owns this strategy, having considered the draft they are content with it. It is now being presented to all the Health and Wellbeing Boards, Joint Health Overview and Scrutiny and anyone else who would like to have comment on the strategy to get views. It will continue to be iterated before finalising in March 2023. There will also be a number of accessible versions that will be produced as part of this process.

Work is also being undertaken on developing the delivery plans, to set out how this strategy is going to be delivered. In West Yorkshire, the approach is to do this in conjunction with the development of more detailed operational plans for the coming year. The Board will be used to NHS England driving an operational planning process each year,  and the aim is to ensure that all these things are tied in together. The two processes will be brought together to tell the story of how the strategy will be delivered.

The five-year strategy has been set, and the five-year plan is being developed including the detail of the first year. By bringing that first year detail in through the operational plan, it will ensure that the work is prioritised and phased in the right way over the coming five years. The refresh of the Joint Forward Plan has to be undertaken every year, and that will sit alongside the operational planning each year. There is a requirement to engage with the Board as part of that process each year.

The Joint Forward Plan is a national requirement and is a statutory duty of the Integrated Care Board to develop the Joint Forward Plan. It has a deadline for completion of the 30^th June, however, given there will be an election period in mid-March, the aim is to get as near as possible a detailed draft by the end of March, to iterate and finalise by the end of June.

There are a number of requirements in the Joint Forward Plan guidance, including working and engaging with Health and Wellbeing Boards, which is already being done in West Yorkshire and will continue to bring updates and drafts to the Board for comments as it is developed. The Joint Forward Plan is designed to be fully aligned with a wider systems partnership ambitions, known in West Yorkshire as the 10 big ambitions, to support subsidiarity in making decisions and delivering services as close to the individual as possible, by building on existing local strategies and plans.

The intention is to be delivery focus by working on specific objectives, trajectories, and milestones to be able to deliver against and monitor that delivery. The Board will be aware of the 10 Big ambitions and there is a need to work up the trajectories for those. As part of the forward plan, each place will also be developing their own plan for the next five-years, which most places are already on with. That will be led by and owned by the place committee of the ICB, for example the Kirklees Health and Care Partnership. This will set out delivery against four things:

1.          The NHS England commitments, the must do’s

2.          The 10 Big Ambitions in the West Yorkshire Strategy

3.          Those functions that have been delegated for the ICB, such as Primary Care and dental

4.          The local priorities for Kirklees, each place will have factors that are individual to the place, this is set out in the Kirklees Health and Wellbeing Strategy and built from the Joint Strategic Needs Assessments

There is a statutory requirement to consult with the public on the Joint Forward Plan, and the team at West Yorkshire and the local communication leads have been pulling together a process around consultation. It started on the 10^th January 2023, and will run through until the 20^th February and there has been a strong response rate. This is an important part of the work developing a plan, and Board members are asked to share the link to the consultation as widely as possible.

In response to the information presented the Board made comment and asked a number of questions including some of the following:

-          One of the things that will be crucial in designing a plan to deliver the strategy, is to ensure that things happens differently, for example the way that resources flow and it has to happen at the top of the ICB level, otherwise the opportunity to make change may  not happen

-          It is a very ambitious plan; Kirklees is quite a deprived area and funding is very important. There has been wider ICB programmes for example, cardiovascular, however, Kirklees does not appear to be getting its share or the benefits of that. Discussions have been taking place, and it is important to look at the funding allocation and work together to get the best for residents

The Board was informed that timescale on feedback on the draft is within the next couple of weeks, purely because the aim is to get versions out and also get them in accessible forms by the end of the first week in February.

RESOLVED

That:

-        Esther Ashman be thanked for providing an update on the refresh of the West Yorkshire Partnership’s five-year strategy working draft and Joint Forward Plan approach

-        That the Board notes the work that has been undertaken across the Partnership as part of the refresh of the strategy

-        The Board supports the proposition to further build the ‘integrated care experience’ to deliver the strategy

-        The Board notes the timescale for providing comment on the current draft of the strategy, and notes the further work to be undertaken, and the development of a Joint Forward Plan to enable delivery of the strategy