The Chair’s highlight report (Document “C”) summarised business conductedbetween Board meetings. The report included updates from the Executive Commissioning Board and the Integration and Change Board. 

Update from the Executive Commissioning Board

Board Members were informed that the Director of Strategic Partnerships, Bradford District CCG and the Strategic Director Health and Wellbeing commissioned an external review of ECB to provide an insight into how the group added value to other parts of the health and care system, along with an analysis of its overall impact and effectiveness. The findings from the review:

·        confirmed that partnership working was of paramount importance in delivering service improvement to the districts population. 

·       The review recommended that ECB should exercise a temporary pause until such time that it had been able to re-evaluate its strategic fit within the revised health and care structures and governance mechanisms, which now included 2 health and care partnership boards and a number of function specific programme boards. 

·       The Director of Strategic Partnerships, Bradford District CCG and the Strategic Director of Health and Wellbeing would be reviewing the terms of reference for the ECB in the context of the section 75 agreement and the current Better Care Fund.

·        Further strategic discussions were planned on integrated commissioning in August which would focus on further closer collaboration between the CCG’s and Local Authority on commissioning.

Update from the Integration and Change Board

Board Members were informed that:

·         The ICB (Integration and Change Board) met on 15^th March and 17^th May. This update covered the key actions and decisions arising from these meetings.

·         The ICB received progress updates from the System Development Network, and considered the action plan and five areas of system development were proposed, which included: Leadership, People, Relationships, Processes, & Pride in place. Work is on-going to develop this further.

·         The ICB also received an update on progress on the Strategic Partnering Agreement (SPA) and the final version of the document was presented to the ICB in March. It was agreed that the ICB endorsed the SPA document and the document was currently going through individual organisation governance processes.

·         The ICB considered the implications of the document ‘Investment and Evolution: a five year framework for GP contract reform’. ICB endorsed the proposal that Community Partnerships should be the continued basis for local level collaboration.

• The Living Well programme provided an update to the ICB on its approach to being whole system programme which brought together the work programmes and teams formerly known as Self Care and Prevention and Healthy Bradford. The Living Well programme would be providing further updates to the ICB as work developed.

• NHS England undertook a national engagement exercise regarding potential legislative changes required in order to implement the NHS Long Term Plan. 

• In May, the ICB received an update from the Digital Enabler group, this update included progress on the programme and to approve the principles of the updated Digital Strategy for the Bradford District & Craven Place. These included: care records, information governance, digital infrastructure improvement, improvements in business intelligence and population health management tools and fostering innovation.

• A review of projects and programmes commissioned by the ICB had begun and was expected to report back to the ICB in August, this review would cover current programmes and sought to understand what was required to deliver outcomes of the Happy, Healthy and at Home strategy effectively and efficiently.

A verbal update was provided to the board on the Early Help and Prevention programme. This programme was commissioned by this Board to develop and deliver an effective whole system approach to Prevention and Early Help that enabled effective cross system working for the benefit of communities and individuals in need of support.  A further progress report would be provided to the Board at its next meeting in September.

Resolved-

That the Executive Commissioning Board and the Integration and Change Board updates be noted.

Chairs Closing Remarks

The Chair thanked Dr Akram who was retiring from the Board for the work he had undertaken.

Members were informed that that Dr Akram would be replaced by Dr Sohail Abbas.