Agenda item - ENFIELD INTEGRATED CARE PARTNERSHIP

Agenda item

ENFIELD INTEGRATED CARE PARTNERSHIP

To receive a presentation on Enfield Integrated Care Partnership

Report Update

Minutes:

Received a report from Deborah McBeal, Director of Integration, Enfield Borough Directorate, NCL CCG and Stephen Wells, head of Enfield Integrated Care partnership Programme, Enfield Borough Directorate, NCL CCG on the Enfield Integrated Care Partnership.

 

It was noted that:

 

1.  There are local relationships and collaborative working in place to develop a plan for Enfield.  During the pandemic, the organisations came together remotely to develop a plan to move us forward into joint working.

 

2. Although joint working exists, Enfield do have a degree of independence and flexibility and there is an integrated care system including all the 5 neighbouring boroughs.  The Integrated Care System places a duty on all organisations to collaborate and there is a need to work with all our communities to respond to what the residents tell us they want.

 

3.  Enfield have developed a robust plan over the pandemic period.  Responses to flu vaccine improved and this model has been used to help improve take up of covid vaccinations.

 

4.  Within NCL there are national timelines for recruitment and the Chair is currently Mike Cooke who used to be the CEX at Camden Council so much experience is already there. The ultimate goal is the deliver a successful plan. 

 

5.  The CCG have a £2m investment fund to maximise inequalities issues and 8 proposals have been put forward and funded. Challenges need to be understood and communicated with our residents. 

 

6.  The ICP Plan in Enfield started off small and continues to grow and will eventually deliver all requirements.

 

7.  Enfield CCG merged with Barnet, Camden, Haringey and Islington CCGs on 1st April 2020 to form North Central London (NCL) CCG. The Health and Care Act 2021 means that transactional work is now underway to develop NCL CCG into an Integrated Care System to include the Local Authority, Acute Trusts, and wider health & wellbeing/resident groups. At borough level, there will be Integrated Care Partnerships (ICPs) with similar membership.

 

8.  This large organisational change to the NHS will not affect the way scrutiny is undertaken. The only change will be that local partnerships will work closer together, which will make a difference to local residents.

 

9.  With regard to the transactional changes, there is concern that there is a democratic deficit. The appropriate level of governance is needed at NCL ICS and local ICP level, but positive improvements have been seen.

 

10. It was confirmed that further work is going ahead independently to develop the Enfield ICP with a number of workshops planned to include stakeholders at the end of September/beginning of October.

 

11.  A difference can be made by continuing to work in partnership. Enfield has received more than a 5th share of the £2.5m from the NCL inequalities levy, which is focused on tackling inequalities.

 

12. There is a challenge in the Health and Care Act in respect of procurement rules - the NHS will have an exemption, but Enfield Council will not. 

 

12.  By working as an Enfield ICP we can continue and expand all the joint working across the Council, providers and voluntary sector that we have built up during the pandemic. We can also work together on issues that have a huge impact on health such as homelessness and housing issues so that we can help our residents live healthier and happier lives.

 

13.  Electronic integrated systems are already in place to enable clinicians to look at a clinical record easily and make informed decision/actions immediately at a glance to avoid delays to care.

 

14.  The ICP will have financial responsibilities but this is still to be determined and guidance is not available yet. Presently the duty would be to work collaboratively, and partnership input is important prior to legislation being agreed. The leadership for the ICS and the ICP will be made up of a wide range of professionals from across the NHS and local authorities. Other stakeholders such as the voluntary sector and patient representatives will also be key to how the new system decides how to best use resources and what issues to prioritise. There will be a strong resident voice in the new system.

 

 

15.  Under ICS/ICP working there is a legal obligation to help the whole population.  There will be a standard pot of money across NCL making it easier to move money around when required and to focus on need, offering more benefit for Enfield financially for years to come.

 

In conclusion the Chair agreed the report and welcomed further information being shared with the HASC as it becomes available. The Chair advised that an additional meeting can be arranged later on in the year when there is more information available on the ICS and ICP system and to hear feedback from the stakeholder events.

 

Supporting documents: